Pedro Piedra
Pediatrics · Houston, TXNPI 1609956028
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $625,668 of the $729,055 with a category attached, or 85.8%. Shionogi Inc accounts for 83.5% of it on its own, with 9 other manufacturers making up the rest. Reporting peaked in 2023 at $441,368 and has fallen 93.7% since, to $27,637 in 2025. Among pediatrics clinicians in TX with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 86 payments — averaging $8477.39 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Shionogi Inc$608K
- Merck$36K
- F. Hoffmann-la Roche AG$31K
- Modernatx, Inc.$16K
- Gilead$11K
- Takeda Pharmaceuticals U.S.A., Inc.$8K
- plus $17K from 4 others
Across 8 payments — averaging $276,006 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Merck$2.2M
- F. Hoffmann-la Roche AG$3K
What the payments were for
- Royalty or licence$49,2007%
- Consulting fees$625,66886%
- Speaking & faculty fees$3,1500%
- Travel & lodging$49,4617%
- Food & beverage$1,5760%
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 |
|---|---|---|
| Shionogi Inc | 12 | $608,478 |
| Merck | 34 | $36,418 |
| F. Hoffmann-la Roche AG | 10 | $31,099 |
| Modernatx, Inc. | 10 | $16,476 |
| Gilead | 3 | $10,913 |
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $8,325 |
| Sanofi Pasteur Inc. | 7 | $7,330 |
| Roche Diagnostics Corporation | 5 | $5,047 |
| Pfizer | 3 | $3,150 |
| AstraZeneca | 1 | $1,820 |
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.
- Non-Covered Product$29,088
- Moderna Covid-19 Vaccine$16,369
- Xofluza$14,049
- FLUZONE QUADRIVALENT$7,241
- POC cobas Liat Analyzer, Assays, Controls and Accessories$4,932
- ABRYSVO$3,150
- FLUMIST QUADRIVALENT$1,820
- ENFLONSIA$1,695
- V114$1,476
How this compares
$729,055 in reported general payments places this provider in the 95th percentile of 5,361 pediatrics providers in Texas.
Other pediatrics in Houston
- Vernon SuttonHouston$90K
- Carlos BacinoHouston$53K
- Farida AbidHouston$50K
- Lindsay CameronHouston$32K
- Juan Torres SanchezHouston$31K
- Martin YudovichHouston$24K
- Raegan HuntHouston$23K
- Michael PickettHouston$14K
- Lara LeonhardtHouston$10K
- Autumn AtkinsonHouston$9K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.