Sandra Sanchez
Nurse Practitioner · San Antonio, TXNPI 1750656278
Payments from drug & device makers
Across 24 payments — averaging $17.91 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Alkermes, Inc.$160
- Otsuka America Pharmaceutical, Inc.$72
- Inspire Medical Systems, Inc.$50
- Lundbeck LLC$45
- Takeda Pharmaceuticals U.S.A., Inc.$35
- ADC Therapeutics America, Inc.$24
- plus $44 from 2 others
What the payments were for
- Food & beverage$430100%
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 |
|---|---|---|
| Alkermes, Inc. | 12 | $160 |
| Otsuka America Pharmaceutical, Inc. | 3 | $72 |
| Inspire Medical Systems, Inc. | 2 | $50 |
| Lundbeck LLC | 2 | $45 |
| Takeda Pharmaceuticals U.S.A., Inc. | 2 | $35 |
| ADC Therapeutics America, Inc. | 1 | $24 |
| Tris Pharma Inc | 1 | $24 |
| Bayer | 1 | $21 |
How this compares
$430 in reported general payments places this provider in the 65th percentile of 5,422 nurse practitioner 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 |
|---|---|---|
| Fluticasone Propionate | 17 | $284 |
| Methylprednisolone | 21 | $154 |
| Levothyroxine Sodium | 14 | $143 |
| Atorvastatin Calcium | 17 | $74 |
| Metformin Hcl | 11 | $47 |
Paid to pharmacies, not to this prescriber.
Other nurse practitioner in San Antonio
- Corrie BerkSan Antonio$155K
- Sonja BruneSan Antonio$51K
- Laura GalvanSan Antonio$32K
- Eduardo GonzalezSan Antonio$32K
- Roberta RomeroSan Antonio$26K
- Christopher GarciaSan Antonio$21K
- Jennifer ZavalaSan Antonio$17K
- Amy RivasSan Antonio$17K
- Erika SimpsonSan Antonio$16K
- Alexis WahlenSan Antonio$16K
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.