Esther Melamed, MD
Neurology · Austin, TXNPI 1144563669
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (42.2%), speaking fees and travel and lodging — rather than concentrated in one kind of arrangement. 9 manufacturers reported payments, led by Amgen at 46.5% of the total. Reporting peaked in 2023 at $7,358 and has fallen 98.4% since, to $114 in 2025.
Across 33 payments — averaging $642.47 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Amgen$10K
- Genentech USA, Inc.$5K
- Teva Pharmaceuticals USA, Inc.$3K
- Genentech, Inc.$2K
- CSL Behring$970
- Novartis$216
- plus $248 from 3 others
Across 48 payments — averaging $11,904 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- CSL Behring$571K
What the payments were for
- Consulting fees$8,95842%
- Speaking & faculty fees$8,55040%
- Travel & lodging$2,64112%
- Food & beverage$1,0535%
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 |
|---|---|---|
| Amgen | 8 | $9,858 |
| Genentech USA, Inc. | 8 | $4,752 |
| Teva Pharmaceuticals USA, Inc. | 1 | $2,888 |
| Genentech, Inc. | 2 | $2,270 |
| CSL Behring | 5 | $970 |
| Novartis | 5 | $216 |
| Biogen | 2 | $137 |
| Bristol Myers Squibb | 1 | $93 |
| EMD Serono, Inc. | 1 | $18 |
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.
- UPLIZNA$9,738
- Non-Covered Product$4,633
- COPAXONE$2,888
- OCREVUS$2,270
How this compares
$21,202 in reported general payments places this provider in the 80th percentile of 1,246 neurology 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 |
|---|---|---|
| Avonex (4 Pack)Interferon Beta-1a | 13 | $105,307 |
| Dalfampridine ErDalfampridine | 11 | $12,507 |
| Gabapentin | 26 | $510 |
| Modafinil | 14 | $483 |
| Lamotrigine | 19 | $312 |
| Pregabalin | 14 | $270 |
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 |
|---|---|---|
| BiogenAvonex (4 Pack) | $137 | $105,30713 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 80th percentile of 1,246 neurology providers in Texas.
Other neurology in Austin
- Elliot FrohmanAustin$381K
- Krishna PokalaAustin$143K
- Subhashie SarathkumaraAustin$129K
- David MorledgeAustin$128K
- Stephanie VertreesAustin$119K
- Ann BassSan Antonio$1.7M
- William OndoHouston$1.4M
- Nirav PavasiaDallas$1.4M
- Mirla AvilaLubbock$1.3M
- Michael SoileauGeorgetown$1.2M
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.