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David Marks, MD

Pulmonary Disease · San Antonio, TXNPI 1821016023

Payments from drug & device makers

$1,323,041in general payments, 2019–2025

Across 1,268 payments — averaging $1043.41 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • AstraZeneca$659K
  • GSK$328K
  • Insmed, Inc.$81K
  • Chiesi USA, Inc.$65K
  • Sanofi US Services Inc.$40K
  • Teva Pharmaceuticals USA, Inc.$36K
  • plus $115K from 52 others

What the payments were for

  • Speaking & faculty fees$381,20584%
  • Travel & lodging$42,9559%
  • Food & beverage$22,5335%
  • Education$5,8111%

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
AstraZeneca457$659,356
GSK161$327,527
Insmed, Inc.120$80,579
Chiesi USA, Inc.20$65,411
Sanofi US Services Inc.4$39,840
Teva Pharmaceuticals USA, Inc.24$35,639
Hikma Pharmaceuticals USA4$24,581
Genentech, Inc.9$22,292
Regeneron21$14,160
Boehringer Ingelheim47$11,462
Verona Pharma, Inc.3$11,075
Boehringer Ingelheim International GmbH43$7,716
Intuitive Surgical11$6,942
Inspire Medical Systems, Inc.94$4,929
Mallinckrodt Hospital Products Inc.6$2,819
Bayer7$1,205
Actelion Pharmaceuticals US, Inc.50$1,019
Pulmonx Corporation4$879
Hill-rom Company, Inc1$875
Grifols USA, LLC17$632
Regeneron Healthcare Solutions, Inc.19$589
Merz North America, Inc.1$296
Jazz Pharmaceuticals Inc.14$267
Mylan Specialty L.p.13$230
Takeda Pharmaceuticals U.S.A., Inc.5$218
Shire North American Group Inc4$186
Axsome Therapeutics, Inc.9$177
Electromed, Inc.15$174
ZOLL Respicardia, Inc.3$161
Sanofi7$145
United Therapeutics Corporation9$143
Organogenesis Inc.3$130
Harmony Biosciences LLC6$125
Phadia US Inc.5$116
Vifor Pharma, Inc.5$114
Biofire Diagnostics, LLC1$90
Baxter Healthcare4$87
ANI Pharmaceuticals, Inc.4$87
Tactile Systems Technology Inc3$85
Johnson & Johnson4$70
Fisher & Paykel Healthcare Inc2$67
Philips North America LLC4$62
Sunovion Pharmaceuticals Inc.4$60
Advanced Respiratory, Inc2$54
Amgen2$50
Viatris Specialty LLC2$39
Paratek Pharmaceuticals, Inc.2$39
Circassia Inc.2$36
Genentech USA, Inc.2$34
Merck1$29
Novartis1$23
Gilead1$21
Itamar Medical Inc1$21
Idorsia Pharmaceuticals US Inc1$20
Optinose US, Inc.1$15
Pharming Healthcare, Inc.1$14
Boston Scientific1$13
Apria Healthcare LLC1$12

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

$1,323,041 in reported general payments places this provider in the 95th percentile of 904 pulmonary disease providers in Texas.

See all pulmonary disease providers in Texas

Medicare billing

Part B allowed, 2024
$377,848
Medicare patients
1,124
Services billed
4,699

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
OfevNintedanib Esylate30$420,839
Trelegy ElliptaFluticasone/Umeclidin/Vilanter338$318,159
ZemairaAlpha-1-Proteinase Inhibitor21$224,911
OpsumitMacitentan12$153,841
Breztri AerosphereBudesonide/Glycopyr/Formoterol142$149,197
Breo ElliptaFluticasone/Vilanterol84$47,427
OzempicSemaglutide45$39,649
EliquisApixaban38$28,711
Anoro ElliptaUmeclidinium Brm/Vilanterol Tr33$28,425
SunosiSolriamfetol Hcl12$11,506
JanuviaSitagliptin Phosphate12$10,525
SymbicortBudesonide/Formoterol Fumarate33$9,047
Incruse ElliptaUmeclidinium Bromide17$8,963
XareltoRivaroxaban11$7,504
Combivent RespimatIpratropium/Albuterol Sulfate14$7,436

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
Boehringer IngelheimOfev, Combivent Respimat, Stiolto Respimat$11,462$435,50456 claims
GSKTrelegy Ellipta, Breo Ellipta, Anoro Ellipta, Incruse Ellipta$327,527$402,973472 claims
AstraZenecaBreztri Aerosphere, Symbicort, Bevespi Aerosphere$659,356$165,535189 claims
Actelion Pharmaceuticals US, Inc.Opsumit$1,019$153,84112 claims
MerckJanuvia, Belsomra$29$15,32028 claims
Axsome Therapeutics, Inc.Sunosi$177$11,50612 claims
Johnson & JohnsonXarelto$70$7,50411 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 95th percentile of 904 pulmonary disease providers in Texas.

Other pulmonary disease in San Antonio

See the full list for Texas

Where these figures come from

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