James Szender, MD
Gynecologic Oncology · San Antonio, TXNPI 1245473149
Payments from drug & device makers
What this record shows
This record is dominated by education: $32,001 of the $35,677 with a category attached, or 89.7%. Intuitive Surgical accounts for 93.6% of it on its own, with 23 other manufacturers making up the rest. Reporting peaked in 2021 at $16,923 and has fallen 74.0% since, to $4,394 in 2025.
Across 81 payments — averaging $440.46 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$33K
- AstraZeneca$458
- Merck$313
- Biom'up SA$300
- Foundation Medicine, Inc.$250
- GSK$203
- plus $742 from 18 others
What the payments were for
- Consulting fees$2501%
- Speaking & faculty fees$1500%
- Food & beverage$3,2779%
- Education$32,00190%
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 | 19 | $33,411 |
| AstraZeneca(2 entities) | 15 | $458 |
| Merck | 12 | $313 |
| Biom'up SA | 2 | $300 |
| Foundation Medicine, Inc. | 1 | $250 |
| GSK | 6 | $203 |
| Applied Medical Resources Corporation | 1 | $113 |
| Myriad Genetic Laboratories, Inc. | 1 | $96 |
| AbbVie | 2 | $92 |
| Coherus Oncology, Inc. | 1 | $75 |
| Eisai Inc. | 4 | $74 |
| Medtronic | 2 | $47 |
| Tesaro, Inc. | 2 | $44 |
| Clovis Oncology, Inc. | 3 | $32 |
| Conmed Corporation | 1 | $29 |
| BD | 1 | $20 |
| Pacira Pharmaceuticals Incorporated | 1 | $19 |
| Immunogen, Inc. | 1 | $19 |
| Astellas Pharma US Inc | 1 | $16 |
| Tempus AI, Inc | 1 | $15 |
| Cumberland Pharmaceuticals, Inc. | 1 | $14 |
| Lilly USA, LLC | 1 | $13 |
| Kyowa Kirin, Inc. | 1 | $13 |
| Jazz Pharmaceuticals Inc. | 1 | $13 |
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$33,350
- HEMOBLAST$300
- FOUNDATIONONE LIQUID$250
- FOUNDATIONFOCUS$250
- FOUNDATIONONE CDX$250
- FOUNDATIONONE HEME$250
- FOUNDATIONONE$250
- LYNPARZA$125
- GelPOINT V-Path$113
- JEMPERLI$109
How this compares
$35,677 in reported general payments places this provider in the 85th percentile of 135 gynecologic oncology 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 |
|---|---|---|
| LynparzaOlaparib | 21 | $311,220 |
| SancusoGranisetron | 12 | $11,376 |
| Megestrol Acetate | 11 | $693 |
| Letrozole | 20 | $661 |
| Gabapentin | 39 | $560 |
| Dexamethasone | 53 | $536 |
| Ondansetron OdtOndansetron | 33 | $351 |
| Olanzapine | 33 | $266 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 13 | $265 |
| Tramadol Hcl | 81 | $203 |
| Lidocaine-PrilocaineLidocaine/Prilocaine | 11 | $134 |
| Bupropion Hcl | 13 | $25 |
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 |
|---|---|---|
| AstraZenecaLynparza | $458 | $311,22021 claims |
| Cumberland Pharmaceuticals, Inc.Sancuso | $14 | $11,37612 claims |
| Lilly USA, LLCOlanzapine | $13 | $26633 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 85th percentile of 135 gynecologic oncology providers in Texas.
Other gynecologic oncology in San Antonio
- Joseph de la GarzaSan Antonio$234K
- Antonio Santillan-GomezSan Antonio$162K
- James MarkSan Antonio$6K
- Jaron MarkSan Antonio$6K
- Edward KostSan Antonio$6K
- Kassondra GrzankowskiSan Antonio$5K
- Stuart WinklerSan Antonio$5K
- Corinne JordanSan Antonio$4K
- Robert ColemanHouston$864K
- Reagan StreetFort Worth$280K
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.