RxDoctor Payments Data

Jairo Melo, MD

Pulmonary Disease · San Antonio, TXNPI 1912904079

Payments from drug & device makers

$22,350in general payments, 2019–2025

Across 565 payments — averaging $39.56 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Actelion Pharmaceuticals US, Inc.$9K
  • GSK$2K
  • AstraZeneca$1K
  • Medtronic$1K
  • Johnson & Johnson$952
  • Abbott$656
  • plus $8K from 43 others

What the payments were for

  • Speaking & faculty fees$4,50020%
  • Food & beverage$17,64879%
  • Education$2021%

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
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.

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

$22,350 in reported general payments places this provider in the 80th percentile of 904 pulmonary disease providers in Texas.

See all pulmonary disease providers in Texas

Medicare billing

Part B allowed, 2024
$228,826
Medicare patients
634
Services billed
1,825

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
OpsumitMacitentan228$2,854,610
UptraviSelexipag84$2,027,047
Tyvaso DpiTreprostinil44$1,058,154
AdempasRiociguat54$735,800
OfevNintedanib Esylate36$434,308
WinrevairSotatercept-Csrk28$400,159
Prolastin CAlpha-1-Proteinase Inhibitor13$165,392
Trelegy ElliptaFluticasone/Umeclidin/Vilanter162$142,659
Dupixent PenDupilumab11$47,262
Breo ElliptaFluticasone/Vilanterol76$44,296
Breztri AerosphereBudesonide/Glycopyr/Formoterol43$35,683
Spiriva RespimatTiotropium Bromide18$15,821
Sildenafil Citrate80$15,420
Anoro ElliptaUmeclidinium Brm/Vilanterol Tr11$11,385
SymbicortBudesonide/Formoterol Fumarate16$5,110

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
Actelion Pharmaceuticals US, Inc.Opsumit, Uptravi$8,621$4,881,657312 claims
BayerAdempas$87$735,80054 claims
Boehringer IngelheimOfev, Spiriva Respimat$616$450,12954 claims
MerckWinrevair$483$400,15928 claims
GSKTrelegy Ellipta, Breo Ellipta, Anoro Ellipta$2,415$198,340249 claims
Grifols USA, LLCProlastin C$198$165,39213 claims
AstraZenecaBreztri Aerosphere, Symbicort$1,106$40,79459 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 904 pulmonary disease providers in Texas.

Other pulmonary disease in San Antonio

See the full list for Texas

Where these figures come from

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