Esther Fields, DO
Pulmonary Disease · Georgetown, TXNPI 1366616203
Payments from drug & device makers
Across 278 payments — averaging $17.08 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- GSK$2K
- Boehringer Ingelheim$477
- Insmed, Inc.$289
- AstraZeneca$260
- Pfizer$240
- United Therapeutics Corporation$233
- plus $2K from 28 others
What the payments were for
- Food & beverage$4,63898%
- Education$1112%
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 |
|---|---|---|
| GSK | 132 | $1,636 |
| Boehringer Ingelheim | 20 | $477 |
| Insmed, Inc. | 15 | $289 |
| AstraZeneca | 16 | $260 |
| Pfizer | 9 | $240 |
| United Therapeutics Corporation | 9 | $233 |
| Mylan Specialty L.p. | 10 | $210 |
| Grifols USA, LLC | 5 | $193 |
| Astellas Pharma US Inc | 3 | $136 |
| Electromed, Inc. | 8 | $131 |
| Philips North America LLC | 7 | $107 |
| Regeneron Healthcare Solutions, Inc. | 3 | $88 |
| Paratek Pharmaceuticals, Inc. | 5 | $80 |
| Sunovion Pharmaceuticals Inc. | 7 | $74 |
| Inogen, Inc. | 2 | $62 |
| Takeda Pharmaceuticals U.S.A., Inc. | 3 | $57 |
| ANI Pharmaceuticals, Inc. | 2 | $51 |
| Verona Pharma, Inc. | 2 | $47 |
| Pulmonx Corporation | 2 | $43 |
| AbbVie | 3 | $39 |
| Melinta Therapeutics, LLC | 2 | $38 |
| Mallinckrodt Hospital Products Inc. | 1 | $30 |
| Viatris Specialty LLC | 1 | $26 |
| Olympus America Inc. | 1 | $23 |
| Genentech USA, Inc. | 1 | $23 |
| Tactile Systems Technology Inc | 1 | $21 |
| Sanofi | 1 | $20 |
| Covis Pharma GmbH | 1 | $20 |
| Amgen | 1 | $19 |
| Hospira, Inc. | 1 | $18 |
| Bolton Medical Inc | 1 | $17 |
| Circassia Inc. | 1 | $16 |
| Merck | 1 | $13 |
| Novartis | 1 | $11 |
How this compares
$4,749 in reported general payments places this provider in the 55th percentile of 904 pulmonary disease 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 |
|---|---|---|
| OfevNintedanib Esylate | 67 | $869,003 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 248 | $284,330 |
| Spiriva RespimatTiotropium Bromide | 159 | $141,319 |
| Stiolto RespimatTiotropium Br/Olodaterol Hcl | 134 | $116,754 |
| Anoro ElliptaUmeclidinium Brm/Vilanterol Tr | 131 | $115,524 |
| Breo ElliptaFluticasone/Vilanterol | 129 | $105,772 |
| Breztri AerosphereBudesonide/Glycopyr/Formoterol | 121 | $100,199 |
| Dupixent PenDupilumab | 12 | $67,115 |
| Spiriva HandihalerTiotropium Bromide | 35 | $37,993 |
| Arnuity ElliptaFluticasone Furoate | 81 | $36,313 |
| Fluticasone-SalmeterolFluticasone Propion/Salmeterol | 96 | $27,827 |
| Incruse ElliptaUmeclidinium Bromide | 44 | $22,732 |
| EliquisApixaban | 20 | $21,414 |
| Advair HfaFluticasone Propion/Salmeterol | 32 | $20,194 |
| Bevespi AerosphereGlycopyrrolate/Formoterol Fum | 28 | $18,988 |
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 |
|---|---|---|
| Boehringer IngelheimOfev, Spiriva Respimat, Stiolto Respimat, Combivent Respimat | $477 | $1,140,434373 claims |
| GSKTrelegy Ellipta, Anoro Ellipta, Breo Ellipta, Arnuity Ellipta, Incruse Ellipta | $1,636 | $564,671633 claims |
| AstraZenecaBreztri Aerosphere, Bevespi Aerosphere, Symbicort | $260 | $131,527187 claims |
| PfizerEliquis | $240 | $21,41420 claims |
| MerckDulera | $13 | $8,90811 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 55th percentile of 904 pulmonary disease providers in Texas.
Other pulmonary disease in Georgetown
- Charles AndrewsSan Antonio$17M
- Ivan RosasHouston$13.8M
- Shahrukh KureishyMcKinney$12.4M
- Raksha JainDallas$3.4M
- Kelly ChinDallas$2.7M
- Julie PhilleyTyler$2.4M
- Nicola HananiaHouston$2.2M
- Sandeep SahayHouston$2.1M
- Antonio AnzuetoSan Antonio$1.8M
- Diego Maselli CaceresSan Antonio$1.8M
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.