Enrique Segura, MD
Neurology · Metairie, LANPI 1508036195
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 684 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 53 manufacturers, the largest accounting for just 15.5% — the pattern of someone who eats at a lot of different presentations. 2025 is the largest year on record at $3,527, 5.7 times the $622 reported in 2019.
Across 684 payments — averaging $18.82 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$2K
- UCB, Inc.$985
- Argenx US, Inc.$837
- Acadia Pharmaceuticals Inc$690
- Lilly USA, LLC$668
- Novartis$603
- plus $7K from 47 others
What the payments were for
- Food & beverage$12,876100%
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.
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
$12,876 in reported general payments places this provider in the 75th percentile of 225 neurology providers in Louisiana.
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 |
|---|---|---|
| Gamunex-CImmune Globul G/Gly/Iga Avg 46 | 49 | $451,840 |
| Gammagard LiquidImmun Glob G(Igg)/Gly/Iga Ov50 | 12 | $233,531 |
| AustedoDeutetrabenazine | 14 | $100,669 |
| UbrelvyUbrogepant | 78 | $97,459 |
| NuplazidPimavanserin Tartrate | 18 | $90,296 |
| Nurtec OdtRimegepant Sulfate | 48 | $53,963 |
| QuliptaAtogepant | 32 | $42,679 |
| BriviactBrivaracetam | 23 | $34,659 |
| Aimovig AutoinjectorErenumab-Aooe | 29 | $21,747 |
| Emgality PenGalcanezumab-Gnlm | 24 | $16,491 |
| KeppraLevetiracetam | 14 | $13,367 |
| EliquisApixaban | 28 | $10,268 |
| RytaryCarbidopa/Levodopa | 17 | $8,604 |
| Tegretol XrCarbamazepine | 12 | $6,362 |
| Memantine Hcl | 354 | $6,191 |
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 |
|---|---|---|
| Grifols USA, LLCGamunex-C | $407 | $451,84049 claims |
| Takeda Pharmaceuticals U.S.A., Inc.Gammagard Liquid | $164 | $233,53112 claims |
| AbbVieUbrelvy, Qulipta | $1,993 | $140,138110 claims |
| Teva Pharmaceuticals USA, Inc.Austedo | $146 | $100,66914 claims |
| Acadia Pharmaceuticals IncNuplazid | $690 | $90,29618 claims |
| PfizerNurtec Odt, Eliquis | $406 | $64,23176 claims |
| UCB, Inc.Briviact | $985 | $34,65923 claims |
| Amneal Pharmaceuticals LLCRytary, Mycophenolate Mofetil, Pyridostigmine Bromide | $233 | $14,83662 claims |
| Supernus Pharmaceuticals, Inc.Trokendi Xr | $105 | $4,64812 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 225 neurology providers in Louisiana.
Other neurology in Metairie
- Amy VoigtMetairie$127K
- Michael HappelMetairie$30K
- Meghan HarrisShreveport$553K
- Kevin CallerameBaton Rouge$420K
- Gerald CaleganBaton Rouge$400K
- Maria Carmen WilsonCovington$295K
- John EnglandNew Orleans$268K
- Ariel Antezana AntezanaAlexandria$253K
- Brian CopelandNew Orleans$211K
- Bridget BagertNew Orleans$198K
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.