Aramis Cosme, MD
Internal Medicine · Cypress, TXNPI 1194179010
Payments from drug & device makers
What this record shows
That places this record below the midpoint for internal medicine clinicians in TX, where the typical reported total is $270.
No general payments reported
No drug or device maker reported general payments to this provider for 2019–2025. That is a common and unremarkable result.
Across 161 payments — averaging $11,684 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Eli Lilly$1M
- Organon$505K
- GSK$283K
- Pfizer$32K
- Rhythm Pharmaceuticals, Inc.$19K
How this compares
$0 in reported general payments places this provider in the 10th 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 |
|---|---|---|
| EliquisApixaban | 14 | $9,709 |
| Atorvastatin Calcium | 28 | $182 |
| Losartan Potassium | 20 | $135 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 12 | $107 |
| Metoprolol Succinate | 12 | $83 |
| Furosemide | 22 | $78 |
| Amlodipine Besylate | 24 | $78 |
| Carvedilol | 19 | $66 |
| Levothyroxine Sodium | 13 | $51 |
Paid to pharmacies, not to this prescriber.
Other internal medicine in Cypress
- Spencer BerthelsenSugar Land$891K
- Hameed AliTemple$773K
- Marc TribbleDallas$693K
- Gary SinclairDallas$599K
- Mohammed Al-NajjarEl Paso$586K
- Han SchmidlyDallas$465K
- Hussein TawbiHouston$365K
- Hans LeeHouston$327K
- Tapan KadiaHouston$311K
- Nitin JainHouston$281K
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.