Joseph de la Garza, MD
Gynecologic Oncology · San Antonio, TXNPI 1871615229
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $157,780 of the $233,935 with a category attached, or 67.4%. 42 manufacturers reported payments, led by AstraZeneca at 33.3% of the total. Reporting peaked in 2024 at $58,067 and has fallen 76.5% since, to $13,636 in 2025. Among gynecologic oncology 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 356 payments — averaging $657.12 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$78K
- Seagen Inc.$50K
- Intuitive Surgical$45K
- Merck$28K
- Pfizer$23K
- Genmab U.S., Inc.$6K
- plus $4K from 36 others
Across 637 payments — averaging $1265.37 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Merck$794K
- AstraZeneca$8K
- Incyte Corporation$4K
What the payments were for
- Consulting fees$11,8205%
- Speaking & faculty fees$157,78067%
- Travel & lodging$14,9076%
- Food & beverage$11,1355%
- Education$38,29216%
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 |
|---|---|---|
| AstraZeneca(2 entities) | 76 | $77,891 |
| Seagen Inc. | 51 | $50,001 |
| Intuitive Surgical | 62 | $45,330 |
| Merck | 53 | $27,780 |
| Pfizer | 19 | $22,967 |
| Genmab U.S., Inc. | 6 | $6,229 |
| Johnson & Johnson(3 entities) | 13 | $492 |
| Myriad Genetic Laboratories, Inc. | 6 | $445 |
| Momentis Surgical Inc. | 2 | $314 |
| Musculoskeletal Transplant Foundation Inc. | 6 | $305 |
| Baxter Healthcare | 3 | $276 |
| Clovis Oncology, Inc. | 10 | $254 |
| Dilon Technologies, Inc. | 3 | $232 |
| Amgen | 6 | $192 |
| E.r. Squibb & Sons, L.L.C. | 1 | $125 |
| Exelixis Inc. | 1 | $122 |
| Genentech USA, Inc. | 1 | $119 |
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $100 |
| Verastem, Inc. | 1 | $89 |
| Conmed Corporation | 3 | $74 |
| Davol Inc. | 1 | $49 |
| Kyowa Kirin, Inc. | 3 | $43 |
| Incyte Corporation | 3 | $41 |
| Puma Biotechnology, Inc. | 2 | $38 |
| Bristol Myers Squibb | 2 | $38 |
| Hologic Sales And Service, LLC | 1 | $36 |
| Boston Scientific | 2 | $35 |
| Tactile Systems Technology Inc | 2 | $33 |
| Caris MPI, Inc. | 2 | $32 |
| Bayer | 2 | $31 |
| TELA Bio, Inc. | 1 | $31 |
| Medtronic | 1 | $25 |
| Sobi, Inc | 1 | $22 |
| Array Biopharma Inc | 1 | $21 |
| Sanofi-aventis U.S. LLC | 1 | $20 |
| GSK | 1 | $18 |
| Atricure, Inc. | 1 | $17 |
| EMD Serono, Inc. | 1 | $16 |
| AbbVie | 1 | $15 |
| Alnylam Pharmaceuticals Inc. | 1 | $15 |
| Sanofi | 1 | $12 |
| Taiho Oncology, Inc. | 1 | $11 |
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.
- LYNPARZA$82,389
- TIVDAK$78,103
- Da Vinci Surgical System$44,405
- KEYTRUDA$15,934
- GARDASIL$5,840
- ECHELON ENDOPATH$236
- Hominis Surgical System$157
- Anovo Surgical System$157
- HemoBlast Bellows$145
- DARZALEX$125
- EPKINLY$125
- OPDIVO$125
- Cabometyx$122
- FLOSEAL$122
- Avastin$119
- Rubraca$118
- VISTASEAL$117
- Enseal$117
- Harmonic$117
- Vectibix$109
How this compares
$233,935 in reported general payments places this provider in the 95th 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 | 12 | $183,260 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 38 | $1,480 |
| Megestrol Acetate | 14 | $742 |
| Olanzapine | 32 | $304 |
| Dexamethasone | 12 | $199 |
| Tramadol Hcl | 59 | $184 |
| Lidocaine-PrilocaineLidocaine/Prilocaine | 12 | $151 |
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 | $77,891 | $183,26012 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 95th percentile of 135 gynecologic oncology providers in Texas.
Other gynecologic oncology in San Antonio
- Antonio Santillan-GomezSan Antonio$162K
- James SzenderSan Antonio$36K
- 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.