Alexandra Elko, DO
Family Medicine · Dallas, TXNPI 1902284805
Payments from drug & device makers
Across 108 payments — averaging $16.55 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$192
- Pfizer$183
- AbbVie$177
- Astellas Pharma US Inc$139
- Boehringer Ingelheim$124
- Abbott$122
- plus $852 from 21 others
What the payments were for
- Food & beverage$1,788100%
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 | 11 | $192 |
| Pfizer | 11 | $183 |
| AbbVie | 9 | $177 |
| Astellas Pharma US Inc | 7 | $139 |
| Boehringer Ingelheim | 8 | $124 |
| Abbott | 7 | $122 |
| Lilly USA, LLC | 7 | $101 |
| Novo Nordisk | 6 | $89 |
| Amarin Pharma, Inc. | 4 | $76 |
| Merck | 5 | $64 |
| Johnson & Johnson | 3 | $62 |
| Genentech USA, Inc. | 3 | $55 |
| Idorsia Pharmaceuticals US Inc | 3 | $51 |
| Dynavax Technologies Corporation | 3 | $41 |
| Organon | 3 | $39 |
| GSK | 3 | $39 |
| Amgen | 2 | $30 |
| Sanofi Pasteur Inc. | 2 | $28 |
| Sanofi-aventis U.S. LLC | 2 | $28 |
| Axsome Therapeutics, Inc. | 1 | $24 |
| Sumitomo Pharma America, Inc. | 1 | $24 |
| E.r. Squibb & Sons, L.L.C. | 2 | $24 |
| Dexcom, Inc. | 1 | $22 |
| Medtronic | 1 | $14 |
| Eisai Inc. | 1 | $14 |
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 1 | $14 |
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $14 |
How this compares
$1,788 in reported general payments places this provider in the 70th percentile of 8,760 family 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 | 34 | $47,706 |
| JardianceEmpagliflozin | 18 | $27,851 |
| TrulicityDulaglutide | 15 | $20,123 |
| JanuviaSitagliptin Phosphate | 12 | $19,039 |
| MounjaroTirzepatide | 11 | $18,977 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 16 | $18,373 |
| EliquisApixaban | 11 | $16,055 |
| JanumetSitagliptin Phos/Metformin Hcl | 12 | $15,344 |
| Lantus SolostarInsulin Glargine,hum.Rec.Anlog | 21 | $4,813 |
| Atorvastatin Calcium | 281 | $2,612 |
| Duloxetine Hcl | 52 | $1,944 |
| SynthroidLevothyroxine Sodium | 27 | $1,869 |
| Rosuvastatin Calcium | 138 | $1,830 |
| Levothyroxine Sodium | 146 | $1,802 |
| Gabapentin | 73 | $1,685 |
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 | $89 | $47,70634 claims |
| Lilly USA, LLCTrulicity, Mounjaro | $101 | $39,10026 claims |
| MerckJanuvia, Janumet | $64 | $34,38224 claims |
| Boehringer IngelheimJardiance | $124 | $27,85118 claims |
| GSKTrelegy Ellipta | $39 | $18,37316 claims |
| PfizerEliquis | $183 | $16,05511 claims |
| AbbVieSynthroid | $177 | $1,86927 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 70th percentile of 8,760 family medicine providers in Texas.
Other family medicine in Dallas
- Thomas KingDallas$12M
- Jennifer ZonDallas$5.9M
- Chrisette DharmagunaratneDallas$5.6M
- Michele ReynoldsDallas$3.8M
- Shiwali RaiDallas$2.8M
- Douglas DenhamSan Antonio$68.5M
- Vicki MillerPasadena$58.3M
- Hareshkumar BogharaDesoto$30.3M
- Earl MartinTomball$30.1M
- Lisa HollowayHouston$30.1M
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.