Rebecca Romero, MD
Neurology · San Antonio, TXNPI 1538344429
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (49.4%), speaking fees and food and beverage — rather than concentrated in one kind of arrangement. 17 manufacturers reported payments, led by EMD Serono, Inc. at 44.4% of the total. Reporting peaked in 2019 at $46,653 and has fallen 99.4% since, to $292 in 2025. Among neurology clinicians in TX with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 200 payments — averaging $460.73 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- EMD Serono, Inc.$41K
- Sanofi$11K
- Genentech USA, Inc.$10K
- Bristol Myers Squibb$9K
- Novartis$8K
- Amgen$4K
- plus $9K from 11 others
Across 79 payments — averaging $6174.30 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.
- Novartis$299K
- Chugai Pharmaceutical Co., Ltd.$93K
- Roche Products Limited$84K
- F. Hoffmann-la Roche AG$11K
- Amgen$336
What the payments were for
- Consulting fees$45,49249%
- Speaking & faculty fees$31,09634%
- Travel & lodging$4,6655%
- Food & beverage$10,64112%
- Education$2530%
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 |
|---|---|---|
| EMD Serono, Inc. | 51 | $40,880 |
| Sanofi | 13 | $11,240 |
| Genentech USA, Inc. | 16 | $9,588 |
| Bristol Myers Squibb | 30 | $9,309 |
| Novartis | 21 | $7,504 |
| Amgen(2 entities) | 11 | $4,351 |
| AstraZeneca | 20 | $3,522 |
| Genentech, Inc. | 8 | $3,025 |
| Cycle Pharmaceuticals Inc | 1 | $1,300 |
| TG Therapeutics, Inc. | 16 | $744 |
| Biogen | 3 | $199 |
| AbbVie | 5 | $142 |
| E.r. Squibb & Sons, L.L.C. | 1 | $125 |
| ANI Pharmaceuticals, Inc. | 1 | $89 |
| Teva Pharmaceuticals USA, Inc. | 1 | $74 |
| UCB, Inc. | 1 | $35 |
| Pfizer | 1 | $19 |
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
$92,146 in reported general payments places this provider in the 90th percentile of 1,246 neurology 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 |
|---|---|---|
| Kesimpta PenOfatumumab | 93 | $920,483 |
| MayzentSiponimod | 70 | $818,106 |
| EnspryngSatralizumab-Mwge | 43 | $751,089 |
| CopaxoneGlatiramer Acetate | 54 | $376,729 |
| TecfideraDimethyl Fumarate | 36 | $335,681 |
| VumerityDiroximel Fumarate | 32 | $301,397 |
| Gamunex-CImmune Globul G/Gly/Iga Avg 46 | 15 | $264,831 |
| AubagioTeriflunomide | 16 | $233,299 |
| GilenyaFingolimod Hcl | 15 | $195,798 |
| Avonex (4 Pack)Interferon Beta-1a | 18 | $191,860 |
| ZeposiaOzanimod Hydrochloride | 19 | $171,083 |
| Avonex Pen (4 Pack)Interferon Beta-1a | 11 | $120,960 |
| Teriflunomide | 55 | $120,267 |
| Dalfampridine ErDalfampridine | 204 | $94,490 |
| GlatopaGlatiramer Acetate | 11 | $80,449 |
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 |
|---|---|---|
| NovartisMayzent, Gilenya | $7,504 | $1,013,90585 claims |
| BiogenTecfidera, Vumerity, Avonex (4 Pack) | $199 | $828,93886 claims |
| Genentech USA, Inc.Enspryng | $9,588 | $751,08943 claims |
| Teva Pharmaceuticals USA, Inc.Copaxone | $74 | $376,72954 claims |
| SanofiAubagio | $11,240 | $233,29916 claims |
| E.r. Squibb & Sons, L.L.C.Zeposia | $125 | $171,08319 claims |
| PfizerNurtec Odt | $19 | $33,43220 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 1,246 neurology providers in Texas.
Other neurology in San Antonio
- Ann BassSan Antonio$1.7M
- Santiago RestrepoSan Antonio$532K
- Juan Ramirez CastanedaSan Antonio$456K
- Eleni VaouSan Antonio$236K
- Eric PappertSan Antonio$166K
- Arash SalardiniSan Antonio$125K
- William OndoHouston$1.4M
- Nirav PavasiaDallas$1.4M
- Mirla AvilaLubbock$1.3M
- Michael SoileauGeorgetown$1.2M
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.