RxDoctor Payments Data

David Sprouse, MD

Family Medicine · Kerrville, TXNPI 1487761326

Payments from drug & device makers

$2,847in general payments, 2019–2025

Across 159 payments — averaging $17.91 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • AbbVie$507
  • Lilly USA, LLC$320
  • AstraZeneca$290
  • GSK$234
  • Astellas Pharma US Inc$224
  • Novo Nordisk$204
  • plus $1K from 24 others

What the payments were for

  • Food & beverage$2,847100%

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.

How this compares

$2,847 in reported general payments places this provider in the 75th percentile of 8,760 family medicine providers in Texas.

See all family medicine providers in Texas

Medicare billing

Part B allowed, 2024
$308,227
Medicare patients
1,136
Services billed
10,632

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
JanuviaSitagliptin Phosphate12$17,604
Focalin XrDexmethylphenidate Hcl11$2,269
Atorvastatin Calcium225$1,582
Losartan Potassium173$1,420
Tamsulosin Hcl72$1,349
Pravastatin Sodium44$824
Metoprolol Succinate56$790
Metformin Hcl79$705
Omeprazole71$573
ValacyclovirValacyclovir Hcl12$555
Levothyroxine Sodium63$539
Dextroamphetamine-AmphetamineDextroamphetamine/Amphetamine12$523
Valsartan16$507
Lisinopril79$504
Amlodipine Besylate114$481

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
MerckJanuvia$187$17,60412 claims
Almatica Pharma LLCSertraline Hcl$15$15219 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 75th percentile of 8,760 family medicine providers in Texas.

Other family medicine in Kerrville

See the full list for Texas

Where these figures come from

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