Hernan Zarate, MD
Pulmonary Disease · San Angelo, TXNPI 1528275518
Payments from drug & device makers
Across 182 payments — averaging $28.64 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$2K
- AstraZeneca$819
- GSK$629
- Boehringer Ingelheim$409
- Novartis$279
- Sanofi$264
- plus $844 from 13 others
What the payments were for
- Travel & lodging$1,77734%
- Food & beverage$3,42066%
- Education$150%
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 | 13 | $1,967 |
| AstraZeneca | 41 | $819 |
| GSK | 37 | $629 |
| Boehringer Ingelheim | 22 | $409 |
| Novartis | 17 | $279 |
| Sanofi | 11 | $264 |
| Grifols USA, LLC | 10 | $187 |
| Regeneron Healthcare Solutions, Inc. | 4 | $109 |
| Actelion Pharmaceuticals US, Inc. | 4 | $95 |
| Mylan Specialty L.p. | 5 | $83 |
| Inspire Medical Systems, Inc. | 3 | $80 |
| Genentech USA, Inc. | 4 | $62 |
| Merck | 3 | $54 |
| United Therapeutics Corporation | 2 | $45 |
| AbbVie | 2 | $40 |
| Insmed, Inc. | 1 | $25 |
| Vifor Pharma, Inc. | 1 | $24 |
| Amgen | 1 | $21 |
| Baxter Healthcare | 1 | $19 |
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$1,689
- TEZSPIRE$121
How this compares
$5,212 in reported general payments places this provider in the 60th 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 |
|---|---|---|
| TrikaftaElexacaftor/Tezacaftor/Ivacaft | 12 | $319,186 |
| OfevNintedanib Esylate | 19 | $228,219 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 115 | $118,506 |
| Breo ElliptaFluticasone/Vilanterol | 58 | $39,868 |
| SymbicortBudesonide/Formoterol Fumarate | 83 | $23,561 |
| Breztri AerosphereBudesonide/Glycopyr/Formoterol | 31 | $23,166 |
| Combivent RespimatIpratropium/Albuterol Sulfate | 32 | $19,656 |
| Spiriva RespimatTiotropium Bromide | 20 | $14,049 |
| Stiolto RespimatTiotropium Br/Olodaterol Hcl | 16 | $11,061 |
| Incruse ElliptaUmeclidinium Bromide | 22 | $7,671 |
| Budesonide-Formoterol FumarateBudesonide/Formoterol Fumarate | 33 | $5,420 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 167 | $5,136 |
| BreynaBudesonide/Formoterol Fumarate | 13 | $3,334 |
| Fluticasone-SalmeterolFluticasone Propion/Salmeterol | 30 | $2,596 |
| Ventolin HfaAlbuterol Sulfate | 22 | $1,742 |
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 |
|---|---|---|
| Boehringer IngelheimOfev, Combivent Respimat, Spiriva Respimat, Stiolto Respimat | $409 | $272,98587 claims |
| GSKTrelegy Ellipta, Breo Ellipta, Incruse Ellipta | $629 | $166,045195 claims |
| AstraZenecaSymbicort, Breztri Aerosphere | $819 | $46,727114 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 60th percentile of 904 pulmonary disease providers in Texas.
Other pulmonary disease in San Angelo
- Charles AndrewsSan Antonio$17M
- Ivan RosasHouston$13.8M
- Shahrukh KureishyMcKinney$12.4M
- Raksha JainDallas$3.4M
- Kelly ChinDallas$2.7M
- Julie PhilleyTyler$2.4M
- Nicola HananiaHouston$2.2M
- Sandeep SahayHouston$2.1M
- Antonio AnzuetoSan Antonio$1.8M
- Diego Maselli CaceresSan Antonio$1.8M
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.