Juana Espejo, MD
Family Practice · Pharr, TXNPI 1538265913
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 70 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 7 manufacturers reported payments, led by AstraZeneca at 46.8% of the total. Reporting peaked in 2019 at $476 and has fallen 59.3% since, to $194 in 2025. Among family practice 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 70 payments — averaging $26.63 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$872
- Novo Nordisk$709
- Lilly USA, LLC$86
- Sanofi-aventis U.S. LLC$78
- Mannkind Corporation$69
- Amgen$34
- plus $17 from 1 others
What the payments were for
- Food & beverage$1,864100%
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 |
|---|---|---|
| AstraZeneca | 31 | $872 |
| Novo Nordisk | 26 | $709 |
| Lilly USA, LLC | 5 | $86 |
| Sanofi-aventis U.S. LLC | 4 | $78 |
| Mannkind Corporation | 1 | $69 |
| Amgen | 2 | $34 |
| Genentech USA, Inc. | 1 | $17 |
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.
- Xultophy 100/3.6$120
- FARXIGA$115
- RYBELSUS$112
- BRILINTA$106
How this compares
$1,864 in reported general payments places this provider in the 95th percentile of 646 family practice 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 | 122 | $128,709 |
| JardianceEmpagliflozin | 72 | $87,697 |
| MounjaroTirzepatide | 67 | $80,304 |
| FarxigaDapagliflozin Propanediol | 45 | $53,495 |
| JanuviaSitagliptin Phosphate | 37 | $38,618 |
| RybelsusSemaglutide | 27 | $36,871 |
| EliquisApixaban | 23 | $29,336 |
| TradjentaLinagliptin | 19 | $24,985 |
| Tresiba Flextouch U-200Insulin Degludec | 33 | $23,574 |
| TrulicityDulaglutide | 23 | $22,017 |
| Toujeo SolostarInsulin Glargine,hum.Rec.Anlog | 28 | $21,927 |
| Toujeo Max SolostarInsulin Glargine,hum.Rec.Anlog | 23 | $21,748 |
| Soliqua 100-33Insulin Glargine/Lixisenatide | 13 | $15,146 |
| Janumet XrSitagliptin Phos/Metformin Hcl | 16 | $14,112 |
| LinzessLinaclotide | 17 | $12,859 |
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 | $709 | $165,580149 claims |
| Lilly USA, LLCMounjaro, Trulicity | $86 | $102,32190 claims |
| AstraZenecaFarxiga | $872 | $53,49545 claims |
| Sanofi-aventis U.S. LLCSoliqua 100-33 | $78 | $15,14613 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 646 family practice providers in Texas.
Other family practice in Pharr
- Mark RobbinsSchertz$99K
- Lena BruceSanta Fe$8K
- Akhila ReddyHouston$7K
- William CalleyGarland$7K
- Leticia Arredondo CerdaSan Antonio$7K
- Thomas SeymourConroe$6K
- Adolat MirzaevaHouston$5K
- Pedro YenMesquite$5K
- Clifford GarvinDenison$5K
- Namita TuliWharton$5K
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.