Jully Sanchez, MD
Internal Medicine · San Antonio, TXNPI 1689959264
Payments from drug & device makers
Across 180 payments — averaging $21.61 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novo Nordisk$882
- Astellas Pharma US Inc$361
- Bayer$296
- AstraZeneca$277
- Boehringer Ingelheim$200
- Amgen$180
- plus $2K from 29 others
What the payments were for
- Food & beverage$3,72496%
- Education$1674%
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 |
|---|---|---|
| Novo Nordisk | 52 | $882 |
| Astellas Pharma US Inc | 9 | $361 |
| Bayer | 12 | $296 |
| AstraZeneca(2 entities) | 10 | $277 |
| Boehringer Ingelheim | 5 | $200 |
| Amgen | 10 | $180 |
| AbbVie(2 entities) | 10 | $171 |
| Merck | 12 | $171 |
| GSK | 3 | $148 |
| Johnson & Johnson | 8 | $147 |
| Lilly USA, LLC | 8 | $143 |
| Dexcom, Inc. | 1 | $125 |
| Novartis | 3 | $108 |
| Abbott | 4 | $95 |
| Angiodynamics, Inc. | 1 | $93 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 4 | $57 |
| Dynavax Technologies Corporation | 5 | $52 |
| Sumitomo Pharma America, Inc. | 3 | $50 |
| Sanofi-aventis U.S. LLC | 3 | $42 |
| Biohaven Pharmaceutical Holding Company Ltd. | 1 | $32 |
| Genentech USA, Inc. | 2 | $25 |
| Ironwood Pharmaceuticals, Inc | 1 | $23 |
| Kyowa Kirin, Inc. | 1 | $22 |
| Cvrx, Inc. | 1 | $20 |
| Pfizer | 1 | $19 |
| Ultragenyx Pharmaceutical Inc. | 1 | $19 |
| Nestle Healthcare Nutrition Inc. | 1 | $17 |
| Lundbeck LLC | 1 | $17 |
| Radius Health, Inc. | 1 | $16 |
| Aimmune Therapeutics, Inc. | 1 | $16 |
| Shield Therapeutics Inc | 1 | $15 |
| Shire North American Group Inc | 1 | $14 |
| Sunovion Pharmaceuticals Inc. | 1 | $12 |
| Kowa Pharmaceuticals America, Inc. | 1 | $12 |
| Amarin Pharma, Inc. | 1 | $12 |
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.
- JARDIANCE$125
- TRELEGY ELLIPTA$125
- FARXIGA$125
- MYRBETRIQ$125
- DEXCOM G7 GSS (161)$125
- DEXCOM STELO GLUCOSE BIOSENSOR$125
- Ozempic$123
- Kerendia$120
How this compares
$3,891 in reported general payments places this provider in the 85th percentile of 7,675 internal medicine 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 |
|---|---|---|
| JardianceEmpagliflozin | 258 | $438,966 |
| OzempicSemaglutide | 200 | $252,986 |
| JanuviaSitagliptin Phosphate | 122 | $189,203 |
| MounjaroTirzepatide | 101 | $131,548 |
| TrulicityDulaglutide | 69 | $119,510 |
| FarxigaDapagliflozin Propanediol | 89 | $106,637 |
| AustedoDeutetrabenazine | 13 | $92,599 |
| XifaxanRifaximin | 24 | $87,296 |
| EliquisApixaban | 55 | $79,178 |
| MyrbetriqMirabegron | 78 | $75,591 |
| TradjentaLinagliptin | 42 | $52,958 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 40 | $52,159 |
| Toujeo SolostarInsulin Glargine,hum.Rec.Anlog | 44 | $32,146 |
| Tresiba Flextouch U-200Insulin Degludec | 32 | $31,847 |
| Tresiba Flextouch U-100Insulin Degludec | 46 | $31,559 |
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 |
|---|---|---|
| Boehringer IngelheimJardiance, Tradjenta, Synjardy, Synjardy Xr, Glyxambi | $200 | $557,744348 claims |
| Novo NordiskOzempic, Rybelsus | $882 | $273,772211 claims |
| Lilly USA, LLCMounjaro, Trulicity | $143 | $251,059170 claims |
| MerckJanuvia, Janumet, Janumet Xr, Belsomra | $171 | $245,601176 claims |
| AstraZenecaFarxiga, Breztri Aerosphere | $277 | $121,494100 claims |
| PfizerEliquis, Lyrica | $19 | $93,00579 claims |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLCXifaxan | $57 | $87,29624 claims |
| Astellas Pharma US IncMyrbetriq | $361 | $75,59178 claims |
| GSKTrelegy Ellipta, Breo Ellipta | $148 | $74,53467 claims |
| Sumitomo Pharma America, Inc.Gemtesa | $50 | $31,27427 claims |
| NovartisEntresto | $108 | $28,20315 claims |
| AbbVieLinzess | $171 | $25,75322 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 7,675 internal medicine providers in Texas.
Other internal medicine in San Antonio
- Robert BassSan Antonio$25.6M
- Hernan SalazarSan Antonio$18.5M
- Dennis RuffSan Antonio$7.5M
- Cassandra KeySan Antonio$5.6M
- Jan BurgerHouston$47.3M
- Nitin JainHouston$33.2M
- Muhammad IrfanTomball$30.6M
- Aung NaingHouston$30.6M
- Preetesh JainHouston$19.5M
- Paolo StratiHouston$19.2M
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.