Melissa Delafuente Gonzalez, NP
Family · San Antonio, TXNPI 1306141312
Payments from drug & device makers
Across 66 payments — averaging $23.05 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novo Nordisk$367
- Boehringer Ingelheim$205
- Lilly USA, LLC$197
- Dexcom, Inc.$141
- AbbVie$137
- Bayer$73
- plus $401 from 14 others
What the payments were for
- Food & beverage$1,522100%
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 | 19 | $367 |
| Boehringer Ingelheim | 8 | $205 |
| Lilly USA, LLC | 6 | $197 |
| Dexcom, Inc. | 4 | $141 |
| AbbVie | 3 | $137 |
| Bayer | 4 | $73 |
| Endologix LLC | 1 | $68 |
| Amgen | 4 | $65 |
| AstraZeneca | 3 | $61 |
| Sanofi-aventis U.S. LLC | 2 | $31 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 2 | $30 |
| Dynavax Technologies Corporation | 2 | $19 |
| Astellas Pharma US Inc | 1 | $18 |
| Teva Pharmaceuticals USA, Inc. | 1 | $17 |
| GSK | 1 | $17 |
| Lundbeck LLC | 1 | $17 |
| Sumitomo Pharma America, Inc. | 1 | $16 |
| Novartis | 1 | $15 |
| Merck | 1 | $14 |
| Otsuka America Pharmaceutical, Inc. | 1 | $13 |
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.
- JARDIANCE$125
- DEXCOM G7 GSS (161)$125
- DEXCOM STELO GLUCOSE BIOSENSOR$125
- Ozempic$122
- Creon$107
How this compares
$1,522 in reported general payments places this provider in the 75th percentile of 15,456 family 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 | 112 | $135,202 |
| MounjaroTirzepatide | 48 | $55,015 |
| TrulicityDulaglutide | 29 | $44,984 |
| FarxigaDapagliflozin Propanediol | 40 | $44,794 |
| JardianceEmpagliflozin | 20 | $32,618 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 39 | $32,524 |
| SynjardyEmpagliflozin/Metformin Hcl | 14 | $24,804 |
| GemtesaVibegron | 16 | $18,434 |
| EliquisApixaban | 19 | $16,110 |
| LinzessLinaclotide | 13 | $12,584 |
| Toujeo SolostarInsulin Glargine,hum.Rec.Anlog | 16 | $8,362 |
| EntrestoSacubitril/Valsartan | 11 | $6,722 |
| SymbicortBudesonide/Formoterol Fumarate | 15 | $5,462 |
| Insulin Lispro Kwikpen U-100Insulin Lispro | 12 | $2,626 |
| Rosuvastatin Calcium | 137 | $1,753 |
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 | $367 | $135,202112 claims |
| Lilly USA, LLCMounjaro, Trulicity | $197 | $100,00077 claims |
| Boehringer IngelheimJardiance, Synjardy | $205 | $57,42134 claims |
| AstraZenecaFarxiga, Symbicort | $61 | $50,25655 claims |
| GSKTrelegy Ellipta | $17 | $32,52439 claims |
| Sumitomo Pharma America, Inc.Gemtesa | $16 | $18,43416 claims |
| AbbVieLinzess | $137 | $12,58413 claims |
| NovartisEntresto | $15 | $6,72211 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 15,456 family providers in Texas.
Other family in San Antonio
- Anna CastroSan Antonio$184K
- Natalia FariasSan Antonio$124K
- Ayoade AvworoSan Antonio$111K
- Tina CoppleSan Antonio$97K
- Kim HinojosaSan Antonio$63K
- Kimberly GibergaSan Antonio$36K
- Lashonda CraneHouston$3.4M
- David WeirDallas$959K
- Luba YammineHouston$479K
- Robin BeachHouston$428K
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.