RxDoctor Payments Data

Ramon Garza, MD

Endocrinology, Diabetes & Metabolism · San Antonio, TXNPI 1619925831

Payments from drug & device makers

$851in general payments, 2019–2025

Across 30 payments — averaging $28.37 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Abbott$358
  • AbbVie$159
  • Boehringer Ingelheim$118
  • Merck$39
  • Medtronic$34
  • Novo Nordisk$31
  • plus $112 from 5 others

What the payments were for

  • Food & beverage$851100%

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
21
22
23
24

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.

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

$851 in reported general payments places this provider in the 25th percentile of 658 endocrinology, diabetes & metabolism providers in Texas.

See all endocrinology, diabetes & metabolism providers in Texas

Medicare billing

Part B allowed, 2024
$14,494
Medicare patients
128
Services billed
134

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
JardianceEmpagliflozin91$121,440
OzempicSemaglutide49$59,722
Synjardy XrEmpagliflozin/Metformin Hcl43$47,430
TrulicityDulaglutide30$45,811
JanuviaSitagliptin Phosphate33$40,453
FarxigaDapagliflozin Propanediol38$39,911
MounjaroTirzepatide19$22,584
KerendiaFinerenone13$8,965
Humalog Kwikpen U-100Insulin Lispro12$6,179
Basaglar Kwikpen U-100Insulin Glargine,hum.Rec.Anlog14$4,693
Lantus SolostarInsulin Glargine,hum.Rec.Anlog30$3,875
Levothyroxine Sodium301$3,807
SynthroidLevothyroxine Sodium38$3,123
Rosuvastatin Calcium94$1,376
Nano 2nd Gen Pen NeedlePen Needle, Diabetic13$1,270

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, Synjardy Xr$118$168,870134 claims
Novo NordiskOzempic$31$59,72249 claims
MerckJanuvia$39$40,45333 claims
AbbVieSynthroid$159$3,12338 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 25th percentile of 658 endocrinology, diabetes & metabolism providers in Texas.

Other endocrinology, diabetes & metabolism in San Antonio

See the full list for Texas

Where these figures come from

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