Rafael Santiago
Sleep Medicine · San Antonio, TXNPI 1053305508
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 93.0% of the total across 153 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 23 manufacturers, the largest accounting for just 12.4% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2019 at $1,987 and has fallen 81.0% since, to $378 in 2025.
Across 153 payments — averaging $18.71 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- GSK$354
- Boehringer Ingelheim$322
- Actelion Pharmaceuticals US, Inc.$244
- Regeneron Healthcare Solutions, Inc.$219
- Jazz Pharmaceuticals Inc.$211
- Philips North America LLC$201
- plus $1K from 17 others
What the payments were for
- Food & beverage$2,66393%
- Education$2007%
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 |
|---|---|---|
| GSK | 25 | $354 |
| Boehringer Ingelheim | 16 | $322 |
| Actelion Pharmaceuticals US, Inc. | 16 | $244 |
| Regeneron Healthcare Solutions, Inc. | 12 | $219 |
| Jazz Pharmaceuticals Inc. | 7 | $211 |
| Philips North America LLC | 12 | $201 |
| Grifols USA, LLC | 9 | $195 |
| Mylan Specialty L.p. | 13 | $172 |
| AstraZeneca | 11 | $160 |
| ZOLL Respicardia, Inc. | 2 | $157 |
| Novartis | 6 | $132 |
| Harmony Biosciences LLC | 3 | $125 |
| Genentech USA, Inc. | 5 | $74 |
| Shire North American Group Inc | 3 | $49 |
| United Therapeutics Corporation | 2 | $44 |
| Amgen | 2 | $41 |
| Gilead | 2 | $35 |
| Circassia Inc. | 2 | $29 |
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $25 |
| Astellas Pharma US Inc | 1 | $23 |
| Mallinckrodt Enterprises LLC | 1 | $22 |
| Insmed, Inc. | 1 | $15 |
| Fisher & Paykel Healthcare Inc | 1 | $14 |
How this compares
$2,863 in reported general payments places this provider in the 65th percentile of 112 sleep medicine providers in Texas.
Other sleep medicine in San Antonio
- James AndrySan Antonio$100K
- Karen Hentschel FranksSan Antonio$18K
- Hanul BhandariSan Antonio$10K
- Nici BothwellSan Antonio$3K
- Avie GrunspanSan Antonio$3K
- Sreejith PillaiSan Antonio$2K
- Gerard MeskillSugar Land$1M
- Vikas JainFrisco$673K
- Amit VermaHouston$493K
- Jerald SimmonsHouston$165K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.