Julie Joshua, PA
Physician Assistant · Houston, TXNPI 1750437596
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $168 of the $266 with a category attached, or 63.2%. 8 manufacturers reported payments, led by Johnson & Johnson at 36.8% of the total. Reporting peaked in 2023 at $164 and has fallen 70.6% since, to $48 in 2025. That places this record below the midpoint for physician assistant clinicians in TX, where the typical reported total is $387.
Across 8 payments — averaging $33.25 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Johnson & Johnson$98
- Incyte Corporation$29
- Takeda Pharmaceuticals U.S.A., Inc.$25
- Bristol Myers Squibb$25
- Lilly USA, LLC$25
- Merck$24
- plus $40 from 2 others
What the payments were for
- Food & beverage$16863%
- Education$9837%
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 |
|---|---|---|
| Johnson & Johnson | 1 | $98 |
| Incyte Corporation | 1 | $29 |
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $25 |
| Bristol Myers Squibb | 1 | $25 |
| Lilly USA, LLC | 1 | $25 |
| Merck | 1 | $24 |
| Abbott | 1 | $23 |
| Medtronic | 1 | $17 |
How this compares
$266 in reported general payments places this provider in the 40th percentile of 8,308 physician assistant 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.
Other physician assistant in Houston
- Simone SteeleHouston$237K
- Amanda WilhiteHouston$207K
- Christina YazdaniHouston$72K
- Julie Huynh-LuHouston$64K
- Jennifer FalconeHouston$48K
- Jacqueline WeatherlyHouston$47K
- Samantha SalvatoraHouston$45K
- Virginia SchneiderHouston$43K
- Jill MillerHouston$32K
- Mercedes SerranoHouston$28K
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.