Nathan Crowder, PA
Physician Assistant · San Antonio, TXNPI 1417329459
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 97.8% of the total across 167 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 15 manufacturers reported payments, led by Regeneron Healthcare Solutions, Inc. at 40.7% of the total. 2025 is the largest year on record at $1,907, 4.6 times the $411 reported in 2022.
Across 167 payments — averaging $26.52 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Regeneron Healthcare Solutions, Inc.$2K
- GSK$549
- Sanofi$453
- Medtronic$339
- Integra Lifesciences Corporation$238
- Optinose US, Inc.$207
- plus $841 from 9 others
What the payments were for
- Food & beverage$4,33098%
- Education$982%
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 |
|---|---|---|
| Regeneron Healthcare Solutions, Inc. | 62 | $1,802 |
| GSK | 29 | $549 |
| Sanofi | 14 | $453 |
| Medtronic | 12 | $339 |
| Integra Lifesciences Corporation | 12 | $238 |
| Optinose US, Inc. | 10 | $207 |
| Olympus America Inc. | 9 | $172 |
| Aerin Medical Inc. | 1 | $143 |
| Smith+Nephew | 5 | $127 |
| Acclarent, Inc | 7 | $125 |
| AstraZeneca | 1 | $124 |
| Grifols USA, LLC | 1 | $66 |
| Stryker | 2 | $41 |
| Paratek Pharmaceuticals, Inc. | 1 | $22 |
| Amgen | 1 | $20 |
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.
- VIVAER STYLUS$143
- RHINAER STYLUS$143
- DUPIXENT$130
- TEZSPIRE$124
How this compares
$4,429 in reported general payments places this provider in the 85th percentile of 8,308 physician assistant 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 |
|---|---|---|
| Dupixent PenDupilumab | 15 | $55,325 |
| Doxycycline Monohydrate | 58 | $660 |
| Azelastine Hcl | 17 | $588 |
| Ipratropium Bromide | 18 | $458 |
| Levocetirizine Dihydrochloride | 22 | $422 |
| Fluticasone Propionate | 38 | $409 |
| Acetaminophen-CodeineAcetaminophen With Codeine | 27 | $199 |
| Mupirocin | 13 | $114 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 11 | $110 |
| Meloxicam | 44 | $69 |
| Prednisone | 24 | $34 |
Paid to pharmacies, not to this prescriber.
Other physician assistant in San Antonio
- Andrew PrattSan Antonio$87K
- Sarah MerrittSan Antonio$55K
- Monica ChapmanSan Antonio$38K
- Lisa GarrisonSan Antonio$35K
- Anthony DerenciusSan Antonio$34K
- Alhashmin MurjiSan Antonio$29K
- Cynthia TrickettDallas$1.3M
- Kristine KuceraMelissa$797K
- Selina SantosAustin$543K
- Matthew BrunoMcKinney$538K
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.