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Firas Akhrass, MD

Endocrinology, Diabetes & Metabolism · San Antonio, TXNPI 1487636205

Payments from drug & device makers

$900,101in general payments, 2019–2025

Across 3,090 payments — averaging $291.29 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Lilly USA, LLC$256K
  • Corcept Therapeutics$121K
  • Novo Nordisk$119K
  • Sanofi US Services Inc.$99K
  • Madrigal Pharmaceuticals$59K
  • Xeris Pharmaceuticals, Inc.$44K
  • plus $203K from 54 others

What the payments were for

  • Consulting fees$45,1986%
  • Speaking & faculty fees$648,87781%
  • Travel & lodging$46,5216%
  • Food & beverage$60,7348%
  • Education$1640%

General payments by program year

19
20
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
Lilly USA, LLC538$255,543
Corcept Therapeutics207$120,742
Novo Nordisk303$118,865
Sanofi US Services Inc.14$98,606
Madrigal Pharmaceuticals86$58,856
Xeris Pharmaceuticals, Inc.116$44,235
Mannkind Corporation266$43,479
AstraZeneca(2 entities)148$34,576
Amgen(2 entities)105$25,988
Boehringer Ingelheim101$19,088
Johnson & Johnson27$14,262
Amarin Pharma, Inc.42$12,570
Cequr Corporation7$11,382
Tandem Diabetes Care, Inc.51$8,154
Esperion Therapeutics, Inc.26$6,628
Dexcom, Inc.88$4,784
Bayer28$3,914
Merck47$2,395
Medtronic(2 entities)98$1,938
Abbott74$1,499
Sanofi-aventis U.S. LLC73$1,430
Novartis99$1,400
Radius Health, Inc.99$1,389
Ascensia Diabetes Care US Inc.40$1,340
AbbVie(2 entities)125$1,307
Sequel Med Tech, LLC48$1,060
BETA Bionics, Inc.8$750
Salix Pharmaceuticals, A Division Of Bausch Health US, LLC35$538
Antares Pharma, Inc.63$517
Kyowa Kirin, Inc.16$361
Valeritas, Inc.10$300
Insulet Corporation8$284
OPKO Pharmaceuticals, LLC7$195
Companion Medical, Inc.6$171
Recordati_rare_diseases_inc.8$151
Regeneron Healthcare Solutions, Inc.5$134
Ultragenyx Pharmaceutical Inc.6$114
Zealand Pharma US, Inc.5$111
BD4$83
Soleno Therapeutics, Inc.3$79
Tolmar, Inc.4$66
Pfizer4$61
Acerus Pharmaceuticals Corporation3$57
Vivus LLC6$56
Organogenesis Inc.1$55
Amphastar Pharmaceuticals, Inc.3$55
Neurocrine Biosciences, Inc.2$48
Nalpropion Pharmaceuticals LLC3$48
Bigfoot Biomedical Inc2$42
IBSA Pharma Inc.2$38
Lifescan, Inc.2$37
Averitas Pharma Inc.2$34
Rhythm Pharmaceuticals, Inc.1$32
Kvk-tech, Inc.1$27
Almatica Pharma LLC1$24
Roche Diabetes Care, Inc.2$24
Chiesi USA, Inc.1$22
GSK1$21
GRT US Holding, Inc.2$20
Ascendis Pharma Endocrinology Inc1$20

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

$900,101 in reported general payments places this provider in the 90th percentile of 658 endocrinology, diabetes & metabolism providers in Texas.

See all endocrinology, diabetes & metabolism providers in Texas

Medicare billing

Part B allowed, 2024
$2,114,458
Medicare patients
1,243
Services billed
43,087

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
KorlymMifepristone131$5,571,752
AfrezzaInsulin Regular, Human555$1,366,756
OzempicSemaglutide931$1,363,020
MounjaroTirzepatide882$1,062,697
Mifepristone17$667,480
FarxigaDapagliflozin Propanediol403$475,723
RecorlevLevoketoconazole21$470,564
JardianceEmpagliflozin319$442,312
TrulicityDulaglutide298$409,819
SomavertPegvisomant11$204,880
ProliaDenosumab116$194,714
TymlosAbaloparatide43$141,443
Humalog Kwikpen U-200Insulin Lispro47$135,232
Tresiba Flextouch U-100Insulin Degludec127$106,841
Omnipod 5 Dexg7g6 Pods (Gen 5)Insulin Pump Cart,auto,bt,g6/788$103,927

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
Corcept TherapeuticsKorlym$120,742$5,571,752131 claims
Novo NordiskOzempic, Rybelsus, Fiasp, Novolog$118,865$1,540,8021,068 claims
Lilly USA, LLCMounjaro, Trulicity, Lyumjev, Humalog$255,543$1,511,6931,250 claims
Mannkind CorporationAfrezza$43,479$1,366,756555 claims
Boehringer IngelheimJardiance, Tradjenta, Synjardy Xr$19,088$530,368387 claims
AstraZenecaFarxiga$34,576$475,723403 claims
Xeris Pharmaceuticals, Inc.Recorlev$44,235$470,56421 claims
PfizerSomavert, Genotropin$61$225,16726 claims
AmgenProlia$25,988$194,714116 claims
Radius Health, Inc.Tymlos$1,389$141,44343 claims
Cequr CorporationCequr Simplicity$11,382$82,730132 claims
AbbVieSynthroid$1,307$31,357297 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 658 endocrinology, diabetes & metabolism providers in Texas.

Other endocrinology, diabetes & metabolism in San Antonio

See the full list for Texas

Where these figures come from

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