RxDoctor Payments Data

Carlos Arauz Pacheco, MD

Endocrinology, Diabetes & Metabolism · Rockwall, TXNPI 1992766448

Payments from drug & device makers

$261,470in general payments, 2019–2025

Across 732 payments — averaging $357.20 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Novo Nordisk AS$152K
  • AstraZeneca$43K
  • Sanofi US Services Inc.$13K
  • Janssen Research & Development, LLC$10K
  • Abbott$10K
  • Boehringer Ingelheim$8K
  • plus $26K from 54 others
$333,141in research payments, 2019–2025

Across 502 payments — averaging $663.63 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.

  • Novo Nordisk AS$332K
  • Gilead$930

What the payments were for

  • Consulting fees$4,6509%
  • Speaking & faculty fees$33,68563%
  • Travel & lodging$9292%
  • Food & beverage$13,78226%
  • Education$910%

General payments by program year

19
20
21
22
23
24
25

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.

CompanyPaymentsTotal
Novo Nordisk AS79$152,046
AstraZeneca(2 entities)122$42,964
Sanofi US Services Inc.2$13,000
Janssen Research & Development, LLC1$9,644
Abbott54$9,526
Boehringer Ingelheim31$8,347
Lilly USA, LLC50$5,568
AbbVie26$5,182
Gilead2$4,521
Corcept Therapeutics9$3,028
Novo Nordisk60$1,098
Medtronic(2 entities)18$814
Sanofi-aventis U.S. LLC25$661
Amarin Pharma, Inc.31$593
Dexcom, Inc.21$419
Amgen15$281
Mannkind Corporation15$240
Xeris Pharmaceuticals, Inc.13$237
Currax Pharmaceuticals LLC15$224
Amneal Pharmaceuticals LLC12$211
Antares Pharma, Inc.11$207
Sanofi1$185
Madrigal Pharmaceuticals5$182
Halozyme Inc4$182
Merck12$174
IBSA Pharma Inc.11$172
Tandem Diabetes Care, Inc.8$145
Boehringer Ingelheim B.v.2$140
Insulet Corporation8$131
Aimmune Therapeutics, Inc.1$121
Johnson & Johnson7$106
Avvisto Therapeutics, LLC5$82
Bayer4$64
Lexicon Pharmaceuticals, Inc.1$63
Amphastar Pharmaceuticals, Inc.3$61
Ascensia Diabetes Care US Inc.3$50
Nevro Corp.3$50
BETA Bionics, Inc.4$49
Pfizer3$48
Valeritas, Inc.2$46
Radius Health, Inc.2$46
Salix Pharmaceuticals, A Division Of Bausch Health US, LLC3$45
Acella Pharmaceuticals, LLC2$40
OPKO Pharmaceuticals, LLC2$34
Genentech USA, Inc.2$33
Lifescan, Inc.2$30
Verity Pharmaceuticals Inc.1$28
Regeneron Healthcare Solutions, Inc.1$26
Cequr Corporation1$26
Ascendis Pharma Endocrinology Inc1$23
GSK1$23
Kyowa Kirin, Inc.1$22
Recordati_rare_diseases_inc.1$19
Amryt Pharma Holdings Ltd1$19
Nestle Healthcare Nutrition Inc.1$19
Echosens North America, Inc.1$19
Aytu Biopharma, Inc.1$17
Tolmar, Inc.1$17
Rhythm Pharmaceuticals, Inc.1$17
Vistapharm, Inc.1$16

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

$261,470 in reported general payments places this provider in the 85th percentile of 658 endocrinology, diabetes & metabolism providers in Texas.

See all endocrinology, diabetes & metabolism providers in Texas

Medicare billing

Part B allowed, 2024
$190,021
Medicare patients
544
Services billed
1,922

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

DrugClaimsCost to plans & patients
OzempicSemaglutide190$344,129
JardianceEmpagliflozin96$133,416
MounjaroTirzepatide77$128,349
FarxigaDapagliflozin Propanediol103$113,839
TrulicityDulaglutide70$105,924
TymlosAbaloparatide18$53,945
Janumet XrSitagliptin Phos/Metformin Hcl38$53,116
ProliaDenosumab27$47,360
Toujeo Max SolostarInsulin Glargine,hum.Rec.Anlog33$43,357
TradjentaLinagliptin33$39,419
Tresiba Flextouch U-200Insulin Degludec30$32,266
Tresiba Flextouch U-100Insulin Degludec30$24,128
Humalog Mix 75-25 KwikpenInsulin Lispro Protamin/Lispro25$21,684
JanuviaSitagliptin Phosphate13$19,657
Basaglar Kwikpen U-100Insulin Glargine,hum.Rec.Anlog26$16,488

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.

CompanyPaid to this providerPart D cost of their drugs
Novo NordiskOzempic, Novolog$1,098$355,773220 claims
Lilly USA, LLCMounjaro, Trulicity, Humalog, Insulin Lispro$5,568$242,143183 claims
Boehringer IngelheimJardiance, Tradjenta$8,347$172,835129 claims
AstraZenecaFarxiga$42,964$113,839103 claims
MerckJanumet Xr, Januvia$174$72,77451 claims
Radius Health, Inc.Tymlos$46$53,94518 claims
AmgenProlia$281$47,36027 claims
AbbVieSynthroid, Armour Thyroid$5,182$10,69390 claims
Amneal Pharmaceuticals LLCLevothyroxine Sodium, Unithroid$211$7,458508 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 85th percentile of 658 endocrinology, diabetes & metabolism providers in Texas.

Other endocrinology, diabetes & metabolism in Rockwall

See the full list for Texas

Where these figures come from

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