Medical Doctor Program year 2025 Reported 2019–2025 Source: CMS Open Payments, 2026 publication

Alan Merin

Nephrology San Antonio, TX Medical Doctor

NPI 1366440547 CMS profile 1084988

1211 E Commerce St, San Antonio, TX 78205

Open in the dashboard

General payments

$4,042

265 records reported · program years 2019–2025

Research payments

$0

Paid to them · None reported · program years 2019–2025

Ownership & investment interest

$0

None reported

Through program year 2025, Alan Merin of San Antonio, TX is reported in the CMS Open Payments database as having received $4,042 across 265 general payments and $0 in research payments paid to them.

No combined total General, research and ownership are kept apart. Each is reported under its own rules, and ownership is not money that moved at all but the value of a stake held. A meal, a clinical trial grant and a shareholding do not add up to anything meaningful, so this site does not add them.

General payments for this record sit in the 76th percentile of Nephrology profiles with reported payments. Percentile describes the distribution, not the conduct.

By program year

7 rows
Year Kind Relative to this record's peak year Amount Records
2025 General $991 47
2024 General $792 52
2023 General $811 58
2022 General $739 49
2021 General $194 12
2020 General $278 23
2019 General $238 24

Beside peers

Year by year, beside peers General payments · among profiles paid that year
  • Alan Merin
  • Nephrology median
  • Middle half of Nephrology
  • National median

In program year 2025, general payments to Alan Merin were reported at $991. Among 8,186 Nephrology profiles paid that year, the median was $310 and the middle half received between $104 and $880.

Show as a table
Year Alan Merin Nephrology median Middle half National median
2019 $238 $236 $90–$588 $163
2020 $278 $135 $46–$364 $114
2021 $194 $202 $67–$551 $132
2022 $739 $242 $77–$695 $149
2023 $811 $254 $84–$766 $160
2024 $792 $300 $99–$852 $164
2025 $991 $310 $104–$880 $169

Breakdown

Who paid General payments · program years 2019–2025
  1. Lilly USA, LLC $788 56 payments
  2. Novo Nordisk Inc $697 59 payments
  3. Amgen Inc. $428 24 payments
  4. Bayer HealthCare Pharmaceuticals Inc. $327 27 payments
  5. Bausch Health US, LLC $297 16 payments
  6. AstraZeneca Pharmaceuticals LP $291 18 payments
  7. Pfizer Inc. $276 19 payments
  8. Boehringer Ingelheim Pharmaceuticals, Inc. $266 13 payments
  9. CVRx, Inc. $108 1 payment
  10. Astellas Pharma US Inc $71 4 payments
  11. Other $493 28 payments

Every payment, record by record

What the payments were for General payments · program years 2019–2025
  1. Food and Beverage $3,989 262 payments
  2. Education $52 3 payments
Products named General payments · program years 2019–2025
  1. Ozempic $544 51 payments
  2. MOUNJARO $449 32 payments
  3. RYBELSUS $405 33 payments
  4. Kerendia $327 27 payments
  5. APLENZIN $297 16 payments
  6. Otezla $263 20 payments
  7. FARXIGA $206 13 payments
  8. TRULICITY $202 12 payments
  9. ELIQUIS $185 14 payments
  10. JARDIANCE $182 14 payments
  11. Other $2,298 128 payments

A payment can name more than one product, so these amounts overlap and do not add up to the general-payment figure.

Prescribing to Medicare patients

Part D · data year 2024 · 81 drugs

Part D claims

3,766

Median for Nephrology: 954

Drug cost

$950,525

Median for Nephrology: $127,050

Branded share of claims

31.6%

Median for Nephrology: 17.9%

Drugs this doctor was counted under in Medicare Part D 2024, by drug cost
Drug Type Relative to their largest Claims Drug cost
Jardiance Empagliflozin Brand 275 $262,440
Mounjaro Tirzepatide Brand 141 $154,083
Ozempic Semaglutide Brand 114 $131,844
Kerendia Finerenone Brand 69 $74,420
Farxiga Dapagliflozin Propanediol Brand 75 $62,705
Eliquis Apixaban Brand 53 $53,681
Prolia Denosumab Brand 23 $37,690
Repatha Sureclick Evolocumab Brand 46 $33,884
Droxidopa Generic 49 $30,508
Entresto Sacubitril/Valsartan Brand 26 $19,770

The 10 drugs with the highest cost, of 81 counted.

Drug cost is what was paid for the drugs at the pharmacy — by Medicare, the patient and others — and is not money to the prescriber. Medicare Part D only: drugs dispensed to Medicare beneficiaries. A drug with fewer than 11 claims for this prescriber is not published, so a missing drug does not mean zero. The medians are for the 9,003 Part D prescribers listed as Nephrology; they describe a distribution and say nothing about conduct.

Billing to Medicare

Part B · data year 2024 · 13 billing codes

Paid by Medicare

$37,634

Medicare's payments for the services billed

Medicare patients

39

Average age 75

Services billed

294

15 women, 24 men among their patients

Share of this provider's Medicare patients with each condition
Condition among their Medicare patients Relative to the most common Share of patients
Diabetes 75%
High blood pressure 75%
Chronic kidney disease 75%
Arthritis 67%
Ischemic heart disease 62%
Atrial fibrillation 44%
Heart failure 38%
Cancer 33%

Medicare Part B only: services billed to Medicare. Rows covering fewer than 11 beneficiaries are not published. Only drugs given in the clinic are itemised here; the rest of what this provider billed is in the total above.

Payments and prescribing

First 5 of 26 products · payments 2024

Two separate records. The payments come from Open Payments and the claims from Medicare. They are set side by side because they name the same product; they do not show that a payment affected a prescription.

Products this doctor was paid in connection with in 2024, beside Medicare claims for the same product
Product Paid by Related payments Part D claims Part B services
MOUNJARO
  • Lilly USA, LLC $142
$142 141 —
APLENZIN
  • Bausch Health US, LLC $101
$101 — —
JARDIANCE
  • Boehringer Ingelheim Pharmaceuticals, Inc. $43
  • Lilly USA, LLC $27
$70 275 —
NURTEC ODT
  • PFIZER INC. $45
$45 — —
PAXLOVID
  • PFIZER INC. $44
$44 31 —

A dash means Medicare published no figure for this doctor and product — fewer than 11 claims, or the product is not covered under that part — which is not the same as none. Payments are general payments only; one that names several products is split evenly between them, so an amount is payments related to the product, not money paid for it.

See more in the dashboard: 25 with a free account, all 26 with Patron

Records

265 reported

Every payment, record by record

Date, company, amount, what it was for and the product named — filter by year, kind and company, or download as CSV.

Other Nephrology in Texas

Related records

What this means

U.S. law requires drug and medical device manufacturers to report payments and transfers of value they make to physicians and teaching hospitals. The Centers for Medicare & Medicaid Services publishes that record each year. This page shows what was reported about this person, and nothing else.

An ownership interest is different from the other two. It is not a payment: it is a stake — shares, options, a partnership holding — that a physician or an immediate family member held in a manufacturer during that year. The figure shown is what the stake was reported to be worth.

Research payments frequently pass through a clinician to the institution running a trial, and rarely represent personal income. They should be read differently from general payments.

Provenance

Source: CMS Open Payments · through program year 2025

Data current to program year 2025, from CMS's 2026 publication.

We reproduce what manufacturers reported. We do not verify, edit or correct the underlying records.

A payment record is not evidence of wrongdoing. Financial relationships between industry and medicine are legal, common and often necessary for research. Who Paid My Doc reports what was disclosed; it does not judge it.

Who Paid My Doc is independent and is not affiliated with, endorsed by or sponsored by CMS or any U.S. government agency. It is not a consumer reporting agency and this is not a consumer report; do not use it for decisions covered by the Fair Credit Reporting Act.

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