Marissa Gonzalez, MD
Family Medicine · Laredo, TXNPI 1104053602
Payments from drug & device makers
Across 162 payments — averaging $52.70 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Bolton Medical Inc$2K
- Kerecis Limited$887
- Medtronic$831
- AstraZeneca$664
- Angiodynamics, Inc.$620
- Endologix LLC$523
- plus $3K from 32 others
What the payments were for
- Food & beverage$8,44299%
- Education$951%
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 |
|---|---|---|
| Bolton Medical Inc | 18 | $2,158 |
| Kerecis Limited | 7 | $887 |
| Medtronic(2 entities) | 10 | $831 |
| AstraZeneca(2 entities) | 21 | $664 |
| Angiodynamics, Inc. | 5 | $620 |
| Endologix LLC | 4 | $523 |
| Lilly USA, LLC | 17 | $306 |
| Mimedx Group, Inc. | 2 | $234 |
| Viiv Healthcare Company | 10 | $209 |
| GSK | 12 | $198 |
| Melinta Therapeutics, LLC | 3 | $162 |
| Merck | 6 | $159 |
| Bayer | 2 | $133 |
| Johnson & Johnson | 2 | $132 |
| Otsuka America Pharmaceutical, Inc. | 1 | $125 |
| Medline Industries LP | 1 | $124 |
| Sonex Health, Inc. | 1 | $105 |
| Astellas Pharma US Inc | 1 | $95 |
| Amarin Pharma, Inc. | 5 | $92 |
| Urgo Medical North America, LLC | 2 | $90 |
| AbbVie(2 entities) | 5 | $87 |
| Boehringer Ingelheim | 5 | $81 |
| Mallinckrodt Hospital Products Inc. | 1 | $75 |
| Bioventus LLC | 1 | $60 |
| Novo Nordisk | 3 | $45 |
| KCI USA, Inc. | 2 | $45 |
| Idorsia Pharmaceuticals US Inc | 2 | $42 |
| Organogenesis Inc. | 2 | $39 |
| UCB, Inc. | 1 | $38 |
| Smith+Nephew | 2 | $31 |
| Xeris Pharmaceuticals, Inc. | 1 | $25 |
| Abbott | 1 | $23 |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 1 | $23 |
| Corcept Therapeutics | 1 | $19 |
| Phathom Pharmaceuticals, Inc. | 1 | $18 |
| Pfizer | 1 | $15 |
| Amgen | 1 | $13 |
| Sanofi-aventis U.S. LLC | 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.
- Kerecis Omega3 Marigen$1,481
- Relay Plus$1,123
- Kerecis Omega3 SurgiClose$914
- Relay Grafts$657
- Auryon Laser System 100-120 Vac$620
- Kerecis Omega3 GraftGuide$417
- AFX2 Bifurcated Endograft System$406
- ENDURANT IIS$305
- Kerecis Omega3 Wound$294
- Kerecis Omega3 Surgibind$169
- Grafts$130
- ABILIFY MAINTENA$125
- Dermatology and Wound Care$124
- XARELTO$120
- ANDEXXA$120
- Endurant$118
- Ovation$117
- RELAY THORACIC STENT-GRAFT WITH PLUS DELIVERY SYSTEM$115
- Vabomere$114
- Sx-One Microknife$105
How this compares
$8,537 in reported general payments places this provider in the 90th percentile of 8,760 family 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 | 205 | $245,805 |
| OzempicSemaglutide | 162 | $202,061 |
| JanuviaSitagliptin Phosphate | 106 | $113,983 |
| MounjaroTirzepatide | 71 | $107,387 |
| FarxigaDapagliflozin Propanediol | 70 | $84,538 |
| RybelsusSemaglutide | 20 | $46,429 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 39 | $35,595 |
| LinzessLinaclotide | 33 | $32,673 |
| TrulicityDulaglutide | 14 | $30,098 |
| Tresiba Flextouch U-200Insulin Degludec | 28 | $27,125 |
| MyrbetriqMirabegron | 49 | $25,633 |
| TradjentaLinagliptin | 26 | $25,405 |
| EliquisApixaban | 32 | $23,469 |
| VraylarCariprazine Hcl | 12 | $17,454 |
| JanumetSitagliptin Phos/Metformin Hcl | 19 | $17,444 |
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 | $81 | $271,210231 claims |
| Novo NordiskOzempic, Rybelsus | $45 | $248,490182 claims |
| Lilly USA, LLCMounjaro, Trulicity | $306 | $137,48585 claims |
| MerckJanuvia, Janumet | $159 | $131,427125 claims |
| AstraZenecaFarxiga | $664 | $84,53870 claims |
| AbbVieLinzess, Vraylar, Synthroid | $87 | $52,99678 claims |
| GSKTrelegy Ellipta | $198 | $35,59539 claims |
| PfizerEliquis, Premarin | $15 | $31,51453 claims |
| Astellas Pharma US IncMyrbetriq | $95 | $25,63349 claims |
| Johnson & JohnsonXarelto | $132 | $5,29920 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 90th percentile of 8,760 family medicine providers in Texas.
Other family medicine in Laredo
- Douglas DenhamSan Antonio$68.5M
- Vicki MillerPasadena$58.3M
- Hareshkumar BogharaDesoto$30.3M
- Earl MartinTomball$30.1M
- Lisa HollowayHouston$30.1M
- William SegerFort Worth$27.5M
- Veronica FragosoHouston$24.5M
- Joel SolisMcAllen$21.1M
- George AtieeSan Antonio$19.9M
- Bonnie ColvilleHouston$19.6M
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.