Robert Jacobs
Allergy & Immunology · San Antonio, TXNPI 1669536330
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 25 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 11 manufacturers, the largest accounting for just 23.0% — the pattern of someone who eats at a lot of different presentations. That places this record below the midpoint for allergy & immunology clinicians in TX, where the typical reported total is $5,878.
Across 25 payments — averaging $108.11 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$621
- GSK$576
- Sanofi$360
- Regeneron Healthcare Solutions, Inc.$274
- Optinose US, Inc.$154
- Novartis$148
- plus $569 from 5 others
Across 1,192 payments — averaging $633.05 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.
- Seqirus USA Inc$530K
- AstraZeneca$90K
- Alk-abello, Inc$71K
- Teva Pharmaceuticals USA, Inc.$56K
- Astrazeneca AB$7K
What the payments were for
- Food & beverage$2,703100%
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 |
|---|---|---|
| AstraZeneca | 5 | $621 |
| GSK | 5 | $576 |
| Sanofi | 3 | $360 |
| Regeneron Healthcare Solutions, Inc. | 3 | $274 |
| Optinose US, Inc. | 2 | $154 |
| Novartis | 2 | $148 |
| Biocryst US Sales Co., LLC | 1 | $125 |
| Blueprint Medicines Corporation | 1 | $121 |
| ARS Pharmaceuticals Operations, Inc. | 1 | $112 |
| Grifols USA, LLC | 1 | $110 |
| Kaleo, Inc. | 1 | $100 |
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
$2,703 in reported general payments places this provider in the 30th percentile of 336 allergy & immunology providers in Texas.
Other allergy & immunology in San Antonio
- Joseph DiazSan Antonio$1.1M
- Lukena KarkhanisSan Antonio$377K
- Erika GonzalezSan Antonio$52K
- Araceli ElizaldeSan Antonio$51K
- Mark StahlSan Antonio$51K
- Robert RamirezSan Antonio$32K
- John DiceSan Antonio$19K
- Richard WassermanDallas$452K
- Matthew FeldmanDallas$410K
- Paul VigoAustin$304K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.