Miriam Medina
Family · San Antonio, TXNPI 1558037275
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 92 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 24 manufacturers, the largest accounting for just 15.0% — the pattern of someone who eats at a lot of different presentations. 2025 is the largest year on record at $1,655, 3.8 times the $434 reported in 2023.
Across 92 payments — averaging $35.87 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$495
- CSL Behring$447
- Novartis$365
- AstraZeneca$333
- GSK$236
- Regeneron Healthcare Solutions, Inc.$206
- plus $1K from 18 others
What the payments were for
- Food & beverage$3,300100%
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 |
|---|---|---|
| AbbVie | 5 | $495 |
| CSL Behring | 18 | $447 |
| Novartis | 10 | $365 |
| AstraZeneca | 6 | $333 |
| GSK | 11 | $236 |
| Regeneron Healthcare Solutions, Inc. | 4 | $206 |
| ARS Pharmaceuticals Operations, Inc. | 12 | $190 |
| Takeda Pharmaceuticals U.S.A., Inc. | 6 | $151 |
| Revance Therapeutics, Inc. | 1 | $139 |
| Teva Pharmaceuticals USA, Inc. | 1 | $125 |
| Blueprint Medicines Corporation | 1 | $121 |
| Pfizer | 1 | $98 |
| ADMA Biomanufacturing LLC | 1 | $91 |
| Octapharma USA, Inc. | 3 | $60 |
| Collegium Pharmaceutical, Inc. | 2 | $45 |
| Ionis Pharmaceuticals, Inc. | 2 | $45 |
| Organon | 1 | $24 |
| Pharming Healthcare, Inc. | 1 | $23 |
| Alk-abello, Inc | 1 | $22 |
| Grifols USA, LLC | 1 | $19 |
| Incyte Corporation | 1 | $19 |
| Kaleo, Inc. | 1 | $18 |
| Hikma Pharmaceuticals USA | 1 | $15 |
| Sanofi | 1 | $14 |
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.
How this compares
$3,300 in reported general payments places this provider in the 85th percentile of 15,456 family providers in Texas.
Other family in San Antonio
- Anna CastroSan Antonio$184K
- Natalia FariasSan Antonio$124K
- Tina CoppleSan Antonio$97K
- Kim HinojosaSan Antonio$63K
- Kimberly GibergaSan Antonio$36K
- Febbie PhiriSan Antonio$31K
- Annette GantzSan Antonio$31K
- Renee ChisumSan Antonio$28K
- Thimios PartalasSan Antonio$27K
- David WeirDallas$959K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.