Isham Pauli
Pediatrics · San Antonio, TXNPI 1477639664
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 125 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 26 manufacturers, the largest accounting for just 19.6% — the pattern of someone who eats at a lot of different presentations. 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 125 payments — averaging $18.91 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Sanofi Pasteur Inc.$462
- Ironshore Pharmaceuticals Inc.$365
- Merck$267
- GSK$142
- Cranial Technologies, Inc$124
- Alk-abello, Inc$114
- plus $889 from 20 others
What the payments were for
- Food & beverage$2,364100%
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 |
|---|---|---|
| Sanofi Pasteur Inc. | 17 | $462 |
| Ironshore Pharmaceuticals Inc. | 22 | $365 |
| Merck | 15 | $267 |
| GSK | 8 | $142 |
| Cranial Technologies, Inc | 7 | $124 |
| Alk-abello, Inc | 4 | $114 |
| Collegium Pharmaceutical, Inc. | 6 | $109 |
| Corium, LLC | 6 | $104 |
| Takeda Pharmaceuticals U.S.A., Inc. | 4 | $79 |
| Verrica Pharmaceuticals Inc. | 4 | $77 |
| Arbor Pharmaceuticals, Inc. | 5 | $75 |
| Pfizer | 4 | $69 |
| Tris Pharma Inc | 5 | $67 |
| Neos Therapeutics, LP | 4 | $62 |
| Shire North American Group Inc | 3 | $53 |
| Kaleo, Inc. | 1 | $25 |
| Supernus Pharmaceuticals, Inc. | 1 | $21 |
| Harmony Biosciences LLC | 1 | $20 |
| Novartis | 1 | $20 |
| LNHC, Inc | 1 | $20 |
| Dexcom, Inc. | 1 | $18 |
| Rhodes Pharmaceuticals L.p. | 1 | $17 |
| Dermira, Inc. | 1 | $16 |
| Seqirus USA Inc | 1 | $13 |
| Cumberland Pharmaceuticals, Inc. | 1 | $12 |
| Vertical Pharmaceuticals, LLC | 1 | $11 |
How this compares
$2,364 in reported general payments places this provider in the 95th percentile of 5,361 pediatrics providers in Texas.
Other pediatrics in San Antonio
- Dianna BurnsSan Antonio$100K
- Patricia AmersonSan Antonio$73K
- Lesley VernorSan Antonio$48K
- Melissa SvobodaSan Antonio$29K
- Lee FinkleaSan Antonio$18K
- Sheila CalumpianoSan Antonio$14K
- Pedro PiedraHouston$729K
- Jason RiehsFrisco$216K
- Ivonne Sahagun-CarreonNew Braunfels$168K
- Angela ScheuerleDallas$118K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.