Rodolfo Estrada Anzueto, MD
Pulmonary Disease · San Antonio, TXNPI 1225470693
Payments from drug & device makers
What this record shows
The money is spread across several categories — speaking fees (55.1%), consulting fees and travel and lodging — rather than concentrated in one kind of arrangement. 17 manufacturers reported payments, led by United Therapeutics Corporation at 42.8% of the total. 2025 is the largest year on record at $196,378, more than ten times the $147 reported in 2019. Among pulmonary disease clinicians in TX with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 421 payments — averaging $711.68 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- United Therapeutics Corporation$128K
- Merck$85K
- Actelion Pharmaceuticals US, Inc.$59K
- Sanofi$10K
- Chiesi USA, Inc.$9K
- Johnson & Johnson$8K
- plus $928 from 11 others
Across 8 payments — averaging $3035.50 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.
- United Therapeutics Corporation$24K
What the payments were for
- Consulting fees$72,59324%
- Speaking & faculty fees$165,13055%
- Travel & lodging$50,43617%
- Food & beverage$11,2734%
- Education$1840%
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 |
|---|---|---|
| United Therapeutics Corporation | 197 | $128,302 |
| Merck | 79 | $84,698 |
| Actelion Pharmaceuticals US, Inc. | 105 | $58,514 |
| Sanofi | 2 | $10,345 |
| Chiesi USA, Inc. | 8 | $8,707 |
| Johnson & Johnson(2 entities) | 15 | $8,122 |
| Bayer | 1 | $200 |
| Amgen | 1 | $125 |
| AstraZeneca | 1 | $125 |
| Sandoz | 3 | $109 |
| Inari Medical, Inc. | 1 | $100 |
| Insmed, Inc. | 1 | $75 |
| AbbVie | 2 | $45 |
| Boehringer Ingelheim | 2 | $42 |
| Liquidia Technologies, Inc. | 1 | $41 |
| Mylan Specialty L.p. | 1 | $38 |
| Viatris Specialty LLC | 1 | $28 |
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.
- TYVASO$66,116
- UPTRAVI$58,070
- OPSUMIT$50,295
- WINREVAIR$41,133
- REMODULIN$9,963
- VELETRI$7,912
- TEZSPIRE$250
- Adempas$200
- FLOWTRIEVER CATHETER, S$100
- CT THROMBECTOMY SYSTEM KIT$100
How this compares
$299,615 in reported general payments places this provider in the 95th percentile of 904 pulmonary disease 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 |
|---|---|---|
| UptraviSelexipag | 147 | $3,317,275 |
| OpsumitMacitentan | 262 | $3,253,938 |
| Tyvaso DpiTreprostinil | 82 | $1,860,713 |
| AdempasRiociguat | 62 | $813,825 |
| RemodulinTreprostinil Sodium | 13 | $464,767 |
| Ambrisentan | 92 | $287,869 |
| Orenitram ErTreprostinil Diolamine | 13 | $158,939 |
| LetairisAmbrisentan | 13 | $151,072 |
| Tadalafil | 122 | $80,293 |
| Sildenafil Citrate | 143 | $39,752 |
| Spiriva HandihalerTiotropium Bromide | 28 | $16,671 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 18 | $12,962 |
| Stiolto RespimatTiotropium Br/Olodaterol Hcl | 15 | $10,289 |
| Incruse ElliptaUmeclidinium Bromide | 26 | $8,901 |
| SymbicortBudesonide/Formoterol Fumarate | 25 | $6,710 |
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 |
|---|---|---|
| Actelion Pharmaceuticals US, Inc.Uptravi, Opsumit | $58,514 | $6,571,213409 claims |
| BayerAdempas | $200 | $813,82562 claims |
| United Therapeutics CorporationRemodulin | $128,302 | $464,76713 claims |
| Boehringer IngelheimStiolto Respimat | $42 | $10,28915 claims |
| AstraZenecaSymbicort | $125 | $6,71025 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 95th percentile of 904 pulmonary disease providers in Texas.
Other pulmonary disease in San Antonio
- Antonio AnzuetoSan Antonio$1.8M
- Diego Maselli CaceresSan Antonio$1.5M
- David MarksSan Antonio$453K
- Ali AbediSan Antonio$269K
- Napoleon Puente CuellarSan Antonio$208K
- Soma JyothulaSan Antonio$129K
- Anoop NambiarSan Antonio$119K
- Nicola HananiaHouston$1.3M
- Juan IribarrenBeaumont$915K
- William CalhounGalveston$568K
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.