Ruby Favela-Prezas
Family · San Antonio, TXNPI 1134466774
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 117 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 21 manufacturers reported payments, led by Novo Nordisk at 50.1% of the total. 2025 is the largest year on record at $1,234, 2.3 times the $530 reported in 2021. Among family 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 117 payments — averaging $31.05 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novo Nordisk$2K
- BETA Bionics, Inc.$214
- Tolmar, Inc.$176
- Dexcom, Inc.$175
- Soleno Therapeutics, Inc.$172
- Ascendis Pharma Endocrinology Inc$157
- plus $917 from 15 others
What the payments were for
- Food & beverage$3,632100%
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 | 53 | $1,821 |
| BETA Bionics, Inc. | 4 | $214 |
| Tolmar, Inc. | 10 | $176 |
| Dexcom, Inc. | 2 | $175 |
| Soleno Therapeutics, Inc. | 5 | $172 |
| Ascendis Pharma Endocrinology Inc | 8 | $157 |
| Sanofi-aventis U.S. LLC | 2 | $145 |
| Kyowa Kirin, Inc. | 7 | $144 |
| Abbott | 7 | $137 |
| Amgen | 1 | $85 |
| Tandem Diabetes Care, Inc. | 3 | $69 |
| Pfizer | 3 | $62 |
| Azurity Pharmaceuticals, Inc. | 3 | $60 |
| Eton Pharmaceuticals, Inc. | 1 | $43 |
| Amphastar Pharmaceuticals, Inc. | 2 | $40 |
| Arbor Pharmaceuticals, Inc. | 1 | $31 |
| AbbVie | 1 | $23 |
| Neurocrine Biosciences, Inc. | 1 | $22 |
| Xeris Pharmaceuticals, Inc. | 1 | $20 |
| IBSA Pharma Inc. | 1 | $18 |
| Medtronic | 1 | $16 |
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
$3,632 in reported general payments places this provider in the 90th percentile of 15,456 family providers in Texas.
Other family in San Antonio
- Anna CastroSan Antonio$184K
- Natalia FariasSan Antonio$124K
- Tina CoppleSan Antonio$97K
- Kim HinojosaSan Antonio$63K
- Kimberly GibergaSan Antonio$36K
- Febbie PhiriSan Antonio$31K
- Annette GantzSan Antonio$31K
- Renee ChisumSan Antonio$28K
- Thimios PartalasSan Antonio$27K
- David WeirDallas$959K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.