RxDoctor Payments Data

John Kothmann, MD

Family Medicine · Fredericksburg, TXNPI 1780624502

Payments from drug & device makers

$864in general payments, 2019–2025

Across 64 payments — averaging $13.50 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Amgen$304
  • AbbVie$244
  • Johnson & Johnson$198
  • Sunovion Pharmaceuticals Inc.$48
  • Astellas Pharma US Inc$26
  • Nestle Healthcare Nutrition Inc.$16
  • plus $28 from 3 others

What the payments were for

  • Food & beverage$83396%
  • Education$314%

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

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.

How this compares

$864 in reported general payments places this provider in the 60th percentile of 8,760 family medicine providers in Texas.

See all family medicine providers in Texas

Medicare billing

Part B allowed, 2024
$310,785
Medicare patients
548
Services billed
6,976

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
XareltoRivaroxaban115$105,386
EliquisApixaban146$84,561
OzempicSemaglutide62$73,881
TrulicityDulaglutide52$62,693
JardianceEmpagliflozin42$55,607
FarxigaDapagliflozin Propanediol47$43,162
MyrbetriqMirabegron88$32,617
MounjaroTirzepatide30$31,551
Trelegy ElliptaFluticasone/Umeclidin/Vilanter37$30,636
JanuviaSitagliptin Phosphate45$26,347
CreonLipase/Protease/Amylase11$19,319
GemtesaVibegron36$17,377
Toujeo Max SolostarInsulin Glargine,hum.Rec.Anlog18$14,441
Breo ElliptaFluticasone/Vilanterol25$13,034
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen369$12,131

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
Johnson & JohnsonXarelto$198$105,386115 claims
Astellas Pharma US IncMyrbetriq$26$32,61788 claims
AbbVieCreon, Linzess$244$27,16622 claims
Sumitomo Pharma America, Inc.Gemtesa$1$17,37736 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 60th percentile of 8,760 family medicine providers in Texas.

Other family medicine in Fredericksburg

See the full list for Texas

Where these figures come from

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