Juan Garza
Emergency Medicine · San Antonio, TXNPI 1417244732
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 58 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 5 manufacturers reported payments, led by Abbott at 58.0% of the total. Reporting peaked in 2024 at $660 and has fallen 53.9% since, to $304 in 2025. Among emergency medicine 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 58 payments — averaging $33.20 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Abbott$1K
- Amgen$268
- Johnson & Johnson$265
- Novartis$151
- Genentech USA, Inc.$125
Across 16 payments — averaging $54,625 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.
- Eli Lilly$874K
What the payments were for
- Food & beverage$1,926100%
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 |
|---|---|---|
| Abbott | 50 | $1,116 |
| Amgen | 3 | $268 |
| Johnson & Johnson | 2 | $265 |
| Novartis | 2 | $151 |
| Genentech USA, Inc. | 1 | $125 |
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.
How this compares
$1,926 in reported general payments places this provider in the 95th percentile of 3,952 emergency medicine providers in Texas.
Other emergency medicine in San Antonio
- James WilliamsSan Antonio$360K
- Christine ZinkSan Antonio$27K
- Robert WigginsSan Antonio$21K
- Robert RyanSan Antonio$19K
- David MiramontesSan Antonio$11K
- Craig GoolsbySan Antonio$7K
- David StachniakSan Antonio$6K
- Gregory YuSan Antonio$6K
- John McKinneyTyler$1.9M
- William PeacockHouston$513K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.