Brian Winn, MD
Internal Medicine · San Antonio, TXNPI 1629067251
Payments from drug & device makers
Across 434 payments — averaging $17.58 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Amgen$1K
- Novartis$1K
- AbbVie$1K
- Novo Nordisk$967
- Lilly USA, LLC$863
- Johnson & Johnson$597
- plus $2K from 25 others
What the payments were for
- Food & beverage$7,605100%
- Education$260%
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 |
|---|---|---|
| Amgen(2 entities) | 62 | $1,064 |
| Novartis | 57 | $1,010 |
| AbbVie | 55 | $1,010 |
| Novo Nordisk | 59 | $967 |
| Lilly USA, LLC | 52 | $863 |
| Johnson & Johnson(2 entities) | 37 | $597 |
| Boehringer Ingelheim | 15 | $329 |
| GSK | 20 | $312 |
| Aurinia Pharma U.S., Inc. | 9 | $247 |
| Merck | 8 | $150 |
| Amarin Pharma, Inc. | 6 | $131 |
| Fresenius Kabi USA, LLC | 4 | $123 |
| Genentech USA, Inc. | 7 | $121 |
| AstraZeneca(2 entities) | 6 | $103 |
| Eisai Inc. | 4 | $79 |
| Takeda Pharmaceuticals U.S.A., Inc. | 4 | $78 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 5 | $69 |
| Sunovion Pharmaceuticals Inc. | 5 | $65 |
| Idorsia Pharmaceuticals US Inc | 3 | $48 |
| Pfizer | 3 | $46 |
| Sanofi Pasteur Inc. | 2 | $43 |
| Vistapharm, Inc. | 2 | $27 |
| Edwards Lifesciences | 1 | $24 |
| Ultragenyx Pharmaceutical Inc. | 1 | $22 |
| Avanir Pharmaceuticals, Inc. | 1 | $19 |
| Exact Sciences | 1 | $18 |
| Boston Scientific | 1 | $15 |
| Sanofi-aventis U.S. LLC | 1 | $14 |
| Scilex Pharmaceuticals Inc. | 1 | $14 |
| Sanofi | 1 | $12 |
| Ironwood Pharmaceuticals, Inc | 1 | $11 |
How this compares
$7,632 in reported general payments places this provider in the 90th 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 |
|---|---|---|
| Humira PenAdalimumab | 16 | $221,618 |
| RinvoqUpadacitinib | 19 | $215,223 |
| Enbrel SureclickEtanercept | 19 | $135,820 |
| BenlystaBelimumab | 23 | $114,282 |
| Humira(Cf) PenAdalimumab | 11 | $68,693 |
| Actemra ActpenTocilizumab | 11 | $60,013 |
| TrulicityDulaglutide | 26 | $34,689 |
| OzempicSemaglutide | 37 | $33,873 |
| EliquisApixaban | 46 | $29,248 |
| FarxigaDapagliflozin Propanediol | 15 | $25,254 |
| XareltoRivaroxaban | 28 | $18,981 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 389 | $17,291 |
| MounjaroTirzepatide | 16 | $16,573 |
| JardianceEmpagliflozin | 14 | $16,142 |
| LinzessLinaclotide | 12 | $8,332 |
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 |
|---|---|---|
| AbbVieRinvoq, Linzess, Synthroid | $1,010 | $225,00852 claims |
| GSKBenlysta | $312 | $114,28223 claims |
| Lilly USA, LLCTrulicity, Mounjaro | $863 | $51,26242 claims |
| Novo NordiskOzempic | $967 | $33,87337 claims |
| PfizerEliquis | $46 | $29,24846 claims |
| AstraZenecaFarxiga | $103 | $25,25415 claims |
| Johnson & JohnsonXarelto | $597 | $18,98128 claims |
| Boehringer IngelheimJardiance | $329 | $16,14214 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 90th percentile of 7,675 internal medicine providers in Texas.
Other internal medicine in San Antonio
- Robert BassSan Antonio$25.6M
- Hernan SalazarSan Antonio$18.5M
- Dennis RuffSan Antonio$7.5M
- Cassandra KeySan Antonio$5.6M
- Jan BurgerHouston$47.3M
- Nitin JainHouston$33.2M
- Muhammad IrfanTomball$30.6M
- Aung NaingHouston$30.6M
- Preetesh JainHouston$19.5M
- Paolo StratiHouston$19.2M
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.