Heather Riebel
Pediatrics · Boerne, TXNPI 1891999470
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $2,739 of the $3,253 with a category attached, or 84.2%. 24 manufacturers reported payments, led by Intuitive Surgical at 24.1% of the total. Reporting peaked in 2019 at $1,609 and has fallen 88.5% since, to $186 in 2025. Among pediatrics clinicians in TX with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 61 payments — averaging $53.33 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$783
- AstraZeneca$428
- Lilly USA, LLC$238
- E.r. Squibb & Sons, L.L.C.$236
- Novo Nordisk$235
- AbbVie$202
- plus $1K from 18 others
What the payments were for
- Travel & lodging$51516%
- Food & beverage$2,73984%
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 |
|---|---|---|
| Intuitive Surgical | 5 | $783 |
| AstraZeneca | 7 | $428 |
| Lilly USA, LLC | 4 | $238 |
| E.r. Squibb & Sons, L.L.C. | 2 | $236 |
| Novo Nordisk | 7 | $235 |
| AbbVie(2 entities) | 6 | $202 |
| Si-bone, Inc. | 3 | $174 |
| Merck | 4 | $137 |
| Biohaven Pharmaceuticals, Inc. | 1 | $125 |
| Johnson & Johnson | 1 | $125 |
| Amarin Pharma, Inc. | 1 | $125 |
| Boehringer Ingelheim | 1 | $100 |
| Pfizer | 3 | $43 |
| Ultragenyx Pharmaceutical Inc. | 2 | $41 |
| Organon | 2 | $40 |
| Biohaven Pharmaceutical Holding Company Ltd. | 2 | $33 |
| Cranial Technologies, Inc | 2 | $33 |
| Genentech USA, Inc. | 2 | $28 |
| Amgen | 1 | $27 |
| Sanofi Pasteur Inc. | 1 | $26 |
| Exact Sciences | 1 | $24 |
| Bayer | 1 | $18 |
| Lundbeck LLC | 1 | $17 |
| Boston Scientific | 1 | $17 |
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.
- Da Vinci Surgical System$666
- ELIQUIS$236
- VRAYLAR$125
- FARXIGA$125
- Ozempic$125
- BREZTRI$125
- NURTEC ODT$125
- iFuse Implant$125
- XARELTO$125
- KISUNLA$125
- Vascepa$125
- LOKELMA$119
How this compares
$3,253 in reported general payments places this provider in the 95th percentile of 5,361 pediatrics providers in Texas.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Carvedilol | 11 | $101 |
Paid to pharmacies, not to this prescriber.
Other pediatrics in Boerne
- Pedro PiedraHouston$729K
- Jason RiehsFrisco$216K
- Ivonne Sahagun-CarreonNew Braunfels$168K
- Angela ScheuerleDallas$118K
- Dianna BurnsSan Antonio$100K
- Jason TerkKeller$93K
- Vernon SuttonHouston$90K
- Laura ScalfanoPlano$74K
- Patricia AmersonSan Antonio$73K
- Ralph DeberardinisDallas$56K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.