Julia Flowers, MD
Obstetrics & Gynecology · Grapevine, TXNPI 1669433140
Payments from drug & device makers
Across 213 payments — averaging $91.10 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Mimedx Group, Inc.$16K
- AbbVie$767
- Pfizer$347
- Exeltis, USA Inc.$344
- Celularity Inc.$300
- Biogen$174
- plus $2K from 26 others
What the payments were for
- Consulting fees$15,80081%
- Speaking & faculty fees$3002%
- Food & beverage$3,29117%
- Education$120%
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 |
|---|---|---|
| Mimedx Group, Inc. | 22 | $15,818 |
| AbbVie(2 entities) | 52 | $767 |
| Pfizer | 19 | $347 |
| Exeltis, USA Inc. | 21 | $344 |
| Celularity Inc. | 1 | $300 |
| Biogen | 9 | $174 |
| Mayne Pharma Commercial LLC | 7 | $166 |
| Astellas Pharma US Inc | 8 | $152 |
| Organon | 6 | $121 |
| Millicent US Inc | 6 | $116 |
| Minerva Surgical, Inc | 7 | $100 |
| Scynexis, Inc. | 6 | $90 |
| Merck | 5 | $87 |
| Sumitomo Pharma America, Inc. | 4 | $80 |
| Mylan Pharmaceuticals Inc. | 5 | $78 |
| Hologic Sales And Service, LLC | 3 | $72 |
| Myovant Sciences Inc. | 3 | $66 |
| Agile Therapeutics, Inc. | 4 | $65 |
| Medtronic | 3 | $58 |
| Avion Pharmaceuticals | 4 | $57 |
| Bayer | 3 | $56 |
| Convatec Inc. | 2 | $42 |
| Shield Therapeutics Inc | 2 | $42 |
| Dilon Technologies, Inc. | 1 | $37 |
| Therapeuticsmd, Inc. | 2 | $34 |
| Coopersurgical, Inc. | 2 | $31 |
| Dexcom, Inc. | 1 | $25 |
| Organogenesis Inc. | 1 | $20 |
| Pacira Pharmaceuticals Incorporated | 1 | $19 |
| Duchesnay USA Incorporated | 1 | $16 |
| AMAG Pharmaceuticals, Inc. | 1 | $12 |
| Channel Medsystems, Inc. | 1 | $9 |
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.
- BOVINE COLLAGEN$2,000
How this compares
$19,403 in reported general payments places this provider in the 95th percentile of 3,099 obstetrics & gynecology 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 |
|---|---|---|
| Estradiol | 23 | $809 |
| Clotrimazole-BetamethasoneClotrimazole/Betamethasone Dip | 23 | $285 |
| ValacyclovirValacyclovir Hcl | 11 | $245 |
Paid to pharmacies, not to this prescriber.
Other obstetrics & gynecology in Grapevine
- Joseph KilianskiGrapevine$1.3M
- Amir JazaeriHouston$19.5M
- Shannon WestinHouston$17.3M
- Monica LopezFort Worth$8.1M
- Cynthia RobbinsFort Worth$7.8M
- John Paul RobertsPlano$4.9M
- Stephen StamatisWeatherford$4.5M
- Parke HedgesSan Antonio$4.2M
- Mary MartinBeaumont$2.8M
- Mark JacobsHouston$2.8M
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.