RxDoctor Payments Data

Adnanul Karim, MD

Pulmonary Disease · Bryan, TXNPI 1588955546

Payments from drug & device makers

$2,209in general payments, 2019–2025

Across 61 payments — averaging $36.21 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • AstraZeneca$436
  • Astellas Pharma US Inc$318
  • Actelion Pharmaceuticals US, Inc.$309
  • Intuitive Surgical$234
  • Abiomed$174
  • GSK$109
  • plus $628 from 14 others

What the payments were for

  • Food & beverage$2,01691%
  • Education$1939%

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

19
20
21
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.

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

$2,209 in reported general payments places this provider in the 45th percentile of 904 pulmonary disease providers in Texas.

See all pulmonary disease providers in Texas

Medicare billing

Part B allowed, 2024
$122,818
Medicare patients
466
Services billed
1,019

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
Trelegy ElliptaFluticasone/Umeclidin/Vilanter298$252,606
Anoro ElliptaUmeclidinium Brm/Vilanterol Tr41$24,466
Spiriva HandihalerTiotropium Bromide31$22,791
Stiolto RespimatTiotropium Br/Olodaterol Hcl19$14,358
SymbicortBudesonide/Formoterol Fumarate44$13,775
Bevespi AerosphereGlycopyrrolate/Formoterol Fum30$11,553
EliquisApixaban16$9,454
Atrovent HfaIpratropium Bromide17$9,136
Breo ElliptaFluticasone/Vilanterol19$8,246
DuleraMometasone/Formoterol14$7,215
Albuterol Sulfate HfaAlbuterol Sulfate202$5,848
Budesonide-Formoterol FumarateBudesonide/Formoterol Fumarate28$5,818
Wixela InhubFluticasone Propion/Salmeterol18$1,314
Montelukast Sodium73$805
Omeprazole63$688

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
GSKTrelegy Ellipta, Anoro Ellipta, Breo Ellipta$109$285,319358 claims
AstraZenecaSymbicort, Bevespi Aerosphere$436$25,32874 claims
Boehringer IngelheimStiolto Respimat$20$14,35819 claims
PfizerEliquis$12$9,45416 claims
MerckDulera$38$7,21514 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 45th percentile of 904 pulmonary disease providers in Texas.

Other pulmonary disease in Bryan

See the full list for Texas

Where these figures come from

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