Heather McKenzie, MD
Undersea and Hyperbaric Medicine · San Antonio, TXNPI 1811930431
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (43.5%), travel and lodging and consulting fees — rather than concentrated in one kind of arrangement. 21 manufacturers reported payments, led by Kerecis Limited at 38.6% of the total. Reporting peaked in 2022 at $3,495 and has fallen 92.2% since, to $271 in 2025.
Across 74 payments — averaging $77.26 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Kerecis Limited$2K
- KCI USA, Inc.$1K
- Organogenesis Inc.$410
- Medtronic$354
- Smith+Nephew$258
- Endologix LLC$246
- plus $844 from 15 others
What the payments were for
- Consulting fees$1,40024%
- Speaking & faculty fees$1242%
- Travel & lodging$1,70830%
- Food & beverage$2,48543%
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 |
|---|---|---|
| Kerecis Limited | 6 | $2,206 |
| KCI USA, Inc. | 1 | $1,400 |
| Organogenesis Inc. | 19 | $410 |
| Medtronic(2 entities) | 4 | $354 |
| Smith+Nephew | 14 | $258 |
| Endologix LLC | 1 | $246 |
| AbbVie(2 entities) | 6 | $209 |
| Stryker | 1 | $146 |
| Celularity Inc. | 1 | $117 |
| Misonix Inc | 2 | $59 |
| Integra Lifesciences Corporation | 2 | $43 |
| Convatec Inc. | 2 | $40 |
| Tactile Systems Technology Inc | 3 | $39 |
| Medline Industries LP | 2 | $36 |
| Next Science LLC | 2 | $35 |
| Amarin Pharma, Inc. | 2 | $31 |
| Livanova USA, Inc. | 1 | $23 |
| Johnson & Johnson | 1 | $19 |
| Medela LLC | 2 | $18 |
| Pfizer | 1 | $14 |
| RGH Enterprises LLC | 1 | $14 |
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.
- Kerecis Omega3 Marigen$5,626
- Kerecis Omega3 SurgiClose$2,360
- Kerecis Omega3 GraftGuide$2,109
- Bair Hugger$1,400
- ACTIV.A.C.$1,400
- V.A.C. DERMATAC$1,400
- PREVENA$1,400
- PROMOGRAN PRISMA$1,400
- Torus Stent Graft System$246
- ENDOCROSS Device$246
- Kerecis Omega3 Wound$149
- Kerecis Omega3 Surgibind$149
- SPY TECHNOLOGY$146
- IN.PACT Admiral$125
- Apligraf$124
- Dermagraft$124
- Puraply/Affinity/NuTech$124
- COLLAGENASE SANTYL$122
- UltraMist$117
- HawkOne$112
How this compares
$5,718 in reported general payments places this provider in the 75th percentile of 59 undersea and hyperbaric medicine providers in Texas.
See all undersea and hyperbaric 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 |
|---|---|---|
| SantylCollagenase Clostridium Hist. | 46 | $27,190 |
| Gentamicin Sulfate | 44 | $2,060 |
| Mupirocin | 113 | $1,222 |
| Doxycycline Monohydrate | 25 | $717 |
| Doxycycline Hyclate | 49 | $476 |
| Cefdinir | 17 | $361 |
| Ammonium Lactate | 18 | $347 |
| Ciprofloxacin Hcl | 51 | $321 |
| Triamcinolone Acetonide | 23 | $315 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 30 | $271 |
| Cephalexin | 46 | $258 |
| Metronidazole | 20 | $141 |
| Fluconazole | 18 | $77 |
| Amoxicillin | 21 | $52 |
| Levofloxacin | 21 | $44 |
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 |
|---|---|---|
| Smith+NephewSantyl | $258 | $27,19046 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 59 undersea and hyperbaric medicine providers in Texas.
Other undersea and hyperbaric medicine in San Antonio
- Heather AguirreSan Antonio$98K
- Jayesh ShahSan Antonio$17K
- Manjulatha BadamSan Antonio$1K
- Fernando KarstSan Antonio$1K
- Khan ShiraniSan Antonio$953
- Jason KellySan Antonio$632
- Homer ReyesSan Antonio$291
- Jerry KelleySan Antonio$130
- Robert DunnSan Antonio$23
- Merritt Davis JrSan Antonio$14
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.