Shiram Herrera, NP
Family · Austin, TXNPI 1447658729
Payments from drug & device makers
Across 119 payments — averaging $16.20 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$405
- Takeda Pharmaceuticals U.S.A., Inc.$150
- Mayne Pharma Commercial LLC$150
- Novo Nordisk$123
- Lilly USA, LLC$117
- Neos Therapeutics, LP$111
- plus $871 from 23 others
What the payments were for
- Food & beverage$1,927100%
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 |
|---|---|---|
| AbbVie | 31 | $405 |
| Takeda Pharmaceuticals U.S.A., Inc. | 9 | $150 |
| Mayne Pharma Commercial LLC | 5 | $150 |
| Novo Nordisk | 7 | $123 |
| Lilly USA, LLC | 11 | $117 |
| Neos Therapeutics, LP | 6 | $111 |
| Corium, LLC | 4 | $100 |
| Adlon Therapeutics L.p. | 5 | $89 |
| GSK | 6 | $85 |
| AstraZeneca | 5 | $84 |
| Boehringer Ingelheim | 5 | $80 |
| Agile Therapeutics, Inc. | 3 | $45 |
| Evofem Biosciences, Inc. | 2 | $43 |
| Pfizer | 2 | $35 |
| Abbott | 2 | $31 |
| Amgen | 2 | $31 |
| Currax Pharmaceuticals LLC | 2 | $29 |
| Daiichi Sankyo Inc. | 1 | $26 |
| Exact Sciences | 1 | $25 |
| Dexcom, Inc. | 1 | $24 |
| Ultragenyx Pharmaceutical Inc. | 1 | $22 |
| Sunovion Pharmaceuticals Inc. | 1 | $20 |
| Organon | 1 | $18 |
| Exeltis, USA Inc. | 1 | $16 |
| Abiomed | 1 | $16 |
| Xeris Pharmaceuticals, Inc. | 1 | $14 |
| Eisai Inc. | 1 | $13 |
| Bayer | 1 | $13 |
| Astellas Pharma US Inc | 1 | $12 |
How this compares
$1,927 in reported general payments places this provider in the 80th 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 |
|---|---|---|
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 22 | $17,731 |
| JardianceEmpagliflozin | 13 | $10,042 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 23 | $867 |
| Levothyroxine Sodium | 52 | $575 |
| Gabapentin | 29 | $530 |
| Rosuvastatin Calcium | 12 | $290 |
| Atorvastatin Calcium | 35 | $259 |
| Montelukast Sodium | 18 | $247 |
| Losartan Potassium | 17 | $221 |
| Amlodipine Besylate | 39 | $206 |
| Fluticasone Propionate | 27 | $200 |
| Ezetimibe | 13 | $199 |
| Lisinopril | 45 | $162 |
| Simvastatin | 16 | $141 |
| Allopurinol | 12 | $109 |
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 |
|---|---|---|
| GSKTrelegy Ellipta | $85 | $17,73122 claims |
| Boehringer IngelheimJardiance | $80 | $10,04213 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 80th percentile of 15,456 family providers in Texas.
Other family in Austin
- Nirupama JeromeAustin$418K
- Jean ChenAustin$176K
- Monique MulvanyAustin$142K
- Barry HughesAustin$51K
- Eric PerezAustin$42K
- Chelsea CrillyAustin$36K
- Alexandra RossiAustin$35K
- Angelina DetmersAustin$33K
- Lashonda CraneHouston$3.4M
- David WeirDallas$959K
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.