Emmanuel Desai, MD
Internal Medicine · Lewisville, TXNPI 1841234655
Payments from drug & device makers
Across 406 payments — averaging $15.03 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Boehringer Ingelheim$935
- GSK$797
- AstraZeneca$600
- Novo Nordisk$518
- Kowa Pharmaceuticals America, Inc.$432
- Johnson & Johnson$371
- plus $2K from 29 others
What the payments were for
- Food & beverage$5,95598%
- Education$1492%
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
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.
| Company | Payments | Total |
|---|---|---|
| Boehringer Ingelheim | 56 | $935 |
| GSK | 52 | $797 |
| AstraZeneca | 39 | $600 |
| Novo Nordisk | 36 | $518 |
| Kowa Pharmaceuticals America, Inc. | 52 | $432 |
| Johnson & Johnson | 28 | $371 |
| Sanofi-aventis U.S. LLC | 20 | $304 |
| Pfizer | 15 | $245 |
| Astellas Pharma US Inc | 9 | $216 |
| AbbVie(2 entities) | 12 | $195 |
| Lilly USA, LLC | 11 | $155 |
| Merck | 11 | $154 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 9 | $130 |
| Biohaven Pharmaceuticals, Inc. | 2 | $112 |
| Takeda Pharmaceuticals U.S.A., Inc. | 6 | $94 |
| Arbor Pharmaceuticals, Inc. | 6 | $85 |
| E.r. Squibb & Sons, L.L.C. | 5 | $78 |
| Radius Health, Inc. | 4 | $70 |
| Amgen | 4 | $70 |
| Mylan Specialty L.p. | 4 | $67 |
| Amarin Pharma, Inc. | 3 | $65 |
| Novartis | 3 | $50 |
| Boston Scientific | 1 | $49 |
| Bayer | 3 | $45 |
| Jazz Pharmaceuticals Inc. | 2 | $42 |
| Abbott | 2 | $37 |
| Sunovion Pharmaceuticals Inc. | 2 | $33 |
| IBSA Pharma Inc. | 2 | $29 |
| RGH Enterprises LLC | 1 | $26 |
| Eisai Inc. | 1 | $23 |
| Impel Pharmaceuticals Inc. | 1 | $19 |
| Ironwood Pharmaceuticals, Inc | 1 | $16 |
| Medicure Pharma Inc. | 1 | $16 |
| Althera Pharmaceuticals LLC | 1 | $14 |
| Genentech USA, Inc. | 1 | $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.
- JARDIANCE$125
How this compares
$6,104 in reported general payments places this provider in the 90th percentile of 7,675 internal medicine providers in Texas.
Medicare billing
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
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| EliquisApixaban | 114 | $108,283 |
| JanuviaSitagliptin Phosphate | 76 | $99,398 |
| JardianceEmpagliflozin | 50 | $77,904 |
| FarxigaDapagliflozin Propanediol | 45 | $59,167 |
| OzempicSemaglutide | 55 | $54,175 |
| JanumetSitagliptin Phos/Metformin Hcl | 27 | $43,485 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 34 | $41,800 |
| MyrbetriqMirabegron | 39 | $32,861 |
| Tresiba Flextouch U-200Insulin Degludec | 21 | $31,406 |
| Janumet XrSitagliptin Phos/Metformin Hcl | 22 | $28,768 |
| XareltoRivaroxaban | 20 | $26,760 |
| Toujeo SolostarInsulin Glargine,hum.Rec.Anlog | 24 | $19,942 |
| Victoza 3-PakLiraglutide | 16 | $13,931 |
| LinzessLinaclotide | 11 | $11,718 |
| Bydureon BciseExenatide Microspheres | 13 | $10,582 |
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.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| MerckJanuvia, Janumet, Janumet Xr | $154 | $171,651125 claims |
| PfizerEliquis | $245 | $108,283114 claims |
| Boehringer IngelheimJardiance, Spiriva Respimat | $935 | $83,85762 claims |
| AstraZenecaFarxiga | $600 | $59,16745 claims |
| Novo NordiskOzempic | $518 | $54,17555 claims |
| GSKTrelegy Ellipta | $797 | $41,80034 claims |
| Astellas Pharma US IncMyrbetriq | $216 | $32,86139 claims |
| Johnson & JohnsonXarelto | $371 | $26,76020 claims |
| AbbVieLinzess, Synthroid | $195 | $18,01586 claims |
| Kowa Pharmaceuticals America, Inc.Livalo | $432 | $6,07417 claims |
| Arbor Pharmaceuticals, Inc.Edarbi | $85 | $2,80312 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 7,675 internal medicine providers in Texas.
Other internal medicine in Lewisville
- Jan BurgerHouston$47.3M
- Nitin JainHouston$33.2M
- Muhammad IrfanTomball$30.6M
- Aung NaingHouston$30.6M
- Robert BassSan Antonio$25.6M
- Preetesh JainHouston$19.5M
- Paolo StratiHouston$19.2M
- Hernan SalazarSan Antonio$18.5M
- Nicholas ShortHouston$17.6M
- Salma SaigerMesquite$16.1M
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.