Gerardo Garza Gutierrez, MD
Pulmonary Disease · San Antonio, TXNPI 1710901954
Payments from drug & device makers
Across 464 payments — averaging $26.07 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$2K
- GSK$2K
- Boehringer Ingelheim$1K
- Actelion Pharmaceuticals US, Inc.$1K
- United Therapeutics Corporation$800
- Regeneron Healthcare Solutions, Inc.$531
- plus $5K from 34 others
What the payments were for
- Food & beverage$12,054100%
- Education$420%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
General payments by program year
Who reported the general payments
Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.
| Company | Payments | Total |
|---|---|---|
| AstraZeneca(2 entities) | 64 | $2,144 |
| GSK | 113 | $1,694 |
| Boehringer Ingelheim | 64 | $1,407 |
| Actelion Pharmaceuticals US, Inc. | 27 | $1,011 |
| United Therapeutics Corporation | 20 | $800 |
| Regeneron Healthcare Solutions, Inc. | 13 | $531 |
| Grifols USA, LLC | 24 | $528 |
| Sanofi | 12 | $421 |
| Mylan Specialty L.p. | 11 | $418 |
| Johnson & Johnson | 16 | $360 |
| Inari Medical, Inc. | 2 | $316 |
| Bayer | 12 | $301 |
| Amgen | 9 | $296 |
| Philips North America LLC | 14 | $206 |
| AbbVie | 9 | $189 |
| Abiomed | 3 | $145 |
| Boston Scientific | 1 | $144 |
| Genentech USA, Inc. | 4 | $138 |
| Pulmonx Corporation | 1 | $130 |
| Smith+Nephew | 1 | $123 |
| Baxter Healthcare | 5 | $106 |
| Tactile Systems Technology Inc | 3 | $87 |
| Electromed, Inc. | 5 | $74 |
| Insmed, Inc. | 4 | $73 |
| Circassia Inc. | 4 | $66 |
| Takeda Pharmaceuticals U.S.A., Inc. | 4 | $64 |
| Verona Pharma, Inc. | 2 | $58 |
| Gilead | 2 | $40 |
| Shire North American Group Inc | 3 | $40 |
| Merck | 2 | $24 |
| Jazz Pharmaceuticals Inc. | 1 | $22 |
| Vifor Pharma, Inc. | 1 | $20 |
| Mallinckrodt Enterprises LLC | 1 | $18 |
| Novartis | 1 | $18 |
| Portola Pharmaceuticals, LLC | 1 | $17 |
| Cumberland Pharmaceuticals, Inc. | 1 | $16 |
| ANI Pharmaceuticals, Inc. | 1 | $15 |
| Sunovion Pharmaceuticals Inc. | 1 | $13 |
| Melinta Therapeutics, LLC | 1 | $13 |
| Chiesi USA, Inc. | 1 | $12 |
What the payments were tied to
Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.
- TEZSPIRE$615
- UPTRAVI$359
- FLOWTRIEVER CATHETER, S$316
- CT THROMBECTOMY SYSTEM KIT$316
- DUPIXENT$278
- BREZTRI$250
- OFEV$246
- Yupelri$245
- OPSUMIT$237
- SPECTRA WAVEWRITER$144
- CHARTIS CATHETER$130
- ZEPHYR DELIVERY CATHETER$130
- ZEPHYR ENDOBRONCHIAL VALVE$130
- PULMONX CHARTIS TABLET CONSOLE$130
- FASENRA$124
- Acticoat Range$123
- TYVASO$122
- NUCALA$116
- EYLEA$116
- XOLAIR$107
How this compares
$12,096 in reported general payments places this provider in the 75th percentile of 904 pulmonary disease providers in Texas.
Medicare billing
What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 154 | $128,275 |
| NucalaMepolizumab | 22 | $84,322 |
| Breztri AerosphereBudesonide/Glycopyr/Formoterol | 84 | $56,760 |
| Anoro ElliptaUmeclidinium Brm/Vilanterol Tr | 27 | $17,661 |
| Breo ElliptaFluticasone/Vilanterol | 34 | $12,695 |
| Bevespi AerosphereGlycopyrrolate/Formoterol Fum | 21 | $11,119 |
| SymbicortBudesonide/Formoterol Fumarate | 39 | $10,085 |
| Arnuity ElliptaFluticasone Furoate | 17 | $6,078 |
| Fluticasone Propionate HfaFluticasone Propionate | 16 | $3,931 |
| Budesonide-Formoterol FumarateBudesonide/Formoterol Fumarate | 14 | $3,893 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 144 | $3,070 |
| BreynaBudesonide/Formoterol Fumarate | 13 | $2,638 |
| Fluticasone-SalmeterolFluticasone Propion/Salmeterol | 13 | $1,824 |
| Montelukast Sodium | 109 | $967 |
| Prednisone | 103 | $359 |
Paid to pharmacies, not to this prescriber.
Companies that both paid and supply prescribed drugs
These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| GSKTrelegy Ellipta, Nucala, Anoro Ellipta, Breo Ellipta, Arnuity Ellipta | $1,694 | $249,031254 claims |
| AstraZenecaBreztri Aerosphere, Bevespi Aerosphere, Symbicort | $2,144 | $77,964144 claims |
Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 75th percentile of 904 pulmonary disease providers in Texas.
Other pulmonary disease in San Antonio
- Charles AndrewsSan Antonio$17M
- Antonio AnzuetoSan Antonio$1.8M
- Diego Maselli CaceresSan Antonio$1.8M
- John HolcombSan Antonio$1.7M
- David MarksSan Antonio$1.3M
- Anoop NambiarSan Antonio$840K
- Rodolfo Estrada AnzuetoSan Antonio$324K
- Ali AbediSan Antonio$269K
- Ivan RosasHouston$13.8M
- Shahrukh KureishyMcKinney$12.4M
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.