Rafael Garcia, MD
General Practice · Corpus Christi, TXNPI 1336160852
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 99.1% of the total across 492 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 35 manufacturers, the largest accounting for just 23.1% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2022 at $2,272 and has fallen 65.6% since, to $782 in 2025. Among general practice 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 492 payments — averaging $16.71 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novo Nordisk$2K
- AbbVie$1K
- Lilly USA, LLC$940
- AstraZeneca$490
- Boehringer Ingelheim$472
- GSK$369
- plus $3K from 29 others
What the payments were for
- Food & beverage$8,15199%
- Education$721%
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 |
|---|---|---|
| Novo Nordisk | 124 | $1,897 |
| AbbVie | 86 | $1,244 |
| Lilly USA, LLC | 47 | $940 |
| AstraZeneca | 24 | $490 |
| Boehringer Ingelheim | 29 | $472 |
| GSK | 25 | $369 |
| Exact Sciences | 15 | $259 |
| Amarin Pharma, Inc. | 13 | $252 |
| Amgen | 17 | $240 |
| Pfizer | 16 | $210 |
| Esperion Therapeutics, Inc. | 7 | $199 |
| Bayer | 5 | $198 |
| Takeda Pharmaceuticals U.S.A., Inc. | 12 | $194 |
| Biohaven Pharmaceutical Holding Company Ltd. | 13 | $166 |
| Corcept Therapeutics | 6 | $151 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 9 | $134 |
| Astellas Pharma US Inc | 6 | $114 |
| Eisai Inc. | 6 | $98 |
| Axsome Therapeutics, Inc. | 3 | $81 |
| Dexcom, Inc. | 3 | $57 |
| Biohaven Pharmaceuticals, Inc. | 3 | $56 |
| Kowa Pharmaceuticals America, Inc. | 3 | $55 |
| Idorsia Pharmaceuticals US Inc | 3 | $49 |
| Novartis | 3 | $44 |
| Phathom Pharmaceuticals, Inc. | 2 | $36 |
| Otsuka America Pharmaceutical, Inc. | 1 | $29 |
| Vifor Pharma, Inc. | 2 | $29 |
| Arbor Pharmaceuticals, Inc. | 2 | $28 |
| Pulmonx Corporation | 1 | $28 |
| Vanda Pharmaceuticals Inc. | 1 | $24 |
| Sanofi-aventis U.S. LLC | 1 | $20 |
| Genmab U.S., Inc. | 1 | $17 |
| Nevro Corp. | 1 | $16 |
| Tolmar, Inc. | 1 | $15 |
| Merck | 1 | $14 |
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
$8,223 in reported general payments places this provider in the 95th percentile of 8,074 general practice 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 |
|---|---|---|
| MounjaroTirzepatide | 62 | $80,963 |
| OzempicSemaglutide | 60 | $64,883 |
| JardianceEmpagliflozin | 47 | $49,410 |
| EliquisApixaban | 45 | $40,082 |
| FarxigaDapagliflozin Propanediol | 46 | $38,981 |
| RybelsusSemaglutide | 14 | $26,403 |
| JanuviaSitagliptin Phosphate | 14 | $14,358 |
| Breztri AerosphereBudesonide/Glycopyr/Formoterol | 14 | $13,806 |
| XareltoRivaroxaban | 20 | $12,373 |
| BrilintaTicagrelor | 18 | $9,148 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 13 | $9,071 |
| Lantus SolostarInsulin Glargine,hum.Rec.Anlog | 17 | $3,482 |
| Levemir FlexpenInsulin Detemir | 15 | $3,034 |
| Verapamil SrVerapamil Hcl | 21 | $2,285 |
| Gabapentin | 96 | $1,806 |
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.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| Novo NordiskOzempic, Rybelsus | $1,897 | $91,28774 claims |
| Lilly USA, LLCMounjaro | $940 | $80,96362 claims |
| AstraZenecaFarxiga, Breztri Aerosphere, Brilinta | $490 | $61,93478 claims |
| Boehringer IngelheimJardiance | $472 | $49,41047 claims |
| PfizerEliquis | $210 | $40,08245 claims |
| MerckJanuvia | $14 | $14,35814 claims |
| GSKTrelegy Ellipta | $369 | $9,07113 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 95th percentile of 8,074 general practice providers in Texas.
Other general practice in Corpus Christi
- Marcus LastimadoFort Bliss$2.3M
- Christina DeanFrisco$1.9M
- Paul ShrodeMissouri City$1.2M
- Alan DouglasSan Antonio$609K
- C Mike MeekAustin$509K
- Young KwonDallas$288K
- Matthew HicksFriendswood$268K
- Kathleen Szelei-StevensHouston$253K
- Hoa TranPearland$156K
- Mitchell KimRichardson$145K
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.