John Klein, MD
Family Medicine · Palestine, TXNPI 1528071172
Payments from drug & device makers
Across 337 payments — averaging $15.66 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$780
- Novo Nordisk$574
- GSK$488
- Lilly USA, LLC$463
- Amarin Pharma, Inc.$321
- Merck$301
- plus $2K from 31 others
What the payments were for
- Food & beverage$5,270100%
- Education$60%
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 | 42 | $780 |
| Novo Nordisk | 39 | $574 |
| GSK | 33 | $488 |
| Lilly USA, LLC | 35 | $463 |
| Amarin Pharma, Inc. | 17 | $321 |
| Merck | 24 | $301 |
| Pfizer | 16 | $293 |
| Boehringer Ingelheim | 17 | $288 |
| Amgen | 15 | $234 |
| Johnson & Johnson | 16 | $211 |
| AbbVie(2 entities) | 9 | $131 |
| Mylan Specialty L.p. | 7 | $111 |
| Novartis | 7 | $110 |
| Exact Sciences | 6 | $108 |
| Astellas Pharma US Inc | 7 | $108 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 7 | $103 |
| Bayer | 5 | $99 |
| Supernus Pharmaceuticals, Inc. | 6 | $77 |
| Genentech USA, Inc. | 4 | $62 |
| Nestle Healthcare Nutrition Inc. | 3 | $57 |
| Aimmune Therapeutics, Inc. | 3 | $48 |
| Abbott | 2 | $30 |
| Sanofi-aventis U.S. LLC | 2 | $29 |
| Biohaven Pharmaceuticals, Inc. | 2 | $27 |
| Bioventus LLC | 1 | $25 |
| Sumitomo Pharma America, Inc. | 1 | $23 |
| Optinose US, Inc. | 1 | $23 |
| Alnylam Pharmaceuticals Inc. | 1 | $20 |
| Almatica Pharma LLC | 1 | $18 |
| Inspire Medical Systems, Inc. | 1 | $17 |
| Acadia Pharmaceuticals Inc | 1 | $17 |
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $17 |
| Philips North America LLC | 1 | $15 |
| Angiodynamics, Inc. | 1 | $14 |
| Jazz Pharmaceuticals Inc. | 1 | $13 |
| Xeris Pharmaceuticals, Inc. | 1 | $13 |
| Kowa Pharmaceuticals America, Inc. | 1 | $12 |
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
$5,276 in reported general payments places this provider in the 85th percentile of 8,760 family 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 |
|---|---|---|
| OzempicSemaglutide | 77 | $98,005 |
| MounjaroTirzepatide | 31 | $31,936 |
| EliquisApixaban | 37 | $26,769 |
| FarxigaDapagliflozin Propanediol | 22 | $21,920 |
| JanuviaSitagliptin Phosphate | 16 | $18,582 |
| JardianceEmpagliflozin | 22 | $18,193 |
| Humulin 70-30Insulin Nph Hum/Reg Insulin Hm | 12 | $2,725 |
| Levothyroxine Sodium | 213 | $2,250 |
| BreynaBudesonide/Formoterol Fumarate | 13 | $2,113 |
| Rosuvastatin Calcium | 151 | $1,855 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 60 | $1,850 |
| Montelukast Sodium | 131 | $1,722 |
| Pantoprazole Sodium | 110 | $1,398 |
| Omeprazole | 81 | $1,369 |
| Losartan Potassium | 115 | $1,325 |
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 |
|---|---|---|
| Novo NordiskOzempic | $574 | $98,00577 claims |
| Lilly USA, LLCMounjaro, Humulin 70-30 | $463 | $34,66143 claims |
| PfizerEliquis | $293 | $26,76937 claims |
| AstraZenecaFarxiga | $780 | $21,92022 claims |
| MerckJanuvia | $301 | $18,58216 claims |
| Boehringer IngelheimJardiance | $288 | $18,19322 claims |
| Almatica Pharma LLCSertraline Hcl | $18 | $51749 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 8,760 family medicine providers in Texas.
Other family medicine in Palestine
- Douglas DenhamSan Antonio$68.5M
- Vicki MillerPasadena$58.3M
- Hareshkumar BogharaDesoto$30.3M
- Earl MartinTomball$30.1M
- Lisa HollowayHouston$30.1M
- William SegerFort Worth$27.5M
- Veronica FragosoHouston$24.5M
- Joel SolisMcAllen$21.1M
- George AtieeSan Antonio$19.9M
- Bonnie ColvilleHouston$19.6M
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.