Mario Rangel
General Practice · Alamo, TXNPI 1306967708
Payments from drug & device makers
Across 137 payments — averaging $26.52 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novo Nordisk$721
- AstraZeneca$683
- Lilly USA, LLC$505
- Amgen$280
- Bayer$263
- GSK$239
- plus $942 from 18 others
What the payments were for
- Food & beverage$3,633100%
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 | 22 | $721 |
| AstraZeneca | 20 | $683 |
| Lilly USA, LLC | 27 | $505 |
| Amgen | 6 | $280 |
| Bayer | 14 | $263 |
| GSK | 7 | $239 |
| Otsuka America Pharmaceutical, Inc. | 8 | $185 |
| Redhill Biopharma Inc. | 5 | $139 |
| Abbott | 1 | $100 |
| Axsome Therapeutics, Inc. | 3 | $80 |
| Boehringer Ingelheim | 2 | $45 |
| Sanofi-aventis U.S. LLC | 3 | $44 |
| Exact Sciences | 2 | $42 |
| Corium, LLC | 2 | $37 |
| Pfizer | 2 | $35 |
| Astellas Pharma US Inc | 2 | $34 |
| Sumitomo Pharma America, Inc. | 2 | $32 |
| AbbVie | 2 | $31 |
| Corcept Therapeutics | 1 | $28 |
| Amarin Pharma, Inc. | 2 | $26 |
| Ardelyx, Inc. | 1 | $26 |
| Kowa Pharmaceuticals America, Inc. | 1 | $21 |
| Johnson & Johnson | 1 | $20 |
| Mannkind Corporation | 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.
How this compares
$3,633 in reported general payments places this provider in the 95th percentile of 8,074 general practice providers in Texas.
Other general practice in Alamo
- Olusoji AfuwapeDallas$12.3M
- Karen CummingsPlano$8.4M
- Helen ShpatsHouston$3.3M
- Kelechi AzuoguHouston$2.5M
- Marcus LastimadoFort Bliss$2.3M
- Christina DeanFrisco$1.9M
- Paul ShrodeMissouri City$1.2M
- Sheila SchmidtPearland$811K
- Danielle CoulterSan Antonio$681K
- Alan DouglasSan Antonio$609K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.