Gina Esparza, MD
Family Medicine · San Antonio, TXNPI 1679506521
Payments from drug & device makers
Across 249 payments — averaging $20.77 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novo Nordisk$1K
- AbbVie$862
- AstraZeneca$541
- Johnson & Johnson$403
- Lilly USA, LLC$382
- Amgen$173
- plus $2K from 31 others
What the payments were for
- Food & beverage$5,09699%
- Education$761%
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 |
|---|---|---|
| Novo Nordisk | 56 | $1,278 |
| AbbVie(2 entities) | 46 | $862 |
| AstraZeneca(2 entities) | 13 | $541 |
| Johnson & Johnson | 31 | $403 |
| Lilly USA, LLC | 24 | $382 |
| Amgen | 10 | $173 |
| Astellas Pharma US Inc | 5 | $166 |
| Smith+Nephew | 1 | $124 |
| Abbott | 5 | $120 |
| Sanofi-aventis U.S. LLC | 4 | $115 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 8 | $110 |
| Avanir Pharmaceuticals, Inc. | 1 | $108 |
| Bayer | 4 | $78 |
| Dynavax Technologies Corporation | 6 | $72 |
| Amarin Pharma, Inc. | 4 | $71 |
| Teva Pharmaceuticals USA, Inc. | 1 | $58 |
| Merck | 4 | $51 |
| Nestle Healthcare Nutrition Inc. | 3 | $49 |
| Novartis | 2 | $36 |
| Sumitomo Pharma America, Inc. | 2 | $34 |
| Biohaven Pharmaceutical Holding Company Ltd. | 1 | $32 |
| Exact Sciences | 1 | $31 |
| Boston Scientific | 1 | $25 |
| Sanofi Pasteur Inc. | 1 | $24 |
| GSK | 2 | $23 |
| Cipher Pharmaceuticals US LLC | 1 | $21 |
| Cvrx, Inc. | 1 | $20 |
| Sunovion Pharmaceuticals Inc. | 2 | $20 |
| Boehringer Ingelheim | 1 | $19 |
| Ultragenyx Pharmaceutical Inc. | 1 | $19 |
| Lundbeck LLC | 1 | $17 |
| Radius Health, Inc. | 1 | $16 |
| Aimmune Therapeutics, Inc. | 1 | $16 |
| Cumberland Pharmaceuticals, Inc. | 1 | $16 |
| Shire North American Group Inc | 1 | $14 |
| Ironwood Pharmaceuticals, Inc | 1 | $14 |
| Otsuka America Pharmaceutical, Inc. | 1 | $13 |
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.
How this compares
$5,172 in reported general payments places this provider in the 85th percentile of 8,760 family medicine 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 |
|---|---|---|
| MounjaroTirzepatide | 198 | $316,270 |
| JardianceEmpagliflozin | 160 | $260,503 |
| OzempicSemaglutide | 190 | $255,575 |
| AustedoDeutetrabenazine | 19 | $113,270 |
| TrulicityDulaglutide | 39 | $94,262 |
| JanuviaSitagliptin Phosphate | 62 | $90,414 |
| LinzessLinaclotide | 72 | $72,171 |
| GemtesaVibegron | 59 | $64,710 |
| MyrbetriqMirabegron | 70 | $63,214 |
| EliquisApixaban | 56 | $55,212 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 45 | $50,036 |
| Bydureon BciseExenatide Microspheres | 15 | $30,294 |
| TradjentaLinagliptin | 16 | $26,495 |
| FarxigaDapagliflozin Propanediol | 27 | $22,203 |
| Synjardy XrEmpagliflozin/Metformin Hcl | 11 | $20,659 |
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 |
|---|---|---|
| Lilly USA, LLCMounjaro, Trulicity | $382 | $410,532237 claims |
| Boehringer IngelheimJardiance, Tradjenta, Synjardy Xr | $19 | $307,657187 claims |
| Novo NordiskOzempic, Rybelsus | $1,278 | $276,104201 claims |
| Teva Pharmaceuticals USA, Inc.Austedo | $58 | $113,27019 claims |
| MerckJanuvia | $51 | $90,41462 claims |
| AbbVieLinzess, Savella | $862 | $78,88587 claims |
| Sumitomo Pharma America, Inc.Gemtesa | $34 | $64,71059 claims |
| Astellas Pharma US IncMyrbetriq | $166 | $63,21470 claims |
| GSKTrelegy Ellipta | $23 | $50,03645 claims |
| AstraZenecaFarxiga, Symbicort | $541 | $25,08840 claims |
| Johnson & JohnsonXarelto | $403 | $20,46017 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 85th percentile of 8,760 family medicine providers in Texas.
Other family medicine in San Antonio
- Douglas DenhamSan Antonio$68.5M
- George AtieeSan Antonio$19.9M
- Leonel ReyesSan Antonio$4.3M
- Brian MacgillivraySan Antonio$3.2M
- Juan GarzaSan Antonio$2.5M
- Vicki MillerPasadena$58.3M
- Hareshkumar BogharaDesoto$30.3M
- Earl MartinTomball$30.1M
- Lisa HollowayHouston$30.1M
- William SegerFort Worth$27.5M
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.