Sandra Nieto
Family Medicine · San Antonio, TXNPI 1467580191
Payments from drug & device makers
Across 405 payments — averaging $15.86 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$2K
- AbbVie$1K
- Novo Nordisk$888
- Lilly USA, LLC$794
- Supernus Pharmaceuticals, Inc.$527
- Johnson & Johnson$256
- plus $1K from 20 others
What the payments were for
- Food & beverage$6,418100%
- Education$60%
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 | 47 | $1,657 |
| AbbVie(2 entities) | 71 | $1,062 |
| Novo Nordisk | 77 | $888 |
| Lilly USA, LLC | 68 | $794 |
| Supernus Pharmaceuticals, Inc. | 45 | $527 |
| Johnson & Johnson | 16 | $256 |
| Boehringer Ingelheim | 11 | $220 |
| Takeda Pharmaceuticals U.S.A., Inc. | 11 | $197 |
| Currax Pharmaceuticals LLC | 18 | $175 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 7 | $94 |
| Sanofi-aventis U.S. LLC | 5 | $89 |
| Biohaven Pharmaceuticals, Inc. | 5 | $74 |
| Upsher-smith Laboratories LLC | 4 | $62 |
| Merck | 3 | $45 |
| Bayer | 3 | $43 |
| Avanir Pharmaceuticals, Inc. | 2 | $38 |
| Amgen | 2 | $34 |
| Biohaven Pharmaceutical Holding Company Ltd. | 2 | $30 |
| Vivus LLC | 1 | $25 |
| Amarin Pharma, Inc. | 1 | $21 |
| Shire North American Group Inc | 1 | $19 |
| Nestle Healthcare Nutrition Inc. | 1 | $18 |
| GSK | 1 | $15 |
| Pfizer | 1 | $15 |
| Nalpropion Pharmaceuticals LLC | 1 | $13 |
| Idorsia Pharmaceuticals US Inc | 1 | $13 |
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
$6,424 in reported general payments places this provider in the 85th percentile of 8,760 family medicine providers in Texas.
Other family medicine in San Antonio
- Douglas DenhamSan Antonio$68.5M
- George AtieeSan Antonio$19.9M
- Leonel ReyesSan Antonio$4.3M
- Brian MacgillivraySan Antonio$3.2M
- Juan GarzaSan Antonio$2.5M
- Vicki MillerPasadena$58.3M
- Hareshkumar BogharaDesoto$30.3M
- Earl MartinTomball$30.1M
- Lisa HollowayHouston$30.1M
- William SegerFort Worth$27.5M
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.