Michele Zerah
Pediatric Endocrinology · El Paso, TXNPI 1386660850
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 91.6% of the total across 49 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 21 manufacturers, the largest accounting for just 19.0% — the pattern of someone who eats at a lot of different presentations.
Across 49 payments — averaging $37.20 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novo Nordisk$347
- AstraZeneca$306
- BETA Bionics, Inc.$162
- Amgen$127
- Dexcom, Inc.$124
- Tolmar, Inc.$117
- plus $640 from 15 others
What the payments were for
- Food & beverage$1,67092%
- Education$1538%
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 | 8 | $347 |
| AstraZeneca(2 entities) | 6 | $306 |
| BETA Bionics, Inc. | 2 | $162 |
| Amgen | 1 | $127 |
| Dexcom, Inc. | 1 | $124 |
| Tolmar, Inc. | 2 | $117 |
| AbbVie | 4 | $95 |
| Arbor Pharmaceuticals, Inc. | 5 | $82 |
| Ascendis Pharma Endocrinology Inc | 3 | $70 |
| Insulet Corporation | 3 | $63 |
| Rhythm Pharmaceuticals, Inc. | 2 | $55 |
| Regeneron | 1 | $49 |
| Medtronic | 2 | $39 |
| Tolmar Pharmaceuticals, Inc. | 2 | $36 |
| Tandem Diabetes Care, Inc. | 1 | $32 |
| Kyowa Kirin, Inc. | 1 | $22 |
| Dermira, Inc. | 1 | $20 |
| Sanofi-aventis U.S. LLC | 1 | $20 |
| Lilly USA, LLC | 1 | $20 |
| Abbott | 1 | $20 |
| Azurity Pharmaceuticals, Inc. | 1 | $19 |
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.
- iLet Bionic Pancreas$458
- EVENITY$127
- Prolia$127
- DEXCOM G7 GSS (161)$124
- FARXIGA$112
- Sogroya$106
How this compares
$1,823 in reported general payments places this provider in the 60th percentile of 120 pediatric endocrinology providers in Texas.
Other pediatric endocrinology in El Paso
- Hector GranadosEl Paso$73K
- Sanjeet SandhuEl Paso$5K
- Jose Gamez-GodoyEdinburg$207K
- Virginia AraizaHouston$151K
- Daniel DesalvoHouston$133K
- Amy BurtonPlano$130K
- Susan NunezAustin$91K
- Donnie WilsonFort Worth$58K
- Paul ThorntonFort Worth$52K
- Jane LynchSan Antonio$44K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.