RxDoctor Payments Data

William Trigoso, MD

Endocrinology, Diabetes & Metabolism · San Antonio, TXNPI 1952368706

Payments from drug & device makers

$170,217in general payments, 2019–2025

Across 1,850 payments — averaging $92.01 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Lilly USA, LLC$72K
  • Boehringer Ingelheim$27K
  • Amgen$19K
  • Sanofi-aventis U.S. LLC$8K
  • Amarin Pharma, Inc.$7K
  • Medtronic$5K
  • plus $31K from 54 others

What the payments were for

  • Consulting fees$3,6002%
  • Speaking & faculty fees$114,91668%
  • Travel & lodging$7,8105%
  • Food & beverage$43,77926%
  • Education$530%
  • Gifts$590%

General payments by program year

19
20
21
22
23
24
25

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.

CompanyPaymentsTotal
Lilly USA, LLC250$72,417
Boehringer Ingelheim139$27,339
Amgen(2 entities)104$19,391
Sanofi-aventis U.S. LLC73$8,147
Amarin Pharma, Inc.40$7,232
Medtronic(2 entities)131$5,003
Regeneron Healthcare Solutions, Inc.18$3,836
Novo Nordisk155$3,345
AstraZeneca(2 entities)108$2,962
Mannkind Corporation106$2,473
Abbott67$1,858
Radius Health, Inc.53$1,308
Dexcom, Inc.37$1,129
Ascensia Diabetes Care US Inc.50$1,048
Xeris Pharmaceuticals, Inc.45$950
Novartis40$906
Cequr Corporation5$848
AbbVie47$780
Esperion Therapeutics, Inc.20$760
Antares Pharma, Inc.84$744
Kyowa Kirin, Inc.18$589
Recordati_rare_diseases_inc.25$539
Sequel Med Tech, LLC7$519
BETA Bionics, Inc.5$507
Janssen Scientific Affairs, LLC4$494
Bayer20$455
Insulet Corporation11$453
Corcept Therapeutics20$428
Merck35$405
Regeneron3$362
Madrigal Pharmaceuticals8$357
Zealand Pharma US, Inc.15$274
OPKO Pharmaceuticals, LLC6$192
Shire North American Group Inc5$183
Valeritas, Inc.10$182
Tandem Diabetes Care, Inc.6$145
Companion Medical, Inc.2$127
Ultragenyx Pharmaceutical Inc.6$124
Neurocrine Biosciences, Inc.5$117
Kvk-tech, Inc.2$112
BD6$110
Soleno Therapeutics, Inc.4$108
Ascendis Pharma Endocrinology Inc1$102
Lifescan, Inc.6$84
Johnson & Johnson8$77
Nalpropion Pharmaceuticals LLC5$74
Acerus Pharmaceuticals Corporation3$48
Almatica Pharma LLC2$46
RGH Enterprises LLC2$42
Tolmar, Inc.3$42
Nestle Healthcare Nutrition Inc.2$40
Ipsen Biopharmaceuticals, Inc2$39
IBSA Pharma Inc.2$38
Nevro Corp.2$35
Averitas Pharma Inc.2$34
Rhythm Pharmaceuticals, Inc.1$32
Currax Pharmaceuticals LLC2$28
Roche Diabetes Care, Inc.2$24
EUSA Pharma (US) LLC1$23
Bigfoot Biomedical Inc1$22

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

$170,217 in reported general payments places this provider in the 85th percentile of 658 endocrinology, diabetes & metabolism providers in Texas.

See all endocrinology, diabetes & metabolism providers in Texas

Medicare billing

Part B allowed, 2024
$584,991
Medicare patients
967
Services billed
22,695

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

DrugClaimsCost to plans & patients
OzempicSemaglutide716$1,126,808
JardianceEmpagliflozin470$655,226
MounjaroTirzepatide380$487,995
TrulicityDulaglutide243$327,668
FarxigaDapagliflozin Propanediol161$190,034
ProliaDenosumab86$146,645
Humulin R U-500 KwikpenInsulin Regular, Human63$142,254
V-Go 20Sub-Q Insulin Device, 20 Unit219$121,369
Repatha SureclickEvolocumab104$89,351
Omnipod 5 Dexg7g6 Pods (Gen 5)Insulin Pump Cart,auto,bt,g6/761$81,545
Tresiba Flextouch U-100Insulin Degludec100$77,808
VascepaIcosapent Ethyl95$72,100
V-Go 30Sub-Q Insulin Device, 30 Unit137$69,565
Fiasp FlextouchInsulin Aspart (Niacinamide)40$54,509
Humalog Kwikpen U-200Insulin Lispro19$54,272

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.

CompanyPaid to this providerPart D cost of their drugs
Novo NordiskOzempic, Rybelsus, Fiasp, Novolog$3,345$1,208,256827 claims
Lilly USA, LLCMounjaro, Trulicity, Humalog, Insulin Lispro$72,417$862,713911 claims
Boehringer IngelheimJardiance, Tradjenta, Synjardy Xr$27,339$732,378527 claims
AstraZenecaFarxiga$2,962$190,034161 claims
AmgenProlia$19,391$146,64586 claims
Radius Health, Inc.Tymlos$1,308$46,90417 claims
MerckJanuvia$405$37,77934 claims
Sanofi-aventis U.S. LLCSoliqua 100-33$8,147$34,15924 claims
Cequr CorporationCequr Simplicity$848$23,95153 claims
AbbVieCreon$780$23,10415 claims
Johnson & JohnsonInvokana$77$15,29816 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 658 endocrinology, diabetes & metabolism providers in Texas.

Other endocrinology, diabetes & metabolism in San Antonio

See the full list for Texas

Where these figures come from

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