Roxanne Perales, APRN
Payments from drug & device makers
Across 97 payments — averaging $30.27 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novo Nordisk$517
- Lilly USA, LLC$454
- GSK$385
- Johnson & Johnson$231
- AbbVie$214
- Amgen$178
- plus $958 from 13 others
What the payments were for
- Food & beverage$2,88198%
- Education$562%
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 | 20 | $517 |
| Lilly USA, LLC | 11 | $454 |
| GSK | 11 | $385 |
| Johnson & Johnson | 2 | $231 |
| AbbVie | 13 | $214 |
| Amgen(2 entities) | 6 | $178 |
| AstraZeneca | 7 | $171 |
| Vifor Pharma, Inc. | 1 | $125 |
| Esperion Therapeutics, Inc. | 1 | $124 |
| Kowa Pharmaceuticals America, Inc. | 4 | $121 |
| Bayer | 1 | $115 |
| Redhill Biopharma Inc. | 4 | $60 |
| Pfizer | 2 | $41 |
| Merck | 2 | $37 |
| Electromed, Inc. | 4 | $36 |
| Biogen | 2 | $35 |
| Astellas Pharma US Inc | 2 | $33 |
| Boehringer Ingelheim | 2 | $30 |
| Novartis | 2 | $30 |
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
$2,937 in reported general payments places this provider in the 85th percentile of 15,456 family 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 | 80 | $88,773 |
| JardianceEmpagliflozin | 59 | $68,349 |
| EliquisApixaban | 47 | $49,945 |
| XareltoRivaroxaban | 20 | $31,302 |
| TrulicityDulaglutide | 20 | $26,757 |
| MounjaroTirzepatide | 21 | $24,909 |
| LinzessLinaclotide | 43 | $24,145 |
| MyrbetriqMirabegron | 26 | $22,656 |
| JanuviaSitagliptin Phosphate | 27 | $21,909 |
| Tresiba Flextouch U-100Insulin Degludec | 14 | $18,321 |
| BelsomraSuvorexant | 29 | $12,806 |
| Breo ElliptaFluticasone/Vilanterol | 16 | $8,145 |
| Lantus SolostarInsulin Glargine,hum.Rec.Anlog | 23 | $3,058 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 94 | $2,665 |
| Fluticasone Propionate | 172 | $2,510 |
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 | $517 | $88,77380 claims |
| Boehringer IngelheimJardiance | $30 | $68,34959 claims |
| Lilly USA, LLCTrulicity, Mounjaro | $454 | $51,66641 claims |
| PfizerEliquis | $41 | $49,94547 claims |
| MerckJanuvia, Belsomra | $37 | $34,71556 claims |
| Johnson & JohnsonXarelto | $231 | $31,30220 claims |
| AbbVieLinzess | $214 | $24,14543 claims |
| Astellas Pharma US IncMyrbetriq | $33 | $22,65626 claims |
| GSKBreo Ellipta | $385 | $8,14516 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 85th percentile of 15,456 family providers in Texas.
Other family in Pharr
- Lashonda CraneHouston$3.4M
- David WeirDallas$959K
- Luba YammineHouston$479K
- Robin BeachHouston$428K
- Nirupama JeromeAustin$418K
- April LopezMcAllen$417K
- Linda MercadoHouston$211K
- Sarah AguilarHouston$199K
- Sie ThomasDallas$197K
- Anna CastroSan Antonio$184K
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.