Himara Davila Arroyo, MD
Endocrinology, Diabetes & Metabolism · Houston, TXNPI 1720390065
Payments from drug & device makers
Across 1,518 payments — averaging $17.31 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novo Nordisk$5K
- Insulet Corporation$2K
- Lilly USA, LLC$1K
- AstraZeneca$1K
- Amgen$1K
- Sanofi-aventis U.S. LLC$1K
- plus $13K from 54 others
What the payments were for
- Consulting fees$2,0408%
- Speaking & faculty fees$9003%
- Food & beverage$23,22488%
- Education$570%
- Gifts$590%
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.
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.
- RYBELSUS$2,040
- t:slim X2 insulin pump$900
- Omnipod$334
- DEXCOM G6 TRANSMITTER$216
- FARXIGA$122
- Korlym$122
- Pogo Automatic Blood Glucose Monitoring System$121
- Kerendia$118
- TZIELD$115
- V-GO$112
How this compares
$26,281 in reported general payments places this provider in the 75th percentile of 658 endocrinology, diabetes & metabolism providers in Texas.
See all endocrinology, diabetes & metabolism 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 |
|---|---|---|
| OzempicSemaglutide | 359 | $662,745 |
| MounjaroTirzepatide | 221 | $308,686 |
| Synjardy XrEmpagliflozin/Metformin Hcl | 150 | $205,176 |
| TrulicityDulaglutide | 48 | $90,698 |
| JardianceEmpagliflozin | 63 | $84,127 |
| Tresiba Flextouch U-200Insulin Degludec | 54 | $82,393 |
| FarxigaDapagliflozin Propanediol | 69 | $82,071 |
| Evenity (2 Syringes)Romosozumab-Aqqg | 29 | $70,244 |
| Xigduo XrDapaglifloz Propaned/Metformin | 56 | $62,511 |
| Omnipod 5 Dexg7g6 Pods (Gen 5)Insulin Pump Cart,auto,bt,g6/7 | 42 | $58,451 |
| Toujeo Max SolostarInsulin Glargine,hum.Rec.Anlog | 34 | $57,506 |
| RybelsusSemaglutide | 29 | $40,195 |
| Repatha SureclickEvolocumab | 28 | $39,275 |
| Humulin R U-500 KwikpenInsulin Regular, Human | 18 | $34,373 |
| KerendiaFinerenone | 27 | $30,171 |
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 |
|---|---|---|
| Novo NordiskOzempic, Rybelsus, Novolog | $5,073 | $710,413401 claims |
| Lilly USA, LLCMounjaro, Trulicity | $1,435 | $399,385269 claims |
| Boehringer IngelheimSynjardy Xr, Jardiance, Synjardy | $1,030 | $304,324225 claims |
| AstraZenecaFarxiga | $1,329 | $82,07169 claims |
| AmgenEvenity (2 Syringes) | $1,324 | $70,24429 claims |
| BayerKerendia | $801 | $30,17127 claims |
| PfizerGenotropin | $95 | $22,49712 claims |
| AbbVieSynthroid | $682 | $13,418132 claims |
| Esperion Therapeutics, Inc.Nexlizet | $421 | $12,98014 claims |
| MerckJanuvia | $294 | $10,79313 claims |
| Amneal Pharmaceuticals LLCUnithroid, Levothyroxine Sodium | $388 | $6,382362 claims |
| IBSA Pharma Inc.Tirosint | $310 | $5,45725 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 658 endocrinology, diabetes & metabolism providers in Texas.
Other endocrinology, diabetes & metabolism in Houston
- Maria CabanillasHouston$16.4M
- Damaris VegaHouston$12.3M
- Amer Al KaradshehHouston$8.8M
- Amir HassanHouston$5.2M
- Camilo JimenezHouston$5M
- Rocio HarbisonHouston$3.2M
- Gerardo BuesoHouston$1.2M
- Veena WatweHouston$976K
- Andres SplenserHouston$923K
- Prashant KoshyHouston$795K
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.