Afaf Shah, MD
Adult Medicine · Houston, TXNPI 1376739185
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 45 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 14 manufacturers reported payments, led by Smith+Nephew at 35.6% of the total. Reporting peaked in 2024 at $567 and has fallen 72.7% since, to $155 in 2025.
Across 45 payments — averaging $33.58 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Smith+Nephew$538
- Mimedx Group, Inc.$224
- Musculoskeletal Transplant Foundation Inc.$207
- Aroa Biosurgery Incorporated$113
- Tactile Systems Technology Inc$106
- Organogenesis Inc.$102
- plus $221 from 8 others
What the payments were for
- Food & beverage$1,511100%
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
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.
| Company | Payments | Total |
|---|---|---|
| Smith+Nephew | 15 | $538 |
| Mimedx Group, Inc. | 6 | $224 |
| Musculoskeletal Transplant Foundation Inc. | 1 | $207 |
| Aroa Biosurgery Incorporated | 2 | $113 |
| Tactile Systems Technology Inc | 6 | $106 |
| Organogenesis Inc. | 4 | $102 |
| KCI USA, Inc. | 2 | $47 |
| Coloplast | 2 | $45 |
| Convatec Inc. | 2 | $34 |
| Hartmann USA, Inc. | 1 | $23 |
| Urgo Medical North America, LLC | 1 | $21 |
| Reapplix Inc. | 1 | $19 |
| Solventum Corporation | 1 | $19 |
| Kerecis Limited | 1 | $12 |
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.
- Grafix$135
- STRAVIX PL$135
How this compares
$1,511 in reported general payments places this provider in the 65th percentile of 98 adult medicine providers in Texas.
Medicare billing
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
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Mupirocin | 50 | $323 |
| Triamcinolone Acetonide | 27 | $166 |
| Levofloxacin | 12 | $93 |
Paid to pharmacies, not to this prescriber.
Other adult medicine in Houston
- Latisha RoweHouston$11K
- Woon SimHouston$5K
- Marjon MonfaredHouston$2K
- Khoa CaoHouston$2K
- Elise CookHouston$890
- Michael BuxbaumHouston$378
- Maria Isabel ZapataHouston$317
- Deborah HornBellaire$723K
- Thomas MartensPflugerville$87K
- Sakuntalai SrinanthakumarBeaumont$48K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.