RxDoctor Payments Data

Ashfaq Tapia, MD

Internal Medicine · Paris, TXNPI 1295997930

Payments from drug & device makers

$4,050in general payments, 2019–2025

Across 403 payments — averaging $10.05 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Novo Nordisk$772
  • GSK$508
  • Lilly USA, LLC$381
  • AstraZeneca$379
  • AbbVie$377
  • Sanofi-aventis U.S. LLC$315
  • plus $1K from 20 others

What the payments were for

  • Food & beverage$4,02899%
  • Education$231%

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

19
20
21
22
23
24

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.

How this compares

$4,050 in reported general payments places this provider in the 85th percentile of 7,675 internal medicine providers in Texas.

See all internal medicine providers in Texas

Medicare billing

Part B allowed, 2024
$521,069
Medicare patients
665
Services billed
9,494

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
OzempicSemaglutide208$364,620
MounjaroTirzepatide113$177,831
EliquisApixaban125$127,154
FarxigaDapagliflozin Propanediol68$66,481
TrulicityDulaglutide41$51,190
JardianceEmpagliflozin36$49,835
Tresiba Flextouch U-100Insulin Degludec51$42,135
XareltoRivaroxaban49$34,941
Trelegy ElliptaFluticasone/Umeclidin/Vilanter22$27,863
JanumetSitagliptin Phos/Metformin Hcl18$26,939
VraylarCariprazine Hcl12$20,116
Toujeo SolostarInsulin Glargine,hum.Rec.Anlog14$19,650
LinzessLinaclotide26$19,399
RybelsusSemaglutide11$18,622
JanuviaSitagliptin Phosphate15$17,771

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
Novo NordiskOzempic, Rybelsus$772$383,242219 claims
Lilly USA, LLCMounjaro, Trulicity$381$229,021154 claims
PfizerEliquis$130$127,154125 claims
AstraZenecaFarxiga$379$66,48168 claims
Boehringer IngelheimJardiance$61$49,83536 claims
MerckJanumet, Januvia$188$44,71033 claims
AbbVieVraylar, Linzess$377$39,51538 claims
Johnson & JohnsonXarelto$93$34,94149 claims
GSKTrelegy Ellipta$508$27,86322 claims
NovartisEntresto$39$17,26630 claims
Astellas Pharma US IncMyrbetriq$50$12,05611 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 85th percentile of 7,675 internal medicine providers in Texas.

Other internal medicine in Paris

See the full list for Texas

Where these figures come from

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