Amir Ghebranious, MD
Internal Medicine · Houston, TXNPI 1093777211
Payments from drug & device makers
Across 490 payments — averaging $17.75 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novo Nordisk$2K
- AstraZeneca$1K
- Amarin Pharma, Inc.$680
- Amgen$486
- Johnson & Johnson$444
- Lilly USA, LLC$423
- plus $3K from 30 others
What the payments were for
- Food & beverage$8,50998%
- Education$1892%
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 |
|---|---|---|
| Novo Nordisk | 123 | $2,230 |
| AstraZeneca | 68 | $1,463 |
| Amarin Pharma, Inc. | 56 | $680 |
| Amgen | 28 | $486 |
| Johnson & Johnson(2 entities) | 15 | $444 |
| Lilly USA, LLC | 26 | $423 |
| AbbVie(2 entities) | 33 | $402 |
| Bayer | 19 | $397 |
| Pfizer | 21 | $375 |
| Teva Pharmaceuticals USA, Inc. | 13 | $253 |
| Gilead | 14 | $234 |
| GSK | 11 | $201 |
| Astellas Pharma US Inc | 8 | $126 |
| Dexcom, Inc. | 5 | $114 |
| Corcept Therapeutics | 4 | $88 |
| Merck | 6 | $88 |
| Novartis | 6 | $84 |
| Eisai Inc. | 4 | $66 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 4 | $61 |
| Abbott | 2 | $54 |
| Hologic Sales And Service, LLC | 3 | $52 |
| Inspire Medical Systems, Inc. | 2 | $43 |
| Takeda Pharmaceuticals U.S.A., Inc. | 2 | $43 |
| Boehringer Ingelheim | 2 | $40 |
| Exact Sciences | 2 | $38 |
| Esperion Therapeutics, Inc. | 2 | $34 |
| Cumberland Pharmaceuticals, Inc. | 2 | $32 |
| Sanofi-aventis U.S. LLC | 1 | $20 |
| Antares Pharma, Inc. | 1 | $20 |
| Otsuka America Pharmaceutical, Inc. | 1 | $19 |
| Amneal Pharmaceuticals LLC | 1 | $17 |
| Tempus AI, Inc | 1 | $17 |
| Inari Medical, Inc. | 1 | $15 |
| Sumitomo Pharma America, Inc. | 1 | $15 |
| Cequr Corporation | 1 | $13 |
| IBSA Pharma Inc. | 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.
How this compares
$8,698 in reported general payments places this provider in the 90th 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 | 80 | $154,459 |
| EliquisApixaban | 72 | $86,471 |
| JardianceEmpagliflozin | 51 | $59,755 |
| MounjaroTirzepatide | 39 | $51,365 |
| JanuviaSitagliptin Phosphate | 43 | $46,583 |
| FarxigaDapagliflozin Propanediol | 25 | $34,387 |
| XareltoRivaroxaban | 14 | $9,996 |
| Tresiba Flextouch U-200Insulin Degludec | 11 | $7,869 |
| Lantus SolostarInsulin Glargine,hum.Rec.Anlog | 36 | $4,327 |
| Levothyroxine Sodium | 456 | $3,985 |
| Atorvastatin Calcium | 535 | $3,840 |
| Gabapentin | 193 | $2,345 |
| Testosterone Cypionate | 52 | $2,254 |
| SynthroidLevothyroxine Sodium | 31 | $1,995 |
| Metoprolol Succinate | 135 | $1,955 |
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 | $2,230 | $154,45980 claims |
| PfizerEliquis | $375 | $86,47172 claims |
| Boehringer IngelheimJardiance | $40 | $59,75551 claims |
| Lilly USA, LLCMounjaro | $423 | $51,36539 claims |
| MerckJanuvia | $88 | $46,58343 claims |
| AstraZenecaFarxiga | $1,463 | $34,38725 claims |
| Johnson & JohnsonXarelto | $444 | $9,99614 claims |
| Amneal Pharmaceuticals LLCLevothyroxine Sodium | $17 | $3,985456 claims |
| AbbVieSynthroid | $402 | $1,99531 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 90th percentile of 7,675 internal medicine providers in Texas.
Other internal medicine in Houston
- Jan BurgerHouston$47.3M
- Nitin JainHouston$33.2M
- Aung NaingHouston$30.6M
- Preetesh JainHouston$19.5M
- Paolo StratiHouston$19.2M
- Nicholas ShortHouston$17.6M
- Isabella GlitzaHouston$14.8M
- Murtaza MussajiHouston$13.1M
- Hussein TawbiHouston$12.6M
- Hans LeeHouston$11.7M
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.