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Dileep Puppala, MD

Pulmonary Disease · Houston, TXNPI 1215989900

Payments from drug & device makers

$1,100,117in general payments, 2019–2025

Across 1,410 payments — averaging $780.23 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • GSK$490K
  • Verona Pharma, Inc.$169K
  • Insmed, Inc.$106K
  • Chiesi USA, Inc.$85K
  • AstraZeneca$69K
  • Astrazeneca AB$40K
  • plus $142K from 54 others

What the payments were for

  • Consulting fees$7221%
  • Speaking & faculty fees$75,73270%
  • Travel & lodging$3,0423%
  • Food & beverage$27,58326%
  • Education$4570%

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
GSK271$489,612
Verona Pharma, Inc.21$168,650
Insmed, Inc.92$106,046
Chiesi USA, Inc.21$84,527
AstraZeneca(2 entities)149$69,424
Astrazeneca AB4$40,125
Boehringer Ingelheim39$26,527
Genentech, Inc.12$23,340
Hoffmann-la Roche Limited6$18,863
Sanofi72$16,591
Mylan Specialty L.p.86$14,843
Regeneron Healthcare Solutions, Inc.70$8,757
Boehringer Ingelheim International GmbH59$7,564
Teva Pharmaceuticals USA, Inc.4$6,027
Inspire Medical Systems, Inc.48$3,905
Pfizer8$2,450
Sanofi US Services Inc.1$2,448
Actelion Pharmaceuticals US, Inc.74$2,055
Jazz Pharmaceuticals Inc.71$1,605
Genentech USA, Inc.18$723
Amgen26$624
Mallinckrodt Hospital Products Inc.20$463
Harmony Biosciences LLC27$416
Philips North America LLC25$392
AbbVie(2 entities)22$353
Axsome Therapeutics, Inc.16$348
Johnson & Johnson(2 entities)15$338
Grifols USA, LLC15$324
United Therapeutics Corporation12$306
Merck16$253
Optinose US, Inc.11$246
Novartis13$225
Takeda Pharmaceuticals U.S.A., Inc.7$170
Baxter Healthcare2$168
Pulmonx Corporation2$161
Inogen, Inc.10$145
Octapharma USA, Inc.2$117
Avadel CNS Pharmaceuticals, LLC4$101
Viatris Specialty LLC3$100
Intuitive Surgical1$92
Shionogi Inc4$86
Electromed, Inc.4$60
ANI Pharmaceuticals, Inc.2$58
ZOLL Respicardia, Inc.2$54
E.r. Squibb & Sons, L.L.C.4$53
Resmed Corp2$49
Sanofi-aventis U.S. LLC2$47
Tactile Systems Technology Inc1$35
Paratek Pharmaceuticals, Inc.2$33
Vifor Pharma, Inc.1$31
Bayer2$29
Alcresta Therapeutics, Inc.1$28
Advanced Respiratory, Inc1$21
ARS Pharmaceuticals Operations, Inc.1$21
Pharming Healthcare, Inc.1$18
Melinta Therapeutics, LLC1$17
Lilly USA, LLC1$15
Circassia Inc.1$15
Abbott1$15
Gilead1$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

$1,100,117 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
$1,499,134
Medicare patients
909
Services billed
58,231

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
Prolastin CAlpha-1-Proteinase Inhibitor39$556,094
OfevNintedanib Esylate38$495,898
Trelegy ElliptaFluticasone/Umeclidin/Vilanter541$418,949
OpsumitMacitentan20$254,562
NucalaMepolizumab28$213,744
TezspireTezepelumab-Ekko27$110,548
Breztri AerosphereBudesonide/Glycopyr/Formoterol100$66,881
Spiriva RespimatTiotropium Bromide87$55,246
Breo ElliptaFluticasone/Vilanterol90$46,041
SymbicortBudesonide/Formoterol Fumarate93$31,889
Stiolto RespimatTiotropium Br/Olodaterol Hcl38$29,098
Fluticasone-SalmeterolFluticasone Propion/Salmeterol234$28,565
XareltoRivaroxaban26$19,349
EliquisApixaban24$18,161
Incruse ElliptaUmeclidinium Bromide46$17,422

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
GSKTrelegy Ellipta, Nucala, Breo Ellipta, Incruse Ellipta, Anoro Ellipta$489,612$718,663745 claims
Boehringer IngelheimOfev, Spiriva Respimat, Stiolto Respimat, Combivent Respimat$26,527$590,858179 claims
Grifols USA, LLCProlastin C$324$556,09439 claims
Actelion Pharmaceuticals US, Inc.Opsumit$2,055$254,56220 claims
AstraZenecaTezspire, Breztri Aerosphere, Symbicort$69,424$209,318220 claims
Johnson & JohnsonXarelto$338$19,34926 claims
PfizerEliquis$2,450$18,16124 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 Houston

See the full list for Texas

Where these figures come from

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