Anne Margarette Bacal, MD
Endocrinology, Diabetes & Metabolism · Humble, TXNPI 1992119176
Payments from drug & device makers
Across 195 payments — averaging $16.60 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novo Nordisk$775
- Abbott$352
- Lilly USA, LLC$325
- Corcept Therapeutics$237
- AstraZeneca$216
- Insulet Corporation$200
- plus $1K from 18 others
What the payments were for
- Food & beverage$3,238100%
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 | 63 | $775 |
| Abbott | 21 | $352 |
| Lilly USA, LLC | 17 | $325 |
| Corcept Therapeutics | 13 | $237 |
| AstraZeneca(2 entities) | 14 | $216 |
| Insulet Corporation | 8 | $200 |
| Amgen(2 entities) | 10 | $170 |
| Dexcom, Inc. | 10 | $152 |
| Recordati_rare_diseases_inc. | 6 | $132 |
| Sanofi-aventis U.S. LLC | 6 | $105 |
| Xeris Pharmaceuticals, Inc. | 5 | $88 |
| Medtronic(2 entities) | 3 | $85 |
| Tandem Diabetes Care, Inc. | 2 | $80 |
| Radius Health, Inc. | 3 | $51 |
| Amryt Pharma Holdings Ltd | 3 | $50 |
| Ultragenyx Pharmaceutical Inc. | 2 | $47 |
| AbbVie | 2 | $32 |
| Johnson & Johnson | 1 | $31 |
| Otsuka America Pharmaceutical, Inc. | 1 | $21 |
| Nestle Healthcare Nutrition Inc. | 1 | $21 |
| Novartis | 1 | $20 |
| Bayer | 1 | $19 |
| Boehringer Ingelheim | 1 | $16 |
| Rhythm Pharmaceuticals, Inc. | 1 | $15 |
How this compares
$3,238 in reported general payments places this provider in the 45th percentile of 658 endocrinology, diabetes & metabolism providers in Texas.
See all endocrinology, diabetes & metabolism 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 | 293 | $431,708 |
| JardianceEmpagliflozin | 184 | $227,439 |
| MounjaroTirzepatide | 150 | $207,194 |
| Toujeo Max SolostarInsulin Glargine,hum.Rec.Anlog | 157 | $176,103 |
| TrulicityDulaglutide | 113 | $159,399 |
| Tresiba Flextouch U-200Insulin Degludec | 76 | $85,906 |
| Omnipod 5 Dexg7g6 Pods (Gen 5)Insulin Pump Cart,auto,bt,g6/7 | 72 | $85,647 |
| Tresiba Flextouch U-100Insulin Degludec | 100 | $69,573 |
| Fiasp FlextouchInsulin Aspart (Niacinamide) | 63 | $62,767 |
| Synjardy XrEmpagliflozin/Metformin Hcl | 36 | $57,899 |
| RybelsusSemaglutide | 37 | $55,102 |
| FarxigaDapagliflozin Propanediol | 59 | $54,335 |
| TradjentaLinagliptin | 53 | $49,733 |
| JanuviaSitagliptin Phosphate | 33 | $43,264 |
| Humalog Kwikpen U-100Insulin Lispro | 103 | $28,563 |
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, Rybelsus, Novolog, Novolog Mix 70-30 | $775 | $499,576367 claims |
| Lilly USA, LLCMounjaro, Trulicity, Humalog | $325 | $374,112282 claims |
| Boehringer IngelheimJardiance, Synjardy Xr, Tradjenta, Glyxambi, Jentadueto Xr | $16 | $369,233303 claims |
| AstraZenecaFarxiga | $216 | $54,33559 claims |
| Sanofi-aventis U.S. LLCSoliqua 100-33, Lantus | $105 | $16,96327 claims |
| AbbVieSynthroid | $32 | $7,65973 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 658 endocrinology, diabetes & metabolism providers in Texas.
Other endocrinology, diabetes & metabolism in Humble
- Julio RosenstockDallas$24.9M
- Michelle WelchShavano Park$17.3M
- Maria CabanillasHouston$16.4M
- Sumana GangiMesquite$13.2M
- Damaris VegaHouston$12.3M
- Mark KipnesSan Antonio$10.3M
- Amer Al KaradshehHouston$8.8M
- Ildiko LingvayDallas$8.2M
- Eduardo LunaEdinburg$7.6M
- Thomas BlevinsAustin$7.4M
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.