Maximiliano Hernandez, MD
Internal Medicine · Pharr, TXNPI 1477525384
Payments from drug & device makers
Across 1,031 payments — averaging $16.48 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Johnson & Johnson$2K
- Novo Nordisk$2K
- Lilly USA, LLC$2K
- GSK$2K
- AbbVie$2K
- Pfizer$1K
- plus $6K from 26 others
What the payments were for
- Food & beverage$16,56998%
- Education$4222%
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 |
|---|---|---|
| Johnson & Johnson | 67 | $2,397 |
| Novo Nordisk | 117 | $2,246 |
| Lilly USA, LLC | 173 | $1,940 |
| GSK | 123 | $1,853 |
| AbbVie(2 entities) | 139 | $1,527 |
| Pfizer | 130 | $1,277 |
| Boehringer Ingelheim | 38 | $1,043 |
| AstraZeneca | 35 | $884 |
| Sanofi-aventis U.S. LLC | 42 | $737 |
| Otsuka America Pharmaceutical, Inc. | 36 | $542 |
| Astellas Pharma US Inc | 18 | $511 |
| Amarin Pharma, Inc. | 20 | $356 |
| Merck | 22 | $354 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 13 | $181 |
| Abbott | 9 | $169 |
| Amgen | 10 | $155 |
| Novartis | 6 | $114 |
| Phathom Pharmaceuticals, Inc. | 6 | $112 |
| Bayer | 6 | $107 |
| Ironwood Pharmaceuticals, Inc | 5 | $102 |
| Medtronic | 1 | $101 |
| Lundbeck LLC | 2 | $46 |
| Radius Health, Inc. | 2 | $38 |
| Sumitomo Pharma America, Inc. | 2 | $34 |
| Exact Sciences | 1 | $27 |
| Corium, LLC | 2 | $23 |
| Paratek Pharmaceuticals, Inc. | 1 | $23 |
| Lexicon Pharmaceuticals, Inc. | 1 | $22 |
| Kowa Pharmaceuticals America, Inc. | 1 | $22 |
| Esperion Therapeutics, Inc. | 1 | $21 |
| UCB, Inc. | 1 | $15 |
| Teva Pharmaceuticals USA, 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.
How this compares
$16,991 in reported general payments places this provider in the 95th 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 |
|---|---|---|
| MounjaroTirzepatide | 222 | $361,334 |
| OzempicSemaglutide | 168 | $276,417 |
| TrulicityDulaglutide | 137 | $238,772 |
| JardianceEmpagliflozin | 162 | $210,932 |
| FarxigaDapagliflozin Propanediol | 143 | $178,824 |
| EliquisApixaban | 115 | $148,971 |
| XareltoRivaroxaban | 80 | $128,377 |
| LinzessLinaclotide | 92 | $106,673 |
| TradjentaLinagliptin | 104 | $101,861 |
| GemtesaVibegron | 75 | $91,306 |
| VraylarCariprazine Hcl | 43 | $86,355 |
| Synjardy XrEmpagliflozin/Metformin Hcl | 71 | $86,344 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 79 | $84,313 |
| JanuviaSitagliptin Phosphate | 59 | $76,607 |
| RybelsusSemaglutide | 32 | $70,962 |
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 | $1,940 | $600,106359 claims |
| Boehringer IngelheimJardiance, Tradjenta, Synjardy Xr, Trijardy Xr, Jentadueto | $1,043 | $424,867367 claims |
| Novo NordiskOzempic, Rybelsus | $2,246 | $347,379200 claims |
| AstraZenecaFarxiga, Breztri Aerosphere | $884 | $194,315160 claims |
| AbbVieLinzess, Vraylar | $1,527 | $193,029135 claims |
| MerckJanuvia, Janumet, Janumet Xr | $354 | $153,004132 claims |
| PfizerEliquis | $1,277 | $148,971115 claims |
| Johnson & JohnsonXarelto | $2,397 | $128,37780 claims |
| GSKTrelegy Ellipta, Anoro Ellipta, Breo Ellipta | $1,853 | $123,317139 claims |
| Sumitomo Pharma America, Inc.Gemtesa | $34 | $91,30675 claims |
| Otsuka America Pharmaceutical, Inc.Rexulti | $542 | $53,44133 claims |
| NovartisEntresto | $114 | $50,00946 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 7,675 internal medicine providers in Texas.
Other internal medicine in Pharr
- Jan BurgerHouston$47.3M
- Nitin JainHouston$33.2M
- Muhammad IrfanTomball$30.6M
- Aung NaingHouston$30.6M
- Robert BassSan Antonio$25.6M
- Preetesh JainHouston$19.5M
- Paolo StratiHouston$19.2M
- Hernan SalazarSan Antonio$18.5M
- Nicholas ShortHouston$17.6M
- Salma SaigerMesquite$16.1M
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.