RxDoctor Payments Data

Clifford Alprin, MD

Family Medicine · San Antonio, TXNPI 1568504835

Payments from drug & device makers

$9,474in general payments, 2019–2025

Across 484 payments — averaging $19.57 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Pfizer$2K
  • AbbVie$1K
  • AstraZeneca$907
  • Amgen$674
  • Bayer$499
  • Lilly USA, LLC$490
  • plus $4K from 49 others

What the payments were for

  • Consulting fees$1752%
  • Travel & lodging$7598%
  • Food & beverage$8,47089%
  • Education$701%

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

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.

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

$9,474 in reported general payments places this provider in the 90th percentile of 8,760 family medicine providers in Texas.

See all family medicine providers in Texas

Medicare billing

Part B allowed, 2024
$341,194
Medicare patients
1,021
Services billed
4,903

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
OzempicSemaglutide271$328,963
JardianceEmpagliflozin121$169,382
MounjaroTirzepatide121$148,901
TrulicityDulaglutide93$127,189
Synjardy XrEmpagliflozin/Metformin Hcl82$103,224
EliquisApixaban77$93,022
Orencia ClickjectAbatacept13$85,929
MyrbetriqMirabegron59$60,420
Trelegy ElliptaFluticasone/Umeclidin/Vilanter37$57,127
ForteoTeriparatide11$50,258
FarxigaDapagliflozin Propanediol49$46,569
Xigduo XrDapaglifloz Propaned/Metformin29$42,616
Breztri AerosphereBudesonide/Glycopyr/Formoterol41$42,371
CreonLipase/Protease/Amylase25$41,808
XareltoRivaroxaban26$35,814

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, Rybelsus$489$355,446286 claims
Lilly USA, LLCMounjaro, Trulicity, Forteo$490$326,349225 claims
Boehringer IngelheimJardiance, Synjardy Xr, Synjardy, Spiriva Respimat$97$305,661230 claims
AstraZenecaFarxiga, Breztri Aerosphere, Symbicort$907$100,791118 claims
PfizerEliquis$1,732$93,02277 claims
GSKTrelegy Ellipta, Breo Ellipta$337$72,50455 claims
Astellas Pharma US IncMyrbetriq$185$60,42059 claims
AbbVieCreon$1,457$41,80825 claims
MerckJanuvia, Janumet Xr$124$37,46629 claims
Johnson & JohnsonXarelto$315$35,81426 claims
AmgenProlia$674$24,11614 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 8,760 family medicine providers in Texas.

Other family medicine in San Antonio

See the full list for Texas

Where these figures come from

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