Bryan Kahl, MD
Endocrinology, Diabetes & Metabolism · Denison, TXNPI 1508905837
Payments from drug & device makers
Across 587 payments — averaging $19.10 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$1K
- Amgen$1K
- Novo Nordisk$1K
- AstraZeneca$919
- Lilly USA, LLC$846
- Boehringer Ingelheim$692
- plus $5K from 33 others
What the payments were for
- Travel & lodging$8127%
- Food & beverage$10,36892%
- Education$290%
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 |
|---|---|---|
| Medtronic(2 entities) | 16 | $1,399 |
| Amgen | 63 | $1,086 |
| Novo Nordisk | 75 | $1,006 |
| AstraZeneca(2 entities) | 42 | $919 |
| Lilly USA, LLC | 57 | $846 |
| Boehringer Ingelheim | 45 | $692 |
| AbbVie | 39 | $629 |
| Corcept Therapeutics | 29 | $529 |
| Merck | 33 | $529 |
| Insulet Corporation | 29 | $520 |
| Xeris Pharmaceuticals, Inc. | 20 | $384 |
| Dexcom, Inc. | 19 | $373 |
| Johnson & Johnson | 12 | $328 |
| Radius Health, Inc. | 15 | $263 |
| Sanofi-aventis U.S. LLC | 13 | $231 |
| Tandem Diabetes Care, Inc. | 9 | $182 |
| IBSA Pharma Inc. | 11 | $176 |
| Neurocrine Biosciences, Inc. | 7 | $173 |
| Abbott | 9 | $153 |
| Amneal Pharmaceuticals LLC | 4 | $92 |
| Ascendis Pharma Endocrinology Inc | 3 | $78 |
| Shire North American Group Inc | 4 | $78 |
| BETA Bionics, Inc. | 6 | $73 |
| Antares Pharma, Inc. | 4 | $62 |
| Esperion Therapeutics, Inc. | 3 | $54 |
| Amarin Pharma, Inc. | 3 | $46 |
| Amphastar Pharmaceuticals, Inc. | 2 | $35 |
| Pfizer | 2 | $35 |
| Novartis | 2 | $33 |
| Ultragenyx Pharmaceutical Inc. | 2 | $32 |
| BD | 1 | $24 |
| Ascensia Diabetes Care US Inc. | 1 | $23 |
| Sequel Med Tech, LLC | 1 | $23 |
| Kyowa Kirin, Inc. | 1 | $23 |
| Astellas Pharma US Inc | 1 | $18 |
| Acerus Pharmaceuticals Corporation | 1 | $18 |
| GSK | 1 | $15 |
| Rhythm Pharmaceuticals, Inc. | 1 | $15 |
| RGH Enterprises LLC | 1 | $14 |
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
$11,209 in reported general payments places this provider in the 65th percentile of 658 endocrinology, diabetes & metabolism providers in Texas.
See all endocrinology, diabetes & metabolism 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 |
|---|---|---|
| JardianceEmpagliflozin | 232 | $249,780 |
| OzempicSemaglutide | 178 | $222,683 |
| TrulicityDulaglutide | 51 | $73,310 |
| Tresiba Flextouch U-200Insulin Degludec | 67 | $69,682 |
| Soliqua 100-33Insulin Glargine/Lixisenatide | 65 | $64,155 |
| FarxigaDapagliflozin Propanediol | 70 | $53,969 |
| JanuviaSitagliptin Phosphate | 54 | $49,307 |
| SynthroidLevothyroxine Sodium | 553 | $40,153 |
| GenotropinSomatropin | 15 | $30,710 |
| ProliaDenosumab | 16 | $27,475 |
| Levothyroxine Sodium | 1,394 | $26,584 |
| Tresiba Flextouch U-100Insulin Degludec | 38 | $24,960 |
| Humulin R U-500Insulin Regular, Human | 16 | $22,240 |
| Toujeo SolostarInsulin Glargine,hum.Rec.Anlog | 43 | $20,672 |
| Humalog Kwikpen U-100Insulin Lispro | 73 | $18,238 |
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 | $692 | $249,780232 claims |
| Novo NordiskOzempic | $1,006 | $222,683178 claims |
| Lilly USA, LLCTrulicity, Humalog, Humulin 70-30 | $846 | $82,577100 claims |
| Sanofi-aventis U.S. LLCSoliqua 100-33, Lantus | $231 | $70,011112 claims |
| AstraZenecaFarxiga | $919 | $53,96970 claims |
| MerckJanuvia | $529 | $49,30754 claims |
| AbbVieSynthroid | $629 | $40,153553 claims |
| PfizerGenotropin, Prempro, Levoxyl | $35 | $35,95895 claims |
| AmgenProlia | $1,086 | $27,47516 claims |
| Amneal Pharmaceuticals LLCLevothyroxine Sodium | $92 | $26,5841,394 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 65th percentile of 658 endocrinology, diabetes & metabolism providers in Texas.
Other endocrinology, diabetes & metabolism in Denison
- Julio RosenstockDallas$24.9M
- Michelle WelchShavano Park$17.3M
- Maria CabanillasHouston$16.4M
- Sumana GangiMesquite$13.2M
- Damaris VegaHouston$12.3M
- Mark KipnesSan Antonio$10.3M
- Amer Al KaradshehHouston$8.8M
- Ildiko LingvayDallas$8.2M
- Eduardo LunaEdinburg$7.6M
- Thomas BlevinsAustin$7.4M
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.