Raul Rivera, MD
Internal Medicine · Pasadena, TXNPI 1205853843
Payments from drug & device makers
Across 527 payments — averaging $15.53 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novo Nordisk$1K
- AstraZeneca$1K
- GSK$929
- Bayer$710
- AbbVie$525
- Lilly USA, LLC$475
- plus $3K from 35 others
What the payments were for
- Food & beverage$7,86996%
- Education$3154%
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 | 99 | $1,471 |
| AstraZeneca | 66 | $1,094 |
| GSK | 68 | $929 |
| Bayer | 39 | $710 |
| AbbVie(2 entities) | 53 | $525 |
| Lilly USA, LLC | 27 | $475 |
| Astellas Pharma US Inc | 18 | $464 |
| Novartis | 21 | $317 |
| Amgen | 18 | $290 |
| Amarin Pharma, Inc. | 26 | $207 |
| Exact Sciences | 10 | $188 |
| Otsuka America Pharmaceutical, Inc. | 7 | $145 |
| Valeritas, Inc. | 9 | $132 |
| Pfizer | 8 | $131 |
| Boehringer Ingelheim | 7 | $114 |
| Philips North America LLC | 7 | $107 |
| Boston Scientific | 1 | $102 |
| Merck | 5 | $88 |
| Sumitomo Pharma America, Inc. | 3 | $77 |
| Abbott | 4 | $67 |
| Sanofi-aventis U.S. LLC | 4 | $58 |
| Scilex Pharmaceuticals Inc. | 3 | $51 |
| Mylan Specialty L.p. | 2 | $45 |
| Johnson & Johnson | 2 | $39 |
| Ironwood Pharmaceuticals, Inc | 2 | $33 |
| Medtronic | 2 | $32 |
| Dexcom, Inc. | 2 | $30 |
| Esperion Therapeutics, Inc. | 1 | $29 |
| Neuronetics, Inc. | 1 | $25 |
| Genentech USA, Inc. | 1 | $24 |
| Almatica Pharma LLC | 1 | $23 |
| Insulet Corporation | 1 | $20 |
| Tris Pharma Inc | 1 | $19 |
| Azurity Pharmaceuticals, Inc. | 1 | $19 |
| Kyowa Kirin, Inc. | 1 | $18 |
| Xeris Pharmaceuticals, Inc. | 1 | $18 |
| Paratek Pharmaceuticals, Inc. | 1 | $15 |
| Arbor Pharmaceuticals, Inc. | 1 | $14 |
| Shield Therapeutics Inc | 1 | $13 |
| Cequr Corporation | 1 | $13 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 1 | $12 |
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
$8,184 in reported general payments places this provider in the 90th percentile of 7,675 internal medicine 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 |
|---|---|---|
| OzempicSemaglutide | 165 | $266,748 |
| EliquisApixaban | 128 | $176,428 |
| JardianceEmpagliflozin | 86 | $125,816 |
| MounjaroTirzepatide | 77 | $105,452 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 57 | $81,872 |
| LinzessLinaclotide | 68 | $80,111 |
| TrulicityDulaglutide | 36 | $65,509 |
| FarxigaDapagliflozin Propanediol | 53 | $57,141 |
| XifaxanRifaximin | 17 | $56,310 |
| MyrbetriqMirabegron | 49 | $53,930 |
| JanuviaSitagliptin Phosphate | 42 | $51,260 |
| XareltoRivaroxaban | 38 | $49,865 |
| Basaglar Kwikpen U-100Insulin Glargine,hum.Rec.Anlog | 133 | $47,580 |
| EntrestoSacubitril/Valsartan | 23 | $42,406 |
| Olmesartan Medoxomil | 803 | $35,781 |
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 | $1,471 | $266,748165 claims |
| PfizerEliquis | $131 | $176,428128 claims |
| Lilly USA, LLCMounjaro, Trulicity | $475 | $170,960113 claims |
| Boehringer IngelheimJardiance | $114 | $125,81686 claims |
| GSKTrelegy Ellipta, Anoro Ellipta | $929 | $104,80380 claims |
| AbbVieLinzess | $525 | $80,11168 claims |
| AstraZenecaFarxiga | $1,094 | $57,14153 claims |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLCXifaxan | $12 | $56,31017 claims |
| Astellas Pharma US IncMyrbetriq | $464 | $53,93049 claims |
| MerckJanuvia | $88 | $51,26042 claims |
| Johnson & JohnsonXarelto | $39 | $49,86538 claims |
| NovartisEntresto | $317 | $42,40623 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 90th percentile of 7,675 internal medicine providers in Texas.
Other internal medicine in Pasadena
- Jan BurgerHouston$47.3M
- Nitin JainHouston$33.2M
- Muhammad IrfanTomball$30.6M
- Aung NaingHouston$30.6M
- Robert BassSan Antonio$25.6M
- Preetesh JainHouston$19.5M
- Paolo StratiHouston$19.2M
- Hernan SalazarSan Antonio$18.5M
- Nicholas ShortHouston$17.6M
- Salma SaigerMesquite$16.1M
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.