Natalie Marshall
Medical · San Antonio, TXNPI 1548739451
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 95.4% of the total across 422 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 27 manufacturers, the largest accounting for just 12.0% — the pattern of someone who eats at a lot of different presentations. 2025 is the largest year on record at $2,229, 2.2 times the $996 reported in 2021. Among medical clinicians in TX with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 422 payments — averaging $18.61 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Incyte Corporation$944
- AbbVie$766
- Johnson & Johnson$659
- Sanofi$587
- Amgen$514
- Galderma Laboratories, L.p.$495
- plus $4K from 21 others
What the payments were for
- Food & beverage$7,49595%
- Education$3595%
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 |
|---|---|---|
| Incyte Corporation | 50 | $944 |
| AbbVie | 42 | $766 |
| Johnson & Johnson | 34 | $659 |
| Sanofi | 36 | $587 |
| Amgen | 24 | $514 |
| Galderma Laboratories, L.p. | 39 | $495 |
| Lilly USA, LLC | 24 | $485 |
| Regeneron Healthcare Solutions, Inc. | 22 | $427 |
| Sun Pharmaceutical Industries Inc. | 16 | $425 |
| Almirall LLC | 15 | $351 |
| E.r. Squibb & Sons, L.L.C. | 20 | $345 |
| UCB, Inc. | 15 | $324 |
| Novartis | 12 | $221 |
| LEO Pharma Inc. | 14 | $218 |
| Arcutis Biotherapeutics, Inc. | 12 | $216 |
| Ortho Dermatologics, A Division Of Bausch Health US, LLC | 9 | $159 |
| Pfizer | 8 | $132 |
| Dermavant Sciences, Inc. | 4 | $95 |
| Mayne Pharma Commercial LLC | 4 | $90 |
| Journey Medical Corporation | 4 | $81 |
| VYNE Pharmaceuticals Inc. | 4 | $79 |
| Revance Therapeutics, Inc. | 2 | $63 |
| Biofrontera Inc. | 3 | $54 |
| Botanix SB Inc | 3 | $52 |
| Organon | 4 | $42 |
| Elekta, Inc. | 1 | $16 |
| Medimetriks Pharmaceuticals, Inc. | 1 | $15 |
How this compares
$7,855 in reported general payments places this provider in the 90th percentile of 1,490 medical 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 |
|---|---|---|
| Humira(Cf) PenAdalimumab | 18 | $122,539 |
| Clobetasol Propionate | 75 | $1,862 |
| Tacrolimus | 21 | $1,784 |
| Metronidazole | 24 | $1,378 |
| Fluorouracil | 17 | $1,266 |
| Ketoconazole | 51 | $965 |
| Doxycycline Hyclate | 23 | $460 |
| Doxycycline Monohydrate | 15 | $448 |
| Triamcinolone Acetonide | 36 | $412 |
| Hydrocortisone | 27 | $298 |
| ValacyclovirValacyclovir Hcl | 19 | $232 |
| Mupirocin | 23 | $167 |
| Clotrimazole | 14 | $145 |
| Spironolactone | 16 | $127 |
| Finasteride | 17 | $106 |
Paid to pharmacies, not to this prescriber.
Other medical in San Antonio
- Shakira CabreraSan Antonio$116K
- Courtney AldridgeSan Antonio$89K
- John KodoskySan Antonio$58K
- Amanda MillerSan Antonio$27K
- Felipe GalvanSan Antonio$26K
- Ledyenska BallesterosSan Antonio$22K
- Daniella ArellanoSan Antonio$15K
- Robert SchonhoffSan Antonio$14K
- Tanya GainesSan Antonio$14K
- Ivanna SaucedoSan Antonio$13K
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.