RxDoctor Payments Data

Norma Cerna, MD

Family Medicine · San Angelo, TXNPI 1336307644

Payments from drug & device makers

$2,269in general payments, 2019–2025

Across 140 payments — averaging $16.21 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • AbbVie$430
  • Novo Nordisk$352
  • Amgen$290
  • Lilly USA, LLC$176
  • Astellas Pharma US Inc$135
  • Boehringer Ingelheim$132
  • plus $755 from 16 others

What the payments were for

  • Food & beverage$2,269100%

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

19
20
21
22
23
24
25

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.

How this compares

$2,269 in reported general payments places this provider in the 75th percentile of 8,760 family medicine providers in Texas.

See all family medicine providers in Texas

Medicare billing

Part B allowed, 2024
$239,912
Medicare patients
262
Services billed
5,630

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

DrugClaimsCost to plans & patients
JanuviaSitagliptin Phosphate77$91,158
JardianceEmpagliflozin68$72,805
OzempicSemaglutide45$53,321
MyrbetriqMirabegron44$38,094
RybelsusSemaglutide21$37,273
TradjentaLinagliptin41$30,221
LinzessLinaclotide27$27,825
Tresiba Flextouch U-100Insulin Degludec18$25,336
MounjaroTirzepatide24$24,711
FarxigaDapagliflozin Propanediol21$15,894
XareltoRivaroxaban16$13,428
Tresiba Flextouch U-200Insulin Degludec14$7,384
Janumet XrSitagliptin Phos/Metformin Hcl12$7,301
Levothyroxine Sodium635$6,030
TrintellixVortioxetine Hydrobromide11$5,110

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.

CompanyPaid to this providerPart D cost of their drugs
Boehringer IngelheimJardiance, Tradjenta$132$103,027109 claims
MerckJanuvia, Janumet Xr$69$98,45989 claims
Novo NordiskOzempic, Rybelsus$352$90,59566 claims
Astellas Pharma US IncMyrbetriq$135$38,09444 claims
AbbVieLinzess, Synthroid$430$29,11766 claims
Lilly USA, LLCMounjaro$176$24,71124 claims
AstraZenecaFarxiga, Nexium$27$19,13833 claims
Johnson & JohnsonXarelto$104$13,42816 claims
GSKBreo Ellipta$103$4,65111 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 75th percentile of 8,760 family medicine providers in Texas.

Other family medicine in San Angelo

See the full list for Texas

Where these figures come from

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