Nathaniel de la Cruz
Family Medicine · Mission, TXNPI 1376921114
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 99.7% of the total across 121 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 22 manufacturers reported payments, led by AstraZeneca at 34.1% of the total. Reporting peaked in 2019 at $2,583 and has fallen 89.8% since, to $263 in 2025.
Across 121 payments — averaging $42.85 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$2K
- Novo Nordisk$527
- Pfizer$469
- Amarin Pharma, Inc.$407
- AbbVie$259
- Salix Pharmaceuticals, A Division Of Bausch Health US, LLC$225
- plus $2K from 16 others
What the payments were for
- Food & beverage$5,168100%
- Education$170%
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 |
|---|---|---|
| AstraZeneca | 31 | $1,766 |
| Novo Nordisk | 10 | $527 |
| Pfizer | 21 | $469 |
| Amarin Pharma, Inc. | 14 | $407 |
| AbbVie(2 entities) | 3 | $259 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 7 | $225 |
| Amgen | 6 | $178 |
| Sanofi-aventis U.S. LLC | 6 | $169 |
| Lilly USA, LLC | 4 | $150 |
| Stryker | 1 | $143 |
| Bard Peripheral Vascular, Inc. | 1 | $120 |
| Boehringer Ingelheim | 2 | $120 |
| Bayer | 1 | $119 |
| Cumberland Pharmaceuticals, Inc. | 1 | $116 |
| Radius Health, Inc. | 2 | $105 |
| Novartis | 1 | $102 |
| Johnson & Johnson | 1 | $79 |
| Kowa Pharmaceuticals America, Inc. | 5 | $64 |
| Dexcom, Inc. | 1 | $23 |
| Astellas Pharma US Inc | 1 | $17 |
| Mannkind Corporation | 1 | $14 |
| GSK | 1 | $13 |
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
$5,185 in reported general payments places this provider in the 85th percentile of 8,760 family medicine providers in Texas.
Other family medicine in Mission
- John LungMission$177K
- Carlos CamposNew Braunfels$1.5M
- Aaron KingSan Antonio$1.1M
- Bradley WassonArlington$734K
- Cynthia BrinsonAustin$402K
- Michael MendezLubbock$368K
- Sang Tae KimAmarillo$368K
- Sumit PerakathuHarlingen$342K
- Joel SolisMcAllen$324K
- Robert CampbellFort Worth$318K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.