Michelle Fonseca
Physician Assistant · San Antonio, TXNPI 1477922474
Payments from drug & device makers
Across 104 payments — averaging $16.97 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novo Nordisk$507
- Lilly USA, LLC$247
- AbbVie$181
- AstraZeneca$117
- Pfizer$103
- Bayer$90
- plus $520 from 17 others
What the payments were for
- Food & beverage$1,765100%
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 | 31 | $507 |
| Lilly USA, LLC | 17 | $247 |
| AbbVie | 11 | $181 |
| AstraZeneca | 5 | $117 |
| Pfizer | 6 | $103 |
| Bayer | 4 | $90 |
| Amgen | 4 | $81 |
| GSK | 4 | $74 |
| Merck | 3 | $57 |
| Johnson & Johnson | 3 | $51 |
| Avanir Pharmaceuticals, Inc. | 2 | $34 |
| Astellas Pharma US Inc | 2 | $31 |
| Idorsia Pharmaceuticals US Inc | 2 | $27 |
| Almatica Pharma LLC | 1 | $26 |
| Bausch Health US, LLC | 1 | $19 |
| Sumitomo Pharma America, Inc. | 1 | $17 |
| Nestle Healthcare Nutrition Inc. | 1 | $16 |
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $16 |
| Esperion Therapeutics, Inc. | 1 | $16 |
| Ultragenyx Pharmaceutical Inc. | 1 | $15 |
| Abbott | 1 | $14 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 1 | $14 |
| Biohaven Pharmaceuticals, Inc. | 1 | $12 |
How this compares
$1,765 in reported general payments places this provider in the 70th percentile of 8,308 physician assistant providers in Texas.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| JardianceEmpagliflozin | 73 | $96,689 |
| OzempicSemaglutide | 66 | $94,103 |
| TrulicityDulaglutide | 14 | $33,078 |
| MyrbetriqMirabegron | 31 | $29,585 |
| EliquisApixaban | 11 | $17,710 |
| Teriparatide | 12 | $17,323 |
| FarxigaDapagliflozin Propanediol | 12 | $12,259 |
| GemtesaVibegron | 15 | $11,693 |
| Advair HfaFluticasone Propion/Salmeterol | 13 | $9,556 |
| Fluticasone Propionate | 119 | $3,374 |
| LantusInsulin Glargine,hum.Rec.Anlog | 20 | $3,051 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 67 | $2,003 |
| Lidocaine | 17 | $1,942 |
| Fluticasone-SalmeterolFluticasone Propion/Salmeterol | 12 | $1,621 |
| Duloxetine Hcl | 31 | $1,463 |
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 | $507 | $94,10366 claims |
| Lilly USA, LLCTrulicity | $247 | $33,07814 claims |
| Astellas Pharma US IncMyrbetriq | $31 | $29,58531 claims |
| PfizerEliquis | $103 | $17,71011 claims |
| AstraZenecaFarxiga | $117 | $12,25912 claims |
| Sumitomo Pharma America, Inc.Gemtesa | $17 | $11,69315 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 70th percentile of 8,308 physician assistant providers in Texas.
Other physician assistant in San Antonio
- Anthony DerenciusSan Antonio$507K
- Andrew PrattSan Antonio$87K
- Sarah MerrittSan Antonio$55K
- Monica ChapmanSan Antonio$38K
- Lisa GarrisonSan Antonio$35K
- Cynthia TrickettDallas$1.3M
- Kristine KuceraMelissa$797K
- Selina SantosAustin$543K
- Matthew BrunoMcKinney$538K
- Brooke HodnickSouthlake$479K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.