RxDoctor Payments Data

Anthony Costales, MD

Gynecologic Oncology · Houston, TXNPI 1578828703

Payments from drug & device makers

What this record shows

This record is dominated by consulting fees: $14,245 of the $16,743 with a category attached, or 85.1%. 14 manufacturers reported payments, led by Merck at 58.1% of the total. Reporting peaked in 2023 at $8,027 and has fallen 95.6% since, to $353 in 2025.

$16,743in general payments, 2019–2025

Across 40 payments — averaging $418.56 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Merck$10K
  • AstraZeneca$4K
  • GSK$2K
  • Tesaro, Inc.$294
  • AbbVie$199
  • Eisai Inc.$160
  • plus $676 from 8 others

What the payments were for

  • Consulting fees$14,24585%
  • Travel & lodging$5233%
  • Food & beverage$1,93112%
  • Education$430%

General payments by program year

19
20
21
22
23
24
25

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.

CompanyPaymentsTotal
Merck11$9,726
AstraZeneca3$3,516
GSK3$2,173
Tesaro, Inc.4$294
AbbVie4$199
Eisai Inc.3$160
Genmab U.S., Inc.2$136
Immunogen, Inc.1$133
On Target Laboratories, Inc3$119
Hologic Sales And Service, LLC1$118
Daiichi Sankyo Inc.2$55
Clovis Oncology, Inc.1$52
Stryker1$43
Intuitive Surgical1$20

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

$16,743 in reported general payments places this provider in the 75th percentile of 135 gynecologic oncology providers in Texas.

See all gynecologic oncology providers in Texas

Medicare billing

Part B allowed, 2024
$23,356
Medicare patients
49
Services billed
138

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

DrugClaimsCost to plans & patients
LynparzaOlaparib21$360,029
EliquisApixaban23$14,509
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen23$154
Ibuprofen23$96

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.

CompanyPaid to this providerPart D cost of their drugs
AstraZenecaLynparza$3,516$360,02921 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 75th percentile of 135 gynecologic oncology providers in Texas.

Other gynecologic oncology in Houston

See the full list for Texas

Where these figures come from

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