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

Victor Villarreal

Nephrology San Antonio, TX Medical Doctor

NPI 1649246463 CMS profile 29248

4458 Medical Dr Ste 205, Ste 205, San Antonio, TX 78229

Open in the dashboard

General payments

$3,316

163 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, Victor Villarreal of San Antonio, TX is reported in the CMS Open Payments database as having received $3,316 across 163 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 72nd 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 $476 23
2024 General $425 21
2023 General $225 13
2022 General $552 29
2021 General $232 15
2020 General $453 21
2019 General $952 41

Beside peers

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

In program year 2025, general payments to Victor Villarreal were reported at $476. 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 Victor Villarreal Nephrology median Middle half National median
2019 $952 $236 $90–$588 $163
2020 $453 $135 $46–$364 $114
2021 $232 $202 $67–$551 $132
2022 $552 $242 $77–$695 $149
2023 $225 $254 $84–$766 $160
2024 $425 $300 $99–$852 $164
2025 $476 $310 $104–$880 $169

Breakdown

Who paid General payments · program years 2019–2025
  1. Mallinckrodt Hospital Products Inc. $508 28 payments
  2. AstraZeneca Pharmaceuticals LP $376 15 payments
  3. Amgen Inc. $355 18 payments
  4. Novartis Pharmaceuticals Corporation $304 15 payments
  5. Horizon Therapeutics plc $184 13 payments
  6. Lilly USA, LLC $160 7 payments
  7. Novo Nordisk Inc $154 7 payments
  8. OPKO Pharmaceuticals, LLC $140 5 payments
  9. Akebia Therapeutics Inc $137 3 payments
  10. Allergan Inc. $119 2 payments
  11. Other $880 50 payments

Every payment, record by record

What the payments were for General payments · program years 2019–2025
  1. Food and Beverage $3,279 160 payments
  2. Education $37 3 payments
Products named General payments · program years 2019–2025
  1. ACTHAR $508 28 payments
  2. Fabhalta $226 11 payments
  3. FARXIGA $193 5 payments
  4. KRYSTEXXA $184 13 payments
  5. Parsabiv $161 8 payments
  6. JARDIANCE $160 7 payments
  7. Rayaldee $140 5 payments
  8. LOKELMA $138 7 payments
  9. Auryxia $137 3 payments
  10. VRAYLAR $119 2 payments
  11. Other $1,324 72 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 · 38 drugs

Part D claims

1,808

Median for Nephrology: 954

Drug cost

$441,281

Median for Nephrology: $127,050

Branded share of claims

24.9%

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
Farxiga Dapagliflozin Propanediol Brand 201 $158,730
Velphoro Sucroferric Oxyhydroxide Brand 29 $92,645
Auryxia Ferric Citrate Brand 22 $69,967
Lokelma Sodium Zirconium Cyclosilicate Brand 31 $40,266
Sevelamer Carbonate Generic 106 $31,823
Veltassa Patiromer Calcium Sorbitex Brand 19 $19,479
Cinacalcet Hcl Generic 12 $6,574
Nifedipine Er Nifedipine Brand 108 $3,706
Bumetanide Generic 28 $3,099
Potassium Chloride Generic 26 $2,268

The 10 drugs with the highest cost, of 38 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 · 29 billing codes

Paid by Medicare

$163,612

Of which drugs: $4,165

Medicare patients

342

Average age 72

Services billed

2,954

173 women, 169 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
High blood pressure 75%
Chronic kidney disease 75%
Diabetes 74%
Ischemic heart disease 56%
Heart failure 46%
Arthritis 40%
Atrial fibrillation 31%
Depression 31%
Drugs given in the clinic that this provider billed Medicare Part B for
Drug given in the clinic Where Patients Services Paid by Medicare
Injection, epoetin alfa, (for non-esrd use), 1000 units J0885 Office 19 647 $4,129

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 6 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
JARDIANCE
  • Lilly USA, LLC $88
$88 — —
Fabhalta
  • Novartis Pharmaceuticals Corporation $84
$84 — —
Velphoro
  • Fresenius USA Marketing, Inc. $53
$53 29 —
ENVARSUS
  • Veloxis Pharmaceuticals, Inc. $28
$28 — —
PURIFIED CORTROPHIN GEL
  • ANI Pharmaceuticals, Inc. $21
$21 — —

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 all 6 in the dashboard with a free account

Records

163 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.

How to dispute or correct a record