Brian Howse, MD
Family Medicine · Carmel, INNPI 1669454260
Payments from drug & device makers
Across 213 payments — averaging $9.70 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novo Nordisk$1K
- AstraZeneca$170
- Merck$112
- AbbVie$103
- Salix Pharmaceuticals, A Division Of Bausch Health US, LLC$97
- Lilly USA, LLC$65
- plus $455 from 16 others
What the payments were for
- Food & beverage$2,061100%
- Education$60%
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 | 141 | $1,064 |
| AstraZeneca | 10 | $170 |
| Merck | 12 | $112 |
| AbbVie(2 entities) | 7 | $103 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 6 | $97 |
| Lilly USA, LLC | 5 | $65 |
| Boehringer Ingelheim | 4 | $65 |
| Johnson & Johnson | 4 | $59 |
| Eisai Inc. | 4 | $58 |
| Aytu Biopharma, Inc. | 3 | $37 |
| GSK | 3 | $37 |
| Amgen | 2 | $31 |
| Amarin Pharma, Inc. | 2 | $28 |
| Takeda Pharmaceuticals U.S.A., Inc. | 2 | $27 |
| Nalpropion Pharmaceuticals LLC | 1 | $21 |
| Arbor Pharmaceuticals, Inc. | 1 | $17 |
| Pfizer | 1 | $16 |
| Ironshore Pharmaceuticals Inc. | 1 | $14 |
| Ironwood Pharmaceuticals, Inc | 1 | $12 |
| Kowa Pharmaceuticals America, Inc. | 1 | $12 |
| Circassia Inc. | 1 | $11 |
| Sanofi-aventis U.S. LLC | 1 | $11 |
How this compares
$2,067 in reported general payments places this provider in the 70th percentile of 2,709 family medicine providers in Indiana.
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 |
|---|---|---|
| JardianceEmpagliflozin | 72 | $99,181 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 57 | $83,422 |
| MounjaroTirzepatide | 59 | $70,539 |
| EliquisApixaban | 42 | $53,507 |
| XareltoRivaroxaban | 29 | $32,910 |
| OzempicSemaglutide | 14 | $20,801 |
| JanuviaSitagliptin Phosphate | 12 | $17,756 |
| Breo ElliptaFluticasone/Vilanterol | 12 | $9,555 |
| SymbicortBudesonide/Formoterol Fumarate | 14 | $5,017 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 130 | $4,327 |
| Varenicline Tartrate | 16 | $4,067 |
| Pantoprazole Sodium | 247 | $3,332 |
| SynthroidLevothyroxine Sodium | 39 | $3,161 |
| Atorvastatin Calcium | 407 | $3,030 |
| Gabapentin | 89 | $2,306 |
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 |
|---|---|---|
| Boehringer IngelheimJardiance | $65 | $99,18172 claims |
| GSKTrelegy Ellipta, Breo Ellipta | $37 | $92,97769 claims |
| Lilly USA, LLCMounjaro | $65 | $70,53959 claims |
| PfizerEliquis, Paxlovid | $16 | $54,92055 claims |
| Johnson & JohnsonXarelto | $59 | $32,91029 claims |
| Novo NordiskOzempic | $1,064 | $20,80114 claims |
| MerckJanuvia | $112 | $17,75612 claims |
| AstraZenecaSymbicort | $170 | $5,01714 claims |
| AbbVieSynthroid | $103 | $3,16139 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 70th percentile of 2,709 family medicine providers in Indiana.
Other family medicine in Carmel
- Shekar PushpalaCarmel$239K
- Blair BrengleIndianapolis$10.6M
- Laura HelmanMishawaka$4M
- J Christopher SartoreEvansville$3.9M
- Hubert ReyesEvansville$3.2M
- David SchultzEvansville$3M
- Steven SmithIndianapolis$2.5M
- Renee Michelle GalenNewburgh$2.1M
- Eric HewittAvon$1.7M
- Alexander Dela LlanaEvansville$1.6M
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.