Michael Seger, MD
Obesity Medicine · San Antonio, TXNPI 1821086141
Payments from drug & device makers
What this record shows
The money is spread across several categories — speaking fees (55.4%), food and beverage and consulting fees — rather than concentrated in one kind of arrangement. Medtronic accounts for 63.4% of it on its own, with 25 other manufacturers making up the rest. Reporting peaked in 2022 at $9,219 and has fallen 61.3% since, to $3,570 in 2025.
Across 157 payments — averaging $103.44 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$10K
- Medical Device Business Services, Inc.$2K
- Novo Nordisk$1K
- Lexington Medical, Inc.$1K
- Intuitive Surgical$923
- Johnson & Johnson$220
- plus $827 from 20 others
What the payments were for
- Consulting fees$1,5159%
- Speaking & faculty fees$9,00055%
- Travel & lodging$290%
- Food & beverage$5,58434%
- Entertainment$1111%
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 |
|---|---|---|
| Medtronic | 29 | $10,295 |
| Medical Device Business Services, Inc. | 1 | $1,515 |
| Novo Nordisk | 41 | $1,267 |
| Lexington Medical, Inc. | 19 | $1,192 |
| Intuitive Surgical | 27 | $923 |
| Johnson & Johnson | 3 | $220 |
| Baxter Healthcare | 5 | $146 |
| Reshape Lifesciences Inc. | 3 | $111 |
| Itamar Medical Inc | 1 | $95 |
| Endo Pharmaceuticals Inc. | 5 | $66 |
| Davol Inc. | 3 | $64 |
| Abbott | 2 | $44 |
| Redhill Biopharma Inc. | 2 | $36 |
| Eagle Pharmaceuticals, Inc. | 2 | $30 |
| Nalpropion Pharmaceuticals LLC | 2 | $26 |
| Fisher & Paykel Healthcare Inc | 1 | $26 |
| Stryker | 1 | $25 |
| Standard Bariatrics, Inc. | 1 | $24 |
| Eisai Inc. | 2 | $22 |
| Daiichi Sankyo Inc. | 1 | $20 |
| Medinc Of Texas | 1 | $17 |
| Rhythm Pharmaceuticals, Inc. | 1 | $17 |
| Pacira Pharmaceuticals Incorporated | 1 | $16 |
| Innocoll Pharmaceuticals Limited | 1 | $16 |
| LSI Solutions Inc | 1 | $15 |
| Currax Pharmaceuticals LLC | 1 | $11 |
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.
- Signia$2,259
- Echelon Flex$1,515
- Aeon Endostapler & Echelon Flex Powered Stapler$470
- DBS$122
- ECHELON ENDOPATH$104
- ECHELON FLEX CST System$100
How this compares
Too few obesity medicine providers in Texasto place this figure against a meaningful peer group, so we don't.
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.
Other obesity medicine in San Antonio
- Suzanne CudaSan Antonio$40K
- Sully DrotarDallas$194K
- Sameer MuraliHouston$93K
- Alan GlombickiHouston$93K
- Richa MittalFrisco$8K
- Kurt ReyesMcKinney$4K
- Laura MontesMcAllen$1K
- Christina UlbrichDallas$793
- Michele CaveneePlano$363
- Ryan RatliffTyler$332
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.