Michelle Gamio
Family · San Antonio, TXNPI 1164820643
Payments from drug & device makers
Across 154 payments — averaging $17.73 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novo Nordisk$700
- Daiichi Sankyo Inc.$259
- Abbott$232
- Lilly USA, LLC$212
- Salix Pharmaceuticals, A Division Of Bausch Health US, LLC$176
- Pfizer$150
- plus $1K from 23 others
What the payments were for
- Food & beverage$2,730100%
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 | 42 | $700 |
| Daiichi Sankyo Inc. | 12 | $259 |
| Abbott | 12 | $232 |
| Lilly USA, LLC | 11 | $212 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 12 | $176 |
| Pfizer | 9 | $150 |
| Amgen | 6 | $132 |
| Bayer | 5 | $95 |
| Johnson & Johnson | 5 | $95 |
| Astellas Pharma US Inc | 5 | $93 |
| GSK | 5 | $78 |
| Novartis | 5 | $67 |
| Nevro Corp. | 3 | $66 |
| Esperion Therapeutics, Inc. | 3 | $50 |
| Inspire Medical Systems, Inc. | 2 | $45 |
| Exact Sciences | 2 | $39 |
| Merck | 2 | $38 |
| Edwards Lifesciences | 1 | $28 |
| Phathom Pharmaceuticals, Inc. | 2 | $26 |
| Boston Scientific | 1 | $23 |
| Amarin Pharma, Inc. | 1 | $20 |
| Otsuka America Pharmaceutical, Inc. | 1 | $15 |
| Genentech USA, Inc. | 1 | $15 |
| AbbVie | 1 | $14 |
| Kowa Pharmaceuticals America, Inc. | 1 | $14 |
| Medtronic | 1 | $13 |
| Althera Pharmaceuticals LLC | 1 | $12 |
| AstraZeneca | 1 | $12 |
| Biohaven Pharmaceuticals, Inc. | 1 | $11 |
How this compares
$2,730 in reported general payments places this provider in the 85th 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 |
|---|---|---|
| JardianceEmpagliflozin | 58 | $83,936 |
| OzempicSemaglutide | 23 | $35,917 |
| MounjaroTirzepatide | 12 | $23,688 |
| XareltoRivaroxaban | 17 | $17,323 |
| JanuviaSitagliptin Phosphate | 15 | $15,280 |
| Levothyroxine Sodium | 223 | $3,022 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 28 | $1,659 |
| Atorvastatin Calcium | 170 | $1,655 |
| Losartan Potassium | 119 | $1,342 |
| Duloxetine Hcl | 30 | $1,308 |
| Fluticasone Propionate | 38 | $914 |
| Pravastatin Sodium | 77 | $902 |
| Omeprazole | 54 | $891 |
| Bupropion XlBupropion Hcl | 16 | $889 |
| SynthroidLevothyroxine Sodium | 14 | $750 |
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 | $700 | $35,91723 claims |
| Lilly USA, LLCMounjaro | $212 | $23,68812 claims |
| Johnson & JohnsonXarelto | $95 | $17,32317 claims |
| MerckJanuvia | $38 | $15,28015 claims |
| AbbVieSynthroid | $14 | $75014 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 85th 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.