RxDoctor Payments Data

Grace Makhlouf, MD

Rheumatology · Sugar Land, TXNPI 1124073655

Payments from drug & device makers

$473in general payments, 2019–2025

Across 25 payments — averaging $18.92 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Pfizer$90
  • Amgen$85
  • AbbVie$82
  • E.r. Squibb & Sons, L.L.C.$68
  • Novartis$68
  • Boehringer Ingelheim$38
  • plus $42 from 2 others

What the payments were for

  • Food & beverage$473100%

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

19
20
21
23
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
Pfizer6$90
Amgen(2 entities)4$85
AbbVie4$82
E.r. Squibb & Sons, L.L.C.4$68
Novartis3$68
Boehringer Ingelheim2$38
Sandoz1$24
GSK1$18

How this compares

$473 in reported general payments places this provider in the 15th percentile of 512 rheumatology providers in Texas.

See all rheumatology providers in Texas

Medicare billing

Part B allowed, 2024
$3,452,400
Medicare patients
309
Services billed
176,573

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
EnbrelEtanercept110$892,762
Humira(Cf)Adalimumab36$616,681
Enbrel SureclickEtanercept44$339,167
Humira(Cf) PenAdalimumab19$236,280
SimponiGolimumab25$184,418
OtezlaApremilast29$179,751
Cosentyx Unoready PenSecukinumab21$170,622
Cosentyx Sensoready PenSecukinumab12$164,116
Orencia ClickjectAbatacept24$154,893
Cimzia (2 Pack)Certolizumab Pegol19$125,929
XeljanzTofacitinib Citrate19$117,281
OrenciaAbatacept15$94,952
Hydroxychloroquine Sulfate1,042$50,924
Sulfasalazine DrSulfasalazine453$32,260
Leflunomide553$18,861

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
AmgenEnbrel, Otezla$85$1,072,513139 claims
AbbVieHumira(Cf)$82$616,68136 claims
PfizerXeljanz$90$117,28119 claims
E.r. Squibb & Sons, L.L.C.Orencia$68$94,95215 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 15th percentile of 512 rheumatology providers in Texas.

Other rheumatology in Sugar Land

See the full list for Texas

Where these figures come from

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