Brian Hughes, MD
Gastroenterology · Little Rock, ARNPI 1518181775
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 96.0% of the total across 594 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 30 manufacturers reported payments, led by AbbVie at 50.1% of the total.
Across 594 payments — averaging $13.22 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$4K
- Johnson & Johnson$1K
- Pfizer$550
- Takeda Pharmaceuticals U.S.A., Inc.$437
- Salix Pharmaceuticals, A Division Of Bausch Health US, LLC$242
- Bristol Myers Squibb$207
- plus $1K from 24 others
Across 1 payment — averaging $6000.00 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.
- Janssen Research & Development, LLC$6K
What the payments were for
- Food & beverage$7,53896%
- Education$3154%
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 |
|---|---|---|
| AbbVie(2 entities) | 355 | $3,936 |
| Johnson & Johnson | 67 | $1,203 |
| Pfizer | 36 | $550 |
| Takeda Pharmaceuticals U.S.A., Inc. | 41 | $437 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 18 | $242 |
| Bristol Myers Squibb | 20 | $207 |
| Janssen Scientific Affairs, LLC | 2 | $185 |
| UCB, Inc. | 2 | $144 |
| Regeneron Healthcare Solutions, Inc. | 7 | $142 |
| Aimmune Therapeutics, Inc. | 6 | $141 |
| Sanofi | 6 | $123 |
| Medtronic | 4 | $69 |
| Merck | 4 | $68 |
| Madrigal Pharmaceuticals | 3 | $50 |
| Amgen | 3 | $50 |
| Organon | 2 | $36 |
| Lilly USA, LLC | 2 | $33 |
| Celltrion USA Inc. | 2 | $31 |
| Redhill Biopharma Inc. | 2 | $26 |
| Ironwood Pharmaceuticals, Inc | 2 | $24 |
| Ipsen Biopharmaceuticals, Inc | 1 | $21 |
| Nestle Healthcare Nutrition Inc. | 1 | $17 |
| Phathom Pharmaceuticals, Inc. | 1 | $17 |
| Sanofi Pasteur Inc. | 1 | $17 |
| AstraZeneca | 1 | $16 |
| Enterra Medical, Inc. | 1 | $16 |
| Mauna Kea Technologies, Inc. | 1 | $15 |
| Shire North American Group Inc | 1 | $14 |
| Olympus America Inc. | 1 | $13 |
| Braintree Laboratories, Inc. | 1 | $13 |
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
$7,854 in reported general payments places this provider in the 75th percentile of 108 gastroenterology providers in Arkansas.
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 |
|---|---|---|
| StelaraUstekinumab | 135 | $3,761,086 |
| Skyrizi On-BodyRisankizumab-Rzaa | 26 | $537,035 |
| Humira(Cf) PenAdalimumab | 34 | $364,439 |
| EntyvioVedolizumab | 30 | $256,686 |
| RinvoqUpadacitinib | 16 | $121,480 |
| CreonLipase/Protease/Amylase | 37 | $80,601 |
| LinzessLinaclotide | 89 | $62,698 |
| XifaxanRifaximin | 26 | $61,396 |
| ZenpepLipase/Protease/Amylase | 19 | $40,050 |
| TrulancePlecanatide | 17 | $15,946 |
| Mesalamine | 68 | $13,926 |
| Pantoprazole Sodium | 812 | $12,091 |
| Sucralfate | 192 | $11,173 |
| Lubiprostone | 83 | $9,811 |
| Balsalazide Disodium | 44 | $8,809 |
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 |
|---|---|---|
| Johnson & JohnsonStelara | $1,203 | $3,761,086135 claims |
| AbbVieRinvoq, Creon, Linzess | $3,936 | $264,779142 claims |
| Takeda Pharmaceuticals U.S.A., Inc.Entyvio | $437 | $256,68630 claims |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLCXifaxan, Trulance | $242 | $77,34243 claims |
| Aimmune Therapeutics, Inc.Zenpep | $141 | $40,05019 claims |
| Redhill Biopharma Inc.Movantik | $26 | $7,27818 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 108 gastroenterology providers in Arkansas.
Other gastroenterology in Little Rock
- Glenn DavisLittle Rock$2.7M
- Ali KhanLittle Rock$49K
- Jaymie PenningtonLittle Rock$17K
- Michael JohnsonLittle Rock$17K
- David BackstedtLittle Rock$16K
- Dhaval PatelLittle Rock$15K
- Jeffrey RobertsonLittle Rock$15K
- Bobby KakatiLittle Rock$14K
- Bernard StokesLittle Rock$14K
- Angela NuttLittle Rock$14K
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.