Alefia Tapia, MD
Internal Medicine · Paris, TXNPI 1063614436
Payments from drug & device makers
Across 898 payments — averaging $805.86 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$438K
- Astrazeneca UK Limited$115K
- Novo Nordisk AS$90K
- Acella Pharmaceuticals, LLC$26K
- Avion Pharmaceuticals$24K
- Pfizer$16K
- plus $14K from 24 others
What the payments were for
- Food & beverage$4,515100%
- Education$60%
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 |
|---|---|---|
| AstraZeneca | 28 | $438,379 |
| Astrazeneca UK Limited | 1 | $115,218 |
| Novo Nordisk AS | 445 | $90,471 |
| Acella Pharmaceuticals, LLC | 14 | $25,675 |
| Avion Pharmaceuticals | 2 | $23,546 |
| Pfizer | 24 | $16,495 |
| Merck | 16 | $10,118 |
| Novo Nordisk | 121 | $860 |
| AbbVie(2 entities) | 47 | $727 |
| GSK | 66 | $523 |
| Sanofi-aventis U.S. LLC | 28 | $364 |
| Lilly USA, LLC | 38 | $338 |
| Amgen(2 entities) | 17 | $242 |
| Mylan Specialty L.p. | 7 | $111 |
| Sunovion Pharmaceuticals Inc. | 9 | $77 |
| Astellas Pharma US Inc | 4 | $67 |
| Johnson & Johnson | 5 | $62 |
| Boehringer Ingelheim | 4 | $61 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 4 | $61 |
| Currax Pharmaceuticals LLC | 3 | $42 |
| Novartis | 3 | $39 |
| Radius Health, Inc. | 2 | $35 |
| Idorsia Pharmaceuticals US Inc | 2 | $31 |
| Esperion Therapeutics, Inc. | 2 | $28 |
| Assertio Therapeutics, Inc. | 1 | $19 |
| Dexcom, Inc. | 1 | $18 |
| Bayer | 1 | $14 |
| Amarin Pharma, Inc. | 1 | $13 |
| Axonics, Inc. | 1 | $13 |
| Nalpropion Pharmaceuticals LLC | 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.
- STRATTICE$269
How this compares
$723,660 in reported general payments places this provider in the 95th percentile of 7,675 internal 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 |
|---|---|---|
| OzempicSemaglutide | 89 | $138,894 |
| MounjaroTirzepatide | 62 | $73,323 |
| JardianceEmpagliflozin | 54 | $62,402 |
| EliquisApixaban | 63 | $51,046 |
| TrulicityDulaglutide | 30 | $45,626 |
| LinzessLinaclotide | 24 | $30,329 |
| FarxigaDapagliflozin Propanediol | 29 | $28,703 |
| XareltoRivaroxaban | 16 | $21,646 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 20 | $17,298 |
| Toujeo Max SolostarInsulin Glargine,hum.Rec.Anlog | 14 | $17,242 |
| AptiomEslicarbazepine Acetate | 12 | $16,360 |
| ViberziEluxadoline | 13 | $12,884 |
| MyrbetriqMirabegron | 11 | $11,413 |
| EntrestoSacubitril/Valsartan | 12 | $7,827 |
| Soliqua 100-33Insulin Glargine/Lixisenatide | 12 | $6,657 |
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.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| Novo NordiskOzempic | $860 | $138,89489 claims |
| Lilly USA, LLCMounjaro, Trulicity | $338 | $118,95092 claims |
| Boehringer IngelheimJardiance, Stiolto Respimat | $61 | $68,06766 claims |
| PfizerEliquis | $16,495 | $51,04663 claims |
| AbbVieLinzess, Viberzi, Synthroid | $727 | $45,25865 claims |
| AstraZenecaFarxiga | $438,379 | $28,70329 claims |
| Johnson & JohnsonXarelto | $62 | $21,64616 claims |
| GSKTrelegy Ellipta | $523 | $17,29820 claims |
| Sunovion Pharmaceuticals Inc.Aptiom | $77 | $16,36012 claims |
| Astellas Pharma US IncMyrbetriq | $67 | $11,41311 claims |
| NovartisEntresto | $39 | $7,82712 claims |
| Sanofi-aventis U.S. LLCSoliqua 100-33 | $364 | $6,65712 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 95th percentile of 7,675 internal medicine providers in Texas.
Other internal medicine in Paris
- Jan BurgerHouston$47.3M
- Nitin JainHouston$33.2M
- Muhammad IrfanTomball$30.6M
- Aung NaingHouston$30.6M
- Robert BassSan Antonio$25.6M
- Preetesh JainHouston$19.5M
- Paolo StratiHouston$19.2M
- Hernan SalazarSan Antonio$18.5M
- Nicholas ShortHouston$17.6M
- Salma SaigerMesquite$16.1M
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.