Hisham Bismar, MD
Critical Care Medicine · Fort Worth, TXNPI 1154371078
Payments from drug & device makers
Across 355 payments — averaging $17.12 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$2K
- GSK$1K
- Sanofi$678
- Mallinckrodt Hospital Products Inc.$612
- Jazz Pharmaceuticals Inc.$244
- Insmed, Inc.$233
- plus $2K from 23 others
What the payments were for
- Consulting fees$3506%
- Food & beverage$5,71494%
- Education$130%
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 |
|---|---|---|
| AstraZeneca | 61 | $1,525 |
| GSK | 138 | $1,251 |
| Sanofi | 32 | $678 |
| Mallinckrodt Hospital Products Inc. | 26 | $612 |
| Jazz Pharmaceuticals Inc. | 6 | $244 |
| Insmed, Inc. | 17 | $233 |
| Regeneron Healthcare Solutions, Inc. | 14 | $222 |
| Bayer | 1 | $200 |
| Takeda Pharmaceuticals U.S.A., Inc. | 7 | $161 |
| Boehringer Ingelheim | 8 | $129 |
| Grifols USA, LLC | 6 | $106 |
| Mylan Specialty L.p. | 6 | $83 |
| Boston Scientific | 4 | $83 |
| Intuitive Surgical | 1 | $75 |
| AbbVie | 3 | $55 |
| Electromed, Inc. | 3 | $50 |
| Sanofi-aventis U.S. LLC | 3 | $46 |
| Inspire Medical Systems, Inc. | 2 | $46 |
| Genentech USA, Inc. | 3 | $41 |
| Shire North American Group Inc | 2 | $39 |
| Mallinckrodt Enterprises LLC | 2 | $38 |
| Novartis | 2 | $35 |
| Tactile Systems Technology Inc | 1 | $25 |
| Merck | 2 | $25 |
| Paratek Pharmaceuticals, Inc. | 1 | $22 |
| Vapotherm Inc | 1 | $16 |
| Pfizer | 1 | $16 |
| Optinose US, Inc. | 1 | $14 |
| 3b Medical, Inc. | 1 | $9 |
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
$6,077 in reported general payments places this provider in the 80th percentile of 507 critical care medicine 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 |
|---|---|---|
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 723 | $839,556 |
| Breztri AerosphereBudesonide/Glycopyr/Formoterol | 383 | $444,122 |
| XolairOmalizumab | 52 | $232,827 |
| LumryzSodium Oxybate | 13 | $177,093 |
| Breo ElliptaFluticasone/Vilanterol | 99 | $69,345 |
| Spiriva RespimatTiotropium Bromide | 81 | $56,653 |
| Dupixent SyringeDupilumab | 13 | $48,152 |
| SymbicortBudesonide/Formoterol Fumarate | 106 | $40,084 |
| Advair HfaFluticasone Propion/Salmeterol | 30 | $26,321 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 660 | $23,681 |
| Fluticasone-SalmeterolFluticasone Propion/Salmeterol | 109 | $18,458 |
| Arnuity ElliptaFluticasone Furoate | 27 | $10,312 |
| Incruse ElliptaUmeclidinium Bromide | 18 | $9,461 |
| Budesonide-Formoterol FumarateBudesonide/Formoterol Fumarate | 25 | $9,205 |
| Wixela InhubFluticasone Propion/Salmeterol | 42 | $8,320 |
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 |
|---|---|---|
| GSKTrelegy Ellipta, Breo Ellipta, Arnuity Ellipta, Incruse Ellipta | $1,251 | $928,674867 claims |
| AstraZenecaBreztri Aerosphere, Symbicort | $1,525 | $484,205489 claims |
| Boehringer IngelheimSpiriva Respimat | $129 | $56,65381 claims |
| MerckDulera | $25 | $8,21814 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 507 critical care medicine providers in Texas.
Other critical care medicine in Fort Worth
- Steven DavisFort Worth$73K
- Sai Karan Vamsi GudaFort Worth$46K
- Cynthia ZamoraSan Antonio$6.4M
- Rishi RajLubbock$1.9M
- Carlo HatemEl Paso$1.6M
- Deepa GoturHouston$1.1M
- Matt KhoshnevisHouston$759K
- Sean GilbeyAustin$723K
- Rodeo AbrencilloHouston$616K
- Jeffrey DellavolpeFort Sam Houston$466K
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.