Paula Duran Sierra, MD
Nephrology · Temple, TXNPI 1255623971
Payments from drug & device makers
Across 27 payments — averaging $49.81 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novartis$340
- Aurinia Pharma U.S., Inc.$273
- Veloxis Pharmaceuticals, Inc.$215
- Bayer$152
- Travere Therapeutics, Inc.$130
- Mallinckrodt Enterprises LLC$100
- plus $135 from 2 others
What the payments were for
- Food & beverage$1,01075%
- Education$33525%
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 |
|---|---|---|
| Novartis | 6 | $340 |
| Aurinia Pharma U.S., Inc. | 2 | $273 |
| Veloxis Pharmaceuticals, Inc. | 3 | $215 |
| Bayer | 7 | $152 |
| Travere Therapeutics, Inc. | 1 | $130 |
| Mallinckrodt Enterprises LLC | 1 | $100 |
| Amgen | 5 | $92 |
| Vifor Pharma, Inc. | 2 | $43 |
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
$1,345 in reported general payments places this provider in the 45th percentile of 1,070 nephrology 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 |
|---|---|---|
| JynarqueTolvaptan | 22 | $411,376 |
| FarxigaDapagliflozin Propanediol | 80 | $77,158 |
| VeltassaPatiromer Calcium Sorbitex | 41 | $45,008 |
| JardianceEmpagliflozin | 30 | $37,061 |
| OzempicSemaglutide | 13 | $11,583 |
| Sevelamer Carbonate | 19 | $2,318 |
| Torsemide | 76 | $2,287 |
| Calcium Acetate | 19 | $1,716 |
| Losartan Potassium | 109 | $1,550 |
| Midodrine Hcl | 22 | $1,170 |
| Potassium Chloride | 39 | $1,095 |
| Terazosin Hcl | 34 | $1,074 |
| Clonidine | 13 | $978 |
| Allopurinol | 91 | $872 |
| Carvedilol | 71 | $849 |
Paid to pharmacies, not to this prescriber.
Other nephrology in Temple
- Mohanram NarayananTemple$1.9M
- Pablo PergolaSan Antonio$14.2M
- German HernandezEl Paso$9.7M
- Sreedhar MandayamHouston$7M
- Tahira AlvesSan Antonio$6.1M
- Carl DukesSan Antonio$5.9M
- Chinonye Ogbonnaya-OdorSan Antonio$4.6M
- Marializa BernardoHouston$4.2M
- Judith BettsAustin$3.7M
- Wesley CalhounSan Antonio$3.5M
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.