Firas Akhrass, MD
Endocrinology, Diabetes & Metabolism · San Antonio, TXNPI 1487636205
Payments from drug & device makers
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
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.
- MOUNJARO$150,640
- Korlym$118,318
- Ozempic$71,860
- REZDIFFRA$56,644
- JARDIANCE$54,853
- TRULICITY$54,488
- RECORLEV$42,716
- AFREZZA$39,920
- FARXIGA$32,609
- Repatha$24,687
- RYBELSUS$22,716
- INVOKANA$14,111
- Vascepa$11,913
- CeQur Simplicity$11,382
- Tresiba$10,879
- NEXLIZET$6,316
- NEXLETOL$6,316
- Victoza$4,000
- t:slim X2 insulin pump$3,875
- Kerendia$3,554
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
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 |
|---|---|---|
| KorlymMifepristone | 131 | $5,571,752 |
| AfrezzaInsulin Regular, Human | 555 | $1,366,756 |
| OzempicSemaglutide | 931 | $1,363,020 |
| MounjaroTirzepatide | 882 | $1,062,697 |
| Mifepristone | 17 | $667,480 |
| FarxigaDapagliflozin Propanediol | 403 | $475,723 |
| RecorlevLevoketoconazole | 21 | $470,564 |
| JardianceEmpagliflozin | 319 | $442,312 |
| TrulicityDulaglutide | 298 | $409,819 |
| SomavertPegvisomant | 11 | $204,880 |
| ProliaDenosumab | 116 | $194,714 |
| TymlosAbaloparatide | 43 | $141,443 |
| Humalog Kwikpen U-200Insulin Lispro | 47 | $135,232 |
| Tresiba Flextouch U-100Insulin Degludec | 127 | $106,841 |
| Omnipod 5 Dexg7g6 Pods (Gen 5)Insulin Pump Cart,auto,bt,g6/7 | 88 | $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.
| Company | Paid to this provider | Part 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
- Mark KipnesSan Antonio$10.3M
- Ralph DefronzoSan Antonio$4.8M
- Eugenio CersosimoSan Antonio$4M
- Devjit TripathySan Antonio$1.5M
- Carolina Solis-HerreraSan Antonio$1.3M
- Julio RosenstockDallas$24.9M
- Michelle WelchShavano Park$17.3M
- Maria CabanillasHouston$16.4M
- Sumana GangiMesquite$13.2M
- Damaris VegaHouston$12.3M
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.