Juan Toledo Atucha
Neurology · Houston, TXNPI 1083076228
Payments from drug & device makers
Across 190 payments — averaging $2721.40 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Eli Lilly$478K
- Eisai Inc.$24K
- GE HealthCare$10K
- Medtronic$1K
- Lundbeck LLC$1K
- Lilly USA, LLC$571
- plus $2K from 26 others
Across 1 payment — averaging $153.00 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Eli Lilly$153
What the payments were for
- Consulting fees$1,8005%
- Speaking & faculty fees$29,09574%
- Travel & lodging$3,72910%
- Food & beverage$4,46411%
- Education$90%
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 |
|---|---|---|
| Eli Lilly | 9 | $478,036 |
| Eisai Inc. | 56 | $23,563 |
| GE HealthCare | 5 | $10,451 |
| Medtronic | 15 | $1,100 |
| Lundbeck LLC | 1 | $1,080 |
| Lilly USA, LLC | 21 | $571 |
| Otsuka America Pharmaceutical, Inc. | 23 | $507 |
| Acadia Pharmaceuticals Inc | 11 | $298 |
| AstraZeneca | 6 | $244 |
| AbbVie(2 entities) | 4 | $181 |
| Amgen | 5 | $123 |
| CSL Behring | 5 | $121 |
| MDD US Operations, LLC | 1 | $99 |
| Amneal Pharmaceuticals LLC | 1 | $95 |
| Genentech USA, Inc. | 1 | $92 |
| Takeda Pharmaceuticals U.S.A., Inc. | 3 | $60 |
| C2n Diagnostics, LLC | 2 | $53 |
| Sanofi | 3 | $49 |
| UCB, Inc. | 2 | $47 |
| Amylyx Pharmaceuticals, Inc. | 2 | $40 |
| Neurocrine Biosciences, Inc. | 2 | $36 |
| Biogen | 2 | $30 |
| Otsuka Pharmaceutical Development & Commercialization, Inc. | 1 | $29 |
| Axsome Therapeutics, Inc. | 1 | $26 |
| Akcea Therapeutics, Inc. | 1 | $21 |
| Life Molecular Imaging Ltd | 1 | $19 |
| Pfizer | 1 | $19 |
| Argenx US, Inc. | 1 | $17 |
| Grifols USA, LLC | 1 | $16 |
| Novartis | 1 | $15 |
| Merz North America, Inc. | 1 | $14 |
| Catalyst Pharmaceuticals, Inc. | 1 | $13 |
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
$517,066 in reported general payments places this provider in the 90th percentile of 1,246 neurology 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 |
|---|---|---|
| RexultiBrexpiprazole | 33 | $54,697 |
| Memantine Hcl | 149 | $5,477 |
| Rivastigmine | 14 | $2,861 |
| Donepezil Hcl | 179 | $2,290 |
| Quetiapine Fumarate | 67 | $1,038 |
| Escitalopram Oxalate | 57 | $702 |
| Carbidopa-LevodopaCarbidopa/Levodopa | 24 | $534 |
| Trazodone Hcl | 59 | $464 |
| Sertraline Hcl | 26 | $122 |
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 |
|---|---|---|
| Otsuka America Pharmaceutical, Inc.Rexulti | $507 | $54,69733 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 1,246 neurology providers in Texas.
Other neurology in Houston
- Jamshid LotfiHouston$6M
- Nazanin MajdHouston$5.9M
- Aziz ShaibaniHouston$5.5M
- John LindseyHouston$3.9M
- Joseph KassHouston$3.7M
- William OndoHouston$3.1M
- Vinay PuduvalliHouston$2.5M
- Erin Furr-StimmingHouston$2.1M
- Arjun TarakadHouston$2M
- Mazen DimachkieHouston$1.6M
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.