RxDoctor Payments Data

Julia Tripple, MD

Allergy & Immunology · Galveston, TXNPI 1497045629

Payments from drug & device makers

$3,451in general payments, 2019–2025

Across 31 payments — averaging $111.32 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Sanofi$3K
  • GSK$139
  • AstraZeneca$126
  • Grifols USA, LLC$47
  • Biocryst US Sales Co., LLC$40
  • Takeda Pharmaceuticals U.S.A., Inc.$31
  • plus $191 from 9 others

What the payments were for

  • Consulting fees$2,59675%
  • Food & beverage$82424%
  • Education$311%

General payments by program year

19
20
21
22
23
25

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.

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

$3,451 in reported general payments places this provider in the 35th percentile of 336 allergy & immunology providers in Texas.

See all allergy & immunology providers in Texas

Medicare billing

Part B allowed, 2024
$20,163
Medicare patients
119
Services billed
712

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
XolairOmalizumab62$211,364
Dupixent PenDupilumab38$165,067
TezspireTezepelumab-Ekko18$92,251
NucalaMepolizumab19$74,038
Dupixent SyringeDupilumab13$59,528
Spiriva RespimatTiotropium Bromide31$20,397
SymbicortBudesonide/Formoterol Fumarate50$14,882
Breo ElliptaFluticasone/Vilanterol14$5,688
Azelastine-FluticasoneAzelastine/Fluticasone24$5,551
Budesonide-Formoterol FumarateBudesonide/Formoterol Fumarate17$4,951
Ipratropium Bromide55$2,123
Albuterol Sulfate HfaAlbuterol Sulfate46$1,851
Epinephrine13$1,573
Azelastine Hcl45$1,395
Fluticasone Propionate74$920

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
AstraZenecaTezspire, Symbicort$126$107,13368 claims
GSKNucala, Breo Ellipta$139$79,72633 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 35th percentile of 336 allergy & immunology providers in Texas.

Other allergy & immunology in Galveston

See the full list for Texas

Where these figures come from

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