Bravein Amalakuhan, MD
Pulmonary Disease · San Antonio, TXNPI 1053623512
Payments from drug & device makers
Across 258 payments — averaging $19.38 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- GSK$1K
- AstraZeneca$543
- Mylan Specialty L.p.$468
- Boehringer Ingelheim$353
- Johnson & Johnson$349
- Insmed, Inc.$297
- plus $2K from 31 others
What the payments were for
- Food & beverage$5,000100%
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 |
|---|---|---|
| GSK | 92 | $1,122 |
| AstraZeneca | 30 | $543 |
| Mylan Specialty L.p. | 20 | $468 |
| Boehringer Ingelheim | 14 | $353 |
| Johnson & Johnson | 10 | $349 |
| Insmed, Inc. | 14 | $297 |
| Sanofi | 12 | $293 |
| Regeneron Healthcare Solutions, Inc. | 6 | $148 |
| Edwards Lifesciences | 1 | $128 |
| Baxter Healthcare | 6 | $123 |
| Inari Medical, Inc. | 1 | $123 |
| Amgen | 6 | $112 |
| Novartis | 5 | $94 |
| EKOS Corporation | 2 | $87 |
| Abiomed | 1 | $79 |
| Genentech USA, Inc. | 5 | $78 |
| Ambu Inc. | 4 | $72 |
| Grifols USA, LLC | 2 | $64 |
| Takeda Pharmaceuticals U.S.A., Inc. | 3 | $50 |
| Electromed, Inc. | 5 | $48 |
| United Therapeutics Corporation | 2 | $42 |
| Tactile Systems Technology Inc | 2 | $38 |
| Verona Pharma, Inc. | 1 | $30 |
| Olympus America Inc. | 1 | $28 |
| Portola Pharmaceuticals, LLC | 1 | $23 |
| Mallinckrodt Hospital Products Inc. | 1 | $23 |
| Gilead | 1 | $22 |
| Actelion Pharmaceuticals US, Inc. | 1 | $21 |
| Penumbra, Inc. | 1 | $20 |
| Philips North America LLC | 1 | $19 |
| Bayer | 1 | $18 |
| Fisher & Paykel Healthcare Inc | 1 | $17 |
| Pfizer | 1 | $15 |
| Jazz Pharmaceuticals Inc. | 1 | $15 |
| Viatris Specialty LLC | 1 | $14 |
| Pulmonx Corporation | 1 | $13 |
| Merck | 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
$5,000 in reported general payments places this provider in the 60th percentile of 904 pulmonary disease 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 |
|---|---|---|
| NucalaMepolizumab | 61 | $274,112 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 183 | $134,261 |
| Dupixent PenDupilumab | 22 | $93,042 |
| Spiriva RespimatTiotropium Bromide | 65 | $38,028 |
| Breztri AerosphereBudesonide/Glycopyr/Formoterol | 33 | $22,901 |
| EliquisApixaban | 11 | $14,550 |
| SymbicortBudesonide/Formoterol Fumarate | 48 | $11,782 |
| Breo ElliptaFluticasone/Vilanterol | 24 | $11,348 |
| XareltoRivaroxaban | 13 | $7,267 |
| Anoro ElliptaUmeclidinium Brm/Vilanterol Tr | 13 | $6,660 |
| Budesonide-Formoterol FumarateBudesonide/Formoterol Fumarate | 19 | $3,368 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 151 | $3,286 |
| Montelukast Sodium | 176 | $1,190 |
| Ventolin HfaAlbuterol Sulfate | 12 | $638 |
| Prednisone | 182 | $569 |
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 |
|---|---|---|
| GSKNucala, Trelegy Ellipta, Breo Ellipta, Anoro Ellipta | $1,122 | $426,381281 claims |
| Boehringer IngelheimSpiriva Respimat | $353 | $38,02865 claims |
| AstraZenecaBreztri Aerosphere, Symbicort | $543 | $34,68381 claims |
| PfizerEliquis | $15 | $14,55011 claims |
| Johnson & JohnsonXarelto | $349 | $7,26713 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 60th percentile of 904 pulmonary disease providers in Texas.
Other pulmonary disease in San Antonio
- Charles AndrewsSan Antonio$17M
- Antonio AnzuetoSan Antonio$1.8M
- Diego Maselli CaceresSan Antonio$1.8M
- John HolcombSan Antonio$1.7M
- David MarksSan Antonio$1.3M
- Anoop NambiarSan Antonio$840K
- Rodolfo Estrada AnzuetoSan Antonio$324K
- Ali AbediSan Antonio$269K
- Ivan RosasHouston$13.8M
- Shahrukh KureishyMcKinney$12.4M
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.