Lauryn Saenz
Primary Care · San Antonio, TXNPI 1710669643
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 304 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 33 manufacturers, the largest accounting for just 17.4% — the pattern of someone who eats at a lot of different presentations. Among primary care 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 304 payments — averaging $17.67 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novo Nordisk$936
- Lilly USA, LLC$911
- AbbVie$786
- Amgen$479
- AstraZeneca$379
- GSK$218
- plus $2K from 27 others
What the payments were for
- Food & beverage$5,371100%
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 | 47 | $936 |
| Lilly USA, LLC | 40 | $911 |
| AbbVie | 46 | $786 |
| Amgen | 46 | $479 |
| AstraZeneca | 18 | $379 |
| GSK | 14 | $218 |
| Bayer | 12 | $209 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 12 | $178 |
| Phathom Pharmaceuticals, Inc. | 8 | $130 |
| Astellas Pharma US Inc | 7 | $122 |
| Dexcom, Inc. | 4 | $90 |
| Ardelyx, Inc. | 4 | $89 |
| Otsuka America Pharmaceutical, Inc. | 5 | $77 |
| Novartis | 3 | $73 |
| Azurity Pharmaceuticals, Inc. | 4 | $73 |
| Sumitomo Pharma America, Inc. | 4 | $56 |
| Exact Sciences | 3 | $55 |
| Xeris Pharmaceuticals, Inc. | 3 | $53 |
| Corcept Therapeutics | 3 | $52 |
| Atland Pharmaceuticals, LLC | 2 | $47 |
| Shield Therapeutics Inc | 3 | $43 |
| Ironwood Pharmaceuticals, Inc | 1 | $38 |
| Merck | 2 | $38 |
| Mylan Specialty L.p. | 2 | $36 |
| Halozyme Inc | 2 | $35 |
| Inspire Medical Systems, Inc. | 1 | $29 |
| Esperion Therapeutics, Inc. | 2 | $28 |
| Vanda Pharmaceuticals Inc. | 1 | $26 |
| Teva Pharmaceuticals USA, Inc. | 1 | $21 |
| Kowa Pharmaceuticals America, Inc. | 1 | $19 |
| Sanofi-aventis U.S. LLC | 1 | $16 |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 1 | $15 |
| Lundbeck LLC | 1 | $14 |
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.
- MOUNJARO$125
How this compares
$5,371 in reported general payments places this provider in the 95th percentile of 563 primary care 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 | 93 | $102,292 |
| JardianceEmpagliflozin | 68 | $80,880 |
| MounjaroTirzepatide | 51 | $57,142 |
| TrulicityDulaglutide | 34 | $46,321 |
| EliquisApixaban | 36 | $36,423 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 15 | $26,764 |
| JanuviaSitagliptin Phosphate | 17 | $26,643 |
| MyrbetriqMirabegron | 24 | $25,274 |
| LinzessLinaclotide | 13 | $13,838 |
| FarxigaDapagliflozin Propanediol | 12 | $12,217 |
| Bydureon BciseExenatide Microspheres | 13 | $9,733 |
| Lantus SolostarInsulin Glargine,hum.Rec.Anlog | 22 | $4,127 |
| Atorvastatin Calcium | 322 | $2,571 |
| Valsartan | 104 | $2,186 |
| Fluticasone Propionate | 132 | $1,834 |
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 |
|---|---|---|
| Lilly USA, LLCMounjaro, Trulicity | $911 | $103,46485 claims |
| Novo NordiskOzempic | $936 | $102,29293 claims |
| GSKTrelegy Ellipta | $218 | $26,76415 claims |
| MerckJanuvia | $38 | $26,64317 claims |
| Astellas Pharma US IncMyrbetriq | $122 | $25,27424 claims |
| AbbVieLinzess, Synthroid | $786 | $15,27529 claims |
| AstraZenecaFarxiga | $379 | $12,21712 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 563 primary care providers in Texas.
Other primary care in San Antonio
- Phillip GulleySan Antonio$23K
- Charlotte BallardSan Antonio$9K
- Christopher LoganSan Antonio$8K
- Lydia Chapa WilsonSan Antonio$7K
- Jing LiSan Antonio$6K
- Brittany CurrySan Antonio$4K
- Martha RuizSan Antonio$3K
- Ryan WenclSan Antonio$3K
- Gabriella MutschlechnerSan Antonio$3K
- Mary GibbensHouston$42K
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.