Judy Ann Acosta, PA
Medical · Lufkin, TXNPI 1194024703
Payments from drug & device makers
Across 444 payments — averaging $15.72 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novo Nordisk$1K
- AstraZeneca$672
- Lilly USA, LLC$499
- Amgen$408
- Bayer$398
- Xeris Pharmaceuticals, Inc.$381
- plus $3K from 35 others
What the payments were for
- Food & beverage$6,89699%
- Education$851%
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 |
|---|---|---|
| Novo Nordisk | 160 | $1,382 |
| AstraZeneca(2 entities) | 26 | $672 |
| Lilly USA, LLC | 27 | $499 |
| Amgen(2 entities) | 22 | $408 |
| Bayer | 22 | $398 |
| Xeris Pharmaceuticals, Inc. | 19 | $381 |
| Amarin Pharma, Inc. | 18 | $330 |
| Corcept Therapeutics | 16 | $319 |
| Boehringer Ingelheim | 19 | $295 |
| Sanofi-aventis U.S. LLC | 14 | $275 |
| Dexcom, Inc. | 11 | $230 |
| Pfizer | 3 | $152 |
| Abbott | 9 | $146 |
| GSK | 6 | $134 |
| Radius Health, Inc. | 5 | $99 |
| Calliditas Therapeutics US Inc. | 5 | $91 |
| AbbVie | 5 | $90 |
| Medtronic | 3 | $88 |
| Vifor Pharma, Inc. | 4 | $85 |
| Insulet Corporation | 4 | $79 |
| Travere Therapeutics, Inc. | 4 | $69 |
| Novartis | 4 | $68 |
| Nevro Corp. | 3 | $62 |
| Esperion Therapeutics, Inc. | 3 | $50 |
| Ultragenyx Pharmaceutical Inc. | 3 | $48 |
| Merck | 3 | $47 |
| Johnson & Johnson | 3 | $47 |
| ANI Pharmaceuticals, Inc. | 2 | $43 |
| Antares Pharma, Inc. | 2 | $41 |
| IBSA Pharma Inc. | 2 | $38 |
| Endo Pharmaceuticals Inc. | 2 | $38 |
| Paratek Pharmaceuticals, Inc. | 3 | $38 |
| Amryt Pharma Holdings Ltd | 2 | $37 |
| Kowa Pharmaceuticals America, Inc. | 2 | $34 |
| Tandem Diabetes Care, Inc. | 2 | $29 |
| Cormedix Inc. | 1 | $28 |
| Enterra Medical, Inc. | 1 | $27 |
| Ascendis Pharma Endocrinology Inc | 1 | $25 |
| Halozyme Inc | 1 | $21 |
| Kyowa Kirin, Inc. | 1 | $21 |
| Otsuka America Pharmaceutical, Inc. | 1 | $20 |
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.
- FARXIGA$123
How this compares
$6,982 in reported general payments places this provider in the 85th percentile of 1,490 medical 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 | 572 | $699,059 |
| MounjaroTirzepatide | 421 | $544,717 |
| JardianceEmpagliflozin | 235 | $216,461 |
| Synjardy XrEmpagliflozin/Metformin Hcl | 235 | $215,540 |
| Tresiba Flextouch U-200Insulin Degludec | 144 | $156,966 |
| TrulicityDulaglutide | 86 | $127,261 |
| FarxigaDapagliflozin Propanediol | 113 | $94,219 |
| Xigduo XrDapaglifloz Propaned/Metformin | 128 | $88,097 |
| RybelsusSemaglutide | 62 | $72,910 |
| KerendiaFinerenone | 102 | $68,230 |
| ProliaDenosumab | 20 | $33,970 |
| NexlizetBempedoic Acid/Ezetimibe | 72 | $30,424 |
| SynjardyEmpagliflozin/Metformin Hcl | 13 | $21,491 |
| Lantus SolostarInsulin Glargine,hum.Rec.Anlog | 100 | $18,592 |
| VascepaIcosapent Ethyl | 35 | $15,269 |
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, Rybelsus, Novolog | $1,382 | $776,084646 claims |
| Lilly USA, LLCMounjaro, Trulicity, Humalog | $499 | $677,504534 claims |
| Boehringer IngelheimJardiance, Synjardy Xr, Synjardy, Tradjenta | $295 | $464,003501 claims |
| AstraZenecaFarxiga | $672 | $94,219113 claims |
| BayerKerendia | $398 | $68,230102 claims |
| AmgenProlia | $408 | $33,97020 claims |
| Esperion Therapeutics, Inc.Nexlizet | $50 | $30,42472 claims |
| Kowa Pharmaceuticals America, Inc.Livalo | $34 | $9,81113 claims |
| AbbVieSynthroid | $90 | $7,911126 claims |
| Sanofi-aventis U.S. LLCLantus | $275 | $6,73729 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 1,490 medical providers in Texas.
Other medical in Lufkin
- Jose de la CerdaSan Antonio$1.1M
- Mark DavisFort Worth$1M
- Joey Dixon-JulianBoerne$458K
- Terry FaleyeKingwood$243K
- Kimberly PoarchDallas$166K
- Erin DuhaimeDallas$150K
- Courtney AldridgeSan Antonio$129K
- Shakira CabreraSan Antonio$116K
- Danny DeckardDallas$101K
- Janine ShinnDallas$84K
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.