RxDoctor Payments Data

Jennifer Symmank, MD

Family Medicine · Palestine, TXNPI 1396867511

Payments from drug & device makers

$11,959in general payments, 2019–2025

Across 795 payments — averaging $15.04 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Biohaven Pharmaceutical Holding Company Ltd.$2K
  • Amgen$2K
  • AbbVie$1K
  • Novo Nordisk$977
  • Merck$743
  • Novartis$657
  • plus $5K from 43 others

What the payments were for

  • Consulting fees$1,20010%
  • Travel & lodging$4173%
  • Food & beverage$10,23786%
  • Education$1051%

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

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

$11,959 in reported general payments places this provider in the 90th percentile of 8,760 family medicine providers in Texas.

See all family medicine providers in Texas

Medicare billing

Part B allowed, 2024
$350,843
Medicare patients
418
Services billed
10,311

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
MounjaroTirzepatide139$146,323
JardianceEmpagliflozin107$119,031
OzempicSemaglutide70$87,950
EliquisApixaban45$52,701
TrulicityDulaglutide41$45,540
FarxigaDapagliflozin Propanediol37$43,519
XareltoRivaroxaban46$42,359
JanuviaSitagliptin Phosphate27$40,109
Trelegy ElliptaFluticasone/Umeclidin/Vilanter37$33,096
Tresiba Flextouch U-100Insulin Degludec19$19,373
Breo ElliptaFluticasone/Vilanterol25$15,418
Toujeo SolostarInsulin Glargine,hum.Rec.Anlog11$14,193
KerendiaFinerenone19$12,857
LinzessLinaclotide18$11,057
Soliqua 100-33Insulin Glargine/Lixisenatide12$10,487

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
Lilly USA, LLCMounjaro, Trulicity$198$191,863180 claims
Boehringer IngelheimJardiance$37$119,031107 claims
Novo NordiskOzempic$977$87,95070 claims
PfizerEliquis, Premarin$611$61,12061 claims
GSKTrelegy Ellipta, Breo Ellipta$548$48,51562 claims
AstraZenecaFarxiga$435$43,51937 claims
Johnson & JohnsonXarelto$355$42,35946 claims
MerckJanuvia$743$40,10927 claims
BayerKerendia$276$12,85719 claims
AbbVieLinzess, Synthroid$1,322$12,83471 claims
Sanofi-aventis U.S. LLCSoliqua 100-33$31$10,48712 claims
Sumitomo Pharma America, Inc.Gemtesa$85$8,58914 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 8,760 family medicine providers in Texas.

Other family medicine in Palestine

See the full list for Texas

Where these figures come from

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