Physician profile

Zandra R Rivera

Adult Health (Nurse Practitioner) · Houston, TX

NPI 1134209802

$10,764.59

in general payments reported to CMS, 2019-2025

36 companies · $2,671 in 2025

The $2,671 reported for 2025 was more than what 96% of Adult Health (Nurse Practitioner) providers received nationally (typical 2025 total: $182).

See the full distribution for Adult Health (Nurse Practitioner)

Payments by year

General payments by program year, as reported to CMS.

What the payments were for

Nature of payment as categorized by the reporting companies: meals, consulting, travel, and so on.

View as a table
Payment typeAmount (2023-2025)
Food and Beverage$5,019.37
Education$139.98
Compensation For Services Other Than Consulting, Including Serving As Faculty Or As A Speaker At A Venue Other Than A Continuing Education Program$3.85

Payment-type detail covers 2023-2025; earlier years are included in totals but not broken out here.

Who reported paying

General payments only, as reported to CMS. Product names cover 2023-2025.

CompanyGeneral paymentsYearsTop products
Merck Sharp & Dohme LLC $1,282.50 2021
Incyte Corporation $1,174.01 2021-2025 Jakafi, Monjuvi, Niktimvo
Sanofi-Aventis U.S. LLC $700.64 2021-2025
E.R. Squibb & Sons, L.L.C. $577.71 2022-2024 Pomalyst
Daiichi Sankyo INC. $543.41 2021-2025 Enhertu, Datroway, Vanflyta
Celgene Corporation $477.45 2021-2024 Reblozyl, Onureg, Pomalyst
Janssen Biotech, INC. $449.42 2021-2025 Carvykti, Rybrevant
Astrazeneca Pharmaceuticals LP $443.98 2022-2025 Datroway
Regeneron Healthcare Solutions, INC. $405.81 2022-2025 Libtayo
Genzyme Corporation $378.85 2022-2025
Gilead Sciences, INC. $345.97 2023-2025 Trodelvy
Pharmacosmos Therapeutics INC. $337.41 2022-2025 Cosela, Monoferric
Takeda Pharmaceuticals U.S.A., INC. $330.88 2021-2024 Fruzaqla, Livtencity
Sobi, INC $307.84 2024-2025
Abbvie INC. $260.22 2022-2024
Show all 36 companies
CompanyGeneral paymentsYearsTop products
Eisai INC. $247.66 2024-2025
Bayer Healthcare Pharmaceuticals INC. $213.82 2022-2025
Pfizer INC. $183.62 2024
Amgen INC. $182.28 2021-2022
Syndax Pharmaceuticals, INC. $175.85 2025
Stemline Therapeutics INC. $155.20 2021
Astellas Pharma US INC $148.94 2022-2025
Jazz Pharmaceuticals INC. $143.79 2025
Edwards Lifesciences Corporation $135.04 2022
Shionogi INC $125.00 2021
Sun Pharmaceutical Industries INC. $119.94 2024
Kite Pharma, INC. $119.62 2023
Glaxosmithkline, LLC. $118.50 2025 Ojjaara
Karyopharm Therapeutics INC. $117.31 2023 Xpovio
Vifor Pharma, INC. $115.05 2022
Seagen INC. $108.20 2023 Padcev
Btg International INC. $96.96 2021
Puma Biotechnology, INC. $91.07 2021
Epizyme, INC. $76.40 2022
Gamida Cell INC. $48.21 2025 Omisirge
Legend Biotech USA INC. $26.03 2024

Drugs and devices associated with these payments

CMS records which products a payment was associated with, not how the money was allocated. Association is not allocation: one payment can be associated with several products, and a product listing does not mean the payment was made because of that product. Product detail covers 2023-2025.

If you want to bring it up

Most clinicians are glad to talk about this. A respectful way in:

These are normal questions. A good clinician will welcome them.

Share this page

Payment summary

Zandra R Rivera

$10,764.59

in general payments reported 2019-2025

Years
2021-2025
Top company
Merck Sharp & Dohme LLC
Context
The $2,671 reported for 2025 was more than what 96% of Adult Health (Nurse Practitioner) providers received nationally (typical 2025 total: $182).

https://glasscript.com/doctor/10546229/zandra-r-rivera

Source: CMS Open Payments, program years 2019-2025. Payments are legal and often routine.

Keep an eye on this page

Get an email when the next June refresh changes this page. No account needed.

Source: CMS Open Payments, program years 2019-2025, as reported to CMS by drug and device makers (published June 30, 2026). Drug and device detail covers 2023-2025.