James Vosberg, MD
Internal Medicine · San Antonio, TXNPI 1235132747
Payments from drug & device makers
Across 229 payments — averaging $18.17 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Amgen$977
- Novo Nordisk$549
- AbbVie$437
- Salix Pharmaceuticals, A Division Of Bausch Health US, LLC$313
- Lilly USA, LLC$290
- Viiv Healthcare Company$260
- plus $1K from 30 others
What the payments were for
- Food & beverage$4,162100%
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 |
|---|---|---|
| Amgen | 58 | $977 |
| Novo Nordisk | 32 | $549 |
| AbbVie(2 entities) | 23 | $437 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 22 | $313 |
| Lilly USA, LLC | 14 | $290 |
| Viiv Healthcare Company | 11 | $260 |
| AstraZeneca | 7 | $146 |
| Takeda Pharmaceuticals U.S.A., Inc. | 4 | $83 |
| Exact Sciences | 5 | $83 |
| Merck | 4 | $73 |
| Eisai Inc. | 4 | $69 |
| Shire North American Group Inc | 4 | $66 |
| Dexcom, Inc. | 3 | $60 |
| Biohaven Pharmaceutical Holding Company Ltd. | 3 | $60 |
| Radius Health, Inc. | 3 | $56 |
| Sanofi-aventis U.S. LLC | 3 | $53 |
| Idorsia Pharmaceuticals US Inc | 3 | $51 |
| Pfizer | 3 | $49 |
| Nevro Corp. | 1 | $45 |
| Gilead | 2 | $43 |
| Tactile Systems Technology Inc | 1 | $38 |
| Otsuka America Pharmaceutical, Inc. | 2 | $37 |
| Vertex | 1 | $35 |
| Amarin Pharma, Inc. | 2 | $34 |
| Johnson & Johnson | 2 | $32 |
| Arbor Pharmaceuticals, Inc. | 2 | $29 |
| Alk-abello, Inc | 1 | $28 |
| Boehringer Ingelheim | 1 | $25 |
| Lundbeck LLC | 1 | $20 |
| Teva Pharmaceuticals USA, Inc. | 1 | $19 |
| Genentech USA, Inc. | 1 | $19 |
| Bayer | 1 | $18 |
| GSK | 1 | $18 |
| Astellas Pharma US Inc | 1 | $17 |
| Medtronic | 1 | $17 |
| Esperion Therapeutics, Inc. | 1 | $13 |
How this compares
$4,162 in reported general payments places this provider in the 85th percentile of 7,675 internal 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 |
|---|---|---|
| JardianceEmpagliflozin | 72 | $68,048 |
| OzempicSemaglutide | 51 | $58,962 |
| JanuviaSitagliptin Phosphate | 47 | $58,735 |
| Dupixent PenDupilumab | 11 | $49,563 |
| XareltoRivaroxaban | 34 | $44,440 |
| ProliaDenosumab | 16 | $27,628 |
| EliquisApixaban | 21 | $27,609 |
| Repatha SureclickEvolocumab | 24 | $22,314 |
| TrulicityDulaglutide | 17 | $20,783 |
| MyrbetriqMirabegron | 23 | $19,444 |
| MounjaroTirzepatide | 18 | $18,368 |
| JanumetSitagliptin Phos/Metformin Hcl | 11 | $17,225 |
| Tresiba Flextouch U-100Insulin Degludec | 15 | $11,652 |
| Praluent PenAlirocumab | 22 | $10,588 |
| SymbicortBudesonide/Formoterol Fumarate | 15 | $6,665 |
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 |
|---|---|---|
| MerckJanuvia, Janumet, Belsomra | $73 | $80,77170 claims |
| Boehringer IngelheimJardiance, Tradjenta | $25 | $74,17584 claims |
| Novo NordiskOzempic | $549 | $58,96251 claims |
| Johnson & JohnsonXarelto | $32 | $44,44034 claims |
| Lilly USA, LLCTrulicity, Mounjaro | $290 | $39,15135 claims |
| AmgenProlia | $977 | $27,62816 claims |
| PfizerEliquis | $49 | $27,60921 claims |
| Astellas Pharma US IncMyrbetriq | $17 | $19,44423 claims |
| AstraZenecaSymbicort | $146 | $6,66515 claims |
| AbbVieSynthroid | $437 | $4,37447 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 85th percentile of 7,675 internal medicine providers in Texas.
Other internal medicine in San Antonio
- Robert BassSan Antonio$25.6M
- Hernan SalazarSan Antonio$18.5M
- Dennis RuffSan Antonio$7.5M
- Cassandra KeySan Antonio$5.6M
- Jan BurgerHouston$47.3M
- Nitin JainHouston$33.2M
- Muhammad IrfanTomball$30.6M
- Aung NaingHouston$30.6M
- Preetesh JainHouston$19.5M
- Paolo StratiHouston$19.2M
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.