Margaret Fernandez
Adult Health · San Antonio, TXNPI 1730302779
Payments from drug & device makers
Across 107 payments — averaging $20.45 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novo Nordisk$460
- Lilly USA, LLC$255
- AstraZeneca$212
- Dexcom, Inc.$200
- Boehringer Ingelheim$199
- AbbVie$185
- plus $677 from 15 others
What the payments were for
- Food & beverage$2,188100%
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 | 24 | $460 |
| Lilly USA, LLC | 12 | $255 |
| AstraZeneca | 6 | $212 |
| Dexcom, Inc. | 10 | $200 |
| Boehringer Ingelheim | 10 | $199 |
| AbbVie | 9 | $185 |
| Abbott | 7 | $145 |
| Sanofi-aventis U.S. LLC | 6 | $93 |
| Xeris Pharmaceuticals, Inc. | 3 | $60 |
| Bayer | 3 | $60 |
| Medtronic | 2 | $41 |
| Cequr Corporation | 2 | $40 |
| Tandem Diabetes Care, Inc. | 2 | $38 |
| Mannkind Corporation | 2 | $37 |
| Lifescan, Inc. | 2 | $34 |
| IBSA Pharma Inc. | 2 | $31 |
| Sequel Med Tech, LLC | 1 | $25 |
| Insulet Corporation | 1 | $19 |
| Intuity Medical Inc | 1 | $18 |
| Bigfoot Biomedical Inc | 1 | $18 |
| Astellas Pharma US Inc | 1 | $18 |
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.
- BREZTRI$125
How this compares
$2,188 in reported general payments places this provider in the 75th percentile of 933 adult health providers in Texas.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| OzempicSemaglutide | 64 | $86,409 |
| Toujeo Max SolostarInsulin Glargine,hum.Rec.Anlog | 50 | $71,256 |
| Humulin R U-500 KwikpenInsulin Regular, Human | 20 | $57,945 |
| JardianceEmpagliflozin | 45 | $51,254 |
| JanuviaSitagliptin Phosphate | 29 | $41,410 |
| Toujeo SolostarInsulin Glargine,hum.Rec.Anlog | 29 | $37,527 |
| Tresiba Flextouch U-200Insulin Degludec | 23 | $35,183 |
| Fiasp FlextouchInsulin Aspart (Niacinamide) | 23 | $35,063 |
| MounjaroTirzepatide | 25 | $30,389 |
| FarxigaDapagliflozin Propanediol | 30 | $30,290 |
| Tresiba Flextouch U-100Insulin Degludec | 15 | $20,993 |
| TradjentaLinagliptin | 13 | $15,494 |
| Humalog Kwikpen U-100Insulin Lispro | 30 | $15,246 |
| Novolog Mix 70-30 FlexpenInsulin Aspart Prot/Insuln Asp | 19 | $12,013 |
| Insulin Lispro Kwikpen U-100Insulin Lispro | 25 | $11,573 |
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 | $460 | $86,40964 claims |
| Boehringer IngelheimJardiance, Tradjenta | $199 | $66,74858 claims |
| Lilly USA, LLCMounjaro, Humalog | $255 | $33,32737 claims |
| AstraZenecaFarxiga | $212 | $30,29030 claims |
| AbbVieSynthroid | $185 | $7,01192 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 75th percentile of 933 adult health providers in Texas.
Other adult health in San Antonio
- Mary SalazarSan Antonio$68K
- Lafitte HolmesSan Antonio$13K
- Misty SheddAllen$863K
- Melodie YoungDallas$700K
- Cynthia BedellPlano$168K
- Elizabeth Wedberg SivamAustin$71K
- Eric KlappholzDallas$44K
- Christin TouchetKingwood$43K
- Yulia LyuboslavskyAustin$36K
- Meghan MurphyAustin$29K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.