Kelly Smith, MD
Pediatric Pulmonology · San Antonio, TXNPI 1528198405
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $48,693 of the $69,354 with a category attached, or 70.2%. GSK accounts for 63.4% of it on its own, with 33 other manufacturers making up the rest. Reporting peaked in 2019 at $18,325 and has fallen 62.2% since, to $6,927 in 2025. Among pediatric pulmonology clinicians in TX with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 465 payments — averaging $149.15 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- GSK$44K
- Harmony Biosciences LLC$13K
- Boehringer Ingelheim$5K
- Regeneron Healthcare Solutions, Inc.$1K
- AstraZeneca$1K
- Jazz Pharmaceuticals Inc.$486
- plus $4K from 28 others
Across 16 payments — averaging $5368.79 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.
- AstraZeneca$35K
- GSK$29K
- Takeda Pharmaceuticals U.S.A., Inc.$22K
What the payments were for
- Consulting fees$9,68814%
- Speaking & faculty fees$48,69370%
- Travel & lodging$1,0181%
- Food & beverage$9,41314%
- Education$5431%
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 |
|---|---|---|
| GSK | 100 | $43,956 |
| Harmony Biosciences LLC | 78 | $13,291 |
| Boehringer Ingelheim | 2 | $5,415 |
| Regeneron Healthcare Solutions, Inc. | 43 | $1,387 |
| AstraZeneca | 41 | $1,006 |
| Jazz Pharmaceuticals Inc. | 19 | $486 |
| Baxter Healthcare | 23 | $482 |
| Amgen | 17 | $429 |
| Electromed, Inc. | 30 | $396 |
| Biogen | 12 | $335 |
| Sanofi | 13 | $311 |
| Avadel CNS Pharmaceuticals, LLC | 15 | $278 |
| Philips North America LLC | 16 | $264 |
| Pharming Healthcare, Inc. | 9 | $183 |
| Advanced Respiratory, Inc | 7 | $154 |
| Sobi, Inc | 5 | $123 |
| Genentech USA, Inc. | 6 | $115 |
| Fisher & Paykel Healthcare Inc | 2 | $104 |
| ITF Therapeutics LLC | 3 | $87 |
| Phadia US Inc. | 3 | $69 |
| Covis Pharma GmbH | 2 | $65 |
| Insmed, Inc. | 3 | $64 |
| Tactile Systems Technology Inc | 1 | $42 |
| Takeda Pharmaceuticals U.S.A., Inc. | 2 | $41 |
| AbbVie | 2 | $41 |
| Kaleo, Inc. | 2 | $39 |
| Resmed Corp | 1 | $33 |
| Teva Pharmaceuticals USA, Inc. | 2 | $31 |
| 3b Medical, Inc. | 1 | $28 |
| ARS Pharmaceuticals Operations, Inc. | 1 | $26 |
| Nestle Healthcare Nutrition Inc. | 1 | $23 |
| Azurity Pharmaceuticals, Inc. | 1 | $18 |
| Lucid Diagnostics Inc. | 1 | $16 |
| Regeneron | 1 | $14 |
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
$69,354 in reported general payments places this provider in the 95th percentile of 104 pediatric pulmonology 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 |
|---|---|---|
| Advair HfaFluticasone Propion/Salmeterol | 12 | $3,501 |
| Montelukast Sodium | 25 | $207 |
| Fluticasone Propionate | 13 | $146 |
Paid to pharmacies, not to this prescriber.
Other pediatric pulmonology in San Antonio
- Donna Willey-CourandSan Antonio$19K
- Tarak PatelSan Antonio$11K
- Brenda GilesSan Antonio$8K
- Trang BuiSan Antonio$4K
- Amanda DoveSan Antonio$1K
- Jose PalomaresSan Antonio$702
- Felix ShardonofskySan Antonio$443
- Sarat SusarlaHouston$194K
- Jason FullmerAustin$74K
- Carolyn CannonDallas$55K
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.