Has Sylvia Rivera received payments from drug or device companies?

Yes. Drug and device makers reported $3,169 in general payments to Sylvia Rivera across 126 transactions between 2019–2025. Most Open Payments records nationally are meals worth under $20; a reported payment is not evidence of wrongdoing.

Does a payment mean Sylvia Rivera did something wrong?

No. Federal law requires drug and device makers to report almost every transfer of value to a physician, including a $14 sandwich at a lunch presentation. Consulting fees, research funding and royalties to device inventors are ordinary, legal parts of medicine. This site reports what was disclosed; it makes no allegation.

Where does this information about Sylvia Rivera come from?

The U.S. Centers for Medicare & Medicaid Services. Payments come from Open Payments, published under the Physician Payments Sunshine Act. Billing and prescribing figures come from the Medicare Physician & Other Practitioners and Part D Prescriber public use files for 2024.

Sylvia Rivera

Gerontology · Harlingen, TXNPI 1417664442

Payments from drug & device makers

$3,169in general payments, 2019–2025

Across 126 payments — averaging $25.15 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

Lilly USA, LLC$1K
AstraZeneca$371
AbbVie$242
Mylan Specialty L.p.$242
Exact Sciences$167
Bayer$147
plus $889 from 15 others

What the payments were for

Food & beverage$3,169100%

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
Lilly USA, LLC	43	$1,111
AstraZeneca	7	$371
AbbVie	7	$242
Mylan Specialty L.p.	8	$242
Exact Sciences	8	$167
Bayer	8	$147
Paratek Pharmaceuticals, Inc.	7	$119
Johnson & Johnson	6	$112
Novo Nordisk	6	$105
Amgen	6	$100
Medtronic	2	$97
Boehringer Ingelheim	4	$81
Otsuka America Pharmaceutical, Inc.	2	$78
E.r. Squibb & Sons, L.L.C.	2	$33
Sanofi-aventis U.S. LLC	2	$32
Astellas Pharma US Inc	2	$31
Salix Pharmaceuticals, A Division Of Bausch Health US, LLC	2	$27
Mannkind Corporation	1	$22
Agios Pharmaceuticals, Inc.	1	$21
Inspire Medical Systems, Inc.	1	$19
Pfizer	1	$14

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

$3,169 in reported general payments places this provider in the 85th percentile of 653 gerontology providers in Texas.

See all gerontology providers in Texas →

Most prescribed under Part D

Drug	Claims	Cost to plans & patients
MounjaroTirzepatide	35	$41,123
OzempicSemaglutide	26	$39,921
Trelegy ElliptaFluticasone/Umeclidin/Vilanter	25	$16,981
LinzessLinaclotide	16	$12,033
JardianceEmpagliflozin	17	$10,952
FenofibrateFenofibrate Nanocrystallized	19	$792
Clotrimazole-BetamethasoneClotrimazole/Betamethasone Dip	35	$761
Citalopram HbrCitalopram Hydrobromide	28	$718
Metoprolol Succinate	35	$713
Duloxetine Hcl	13	$654
Olmesartan Medoxomil	30	$583
Lisinopril	82	$570
Gabapentin	46	$500
Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav	67	$468
Rosuvastatin Calcium	45	$440

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
Lilly USA, LLCMounjaro	$1,111	$41,12335 claims
Novo NordiskOzempic	$105	$39,92126 claims
AbbVieLinzess	$242	$12,03316 claims
Boehringer IngelheimJardiance	$81	$10,95217 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 653 gerontology providers in Texas.

Other gerontology in Harlingen

Kimberly WelchCoppell$113K
Tiffany KesslerDallas$84K
Jennifer WestFort Worth$67K
Meagan ChavarriaHouston$40K
Bailey EstesAbilene$34K
Scott ZelaHouston$28K
Marissa Marti-SmithDallas$27K
Andrew BargerAustin$22K
Samantha BoggsGalveston$15K
Amber ArmstrongAustin$13K

See the full list for Texas →

Where these figures come from

Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
Identity: NPPES NPI Registry, July 2026.

Is this you, or does something look wrong? →