RxDoctor Payments Data

Les Sandknop, DO

Family Medicine · Rockwall, TXNPI 1336139807

Payments from drug & device makers

$16,540in general payments, 2019–2025

Across 901 payments — averaging $18.36 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • AbbVie$2K
  • Abbott$1K
  • Amgen$1K
  • Novo Nordisk$859
  • Pfizer$771
  • Sumitomo Pharma America, Inc.$712
  • plus $10K from 54 others

What the payments were for

  • Food & beverage$16,29098%
  • Education$2492%

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

19
20
21
22
23
24
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.

CompanyPaymentsTotal
AbbVie(2 entities)136$1,725
Abbott37$1,383
Amgen84$1,208
Novo Nordisk48$859
Pfizer45$771
Sumitomo Pharma America, Inc.70$712
AstraZeneca42$668
Esperion Therapeutics, Inc.33$582
Boston Scientific8$567
GSK38$549
Corium, LLC22$546
Lilly USA, LLC36$524
Astellas Pharma US Inc22$523
Bayer29$481
Amarin Pharma, Inc.25$463
Mylan Specialty L.p.17$353
Cardiovascular Systems Inc.3$341
Antares Pharma, Inc.4$339
Merck25$333
Stryker2$304
Axsome Therapeutics, Inc.9$218
Takeda Pharmaceuticals U.S.A., Inc.13$216
Salix Pharmaceuticals, A Division Of Bausch Health US, LLC10$173
Medtronic(2 entities)3$157
Johnson & Johnson8$143
Biotronik Inc.1$139
Sunovion Pharmaceuticals Inc.15$130
Boehringer Ingelheim7$130
Novartis8$127
Sanofi-aventis U.S. LLC7$118
Corcept Therapeutics3$105
Eisai Inc.7$104
Dexcom, Inc.5$99
Heartflow, Inc.1$90
Si-bone, Inc.2$79
Currax Pharmaceuticals LLC4$78
Avvisto Therapeutics, LLC4$65
Exact Sciences3$63
Biohaven Pharmaceutical Holding Company Ltd.4$61
Adlon Therapeutics L.p.4$55
Optinose US, Inc.2$51
Xeris Pharmaceuticals, Inc.3$50
Genentech USA, Inc.3$44
Biohaven Pharmaceuticals, Inc.3$42
Aytu Biopharma, Inc.3$41
Renalytix AI, Inc.2$39
Kowa Pharmaceuticals America, Inc.3$39
Arbor Pharmaceuticals, Inc.3$38
Paratek Pharmaceuticals, Inc.2$36
VBI Vaccine (delaware) Inc.1$34
Phathom Pharmaceuticals, Inc.2$33
Supernus Pharmaceuticals, Inc.2$31
Mayne Pharma Commercial LLC1$30
Shire North American Group Inc2$28
Biogen1$26
Alnylam Pharmaceuticals Inc.1$25
Scilex Pharmaceuticals Inc.1$24
Radius Health, Inc.1$23
Otsuka America Pharmaceutical, Inc.1$21
Intuity Medical Inc1$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.

How this compares

$16,540 in reported general payments places this provider in the 95th percentile of 8,760 family medicine providers in Texas.

See all family medicine providers in Texas

Medicare billing

Part B allowed, 2024
$885,261
Medicare patients
1,260
Services billed
9,250

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
OzempicSemaglutide133$148,200
MounjaroTirzepatide82$104,153
JardianceEmpagliflozin66$73,669
FarxigaDapagliflozin Propanediol58$66,342
Trelegy ElliptaFluticasone/Umeclidin/Vilanter47$44,686
EliquisApixaban39$40,103
Toujeo SolostarInsulin Glargine,hum.Rec.Anlog26$35,859
JanuviaSitagliptin Phosphate27$30,170
TrulicityDulaglutide11$21,620
JanumetSitagliptin Phos/Metformin Hcl19$17,606
GemtesaVibegron17$14,313
Breztri AerosphereBudesonide/Glycopyr/Formoterol17$13,781
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen446$11,370
Levothyroxine Sodium799$8,411
VascepaIcosapent Ethyl11$7,946

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
Novo NordiskOzempic$859$148,200133 claims
Lilly USA, LLCMounjaro, Trulicity$524$125,77393 claims
AstraZenecaFarxiga, Breztri Aerosphere$668$80,12275 claims
Boehringer IngelheimJardiance$130$73,66966 claims
MerckJanuvia, Janumet$333$47,77646 claims
GSKTrelegy Ellipta$549$44,68647 claims
PfizerEliquis$771$40,10339 claims
Sumitomo Pharma America, Inc.Gemtesa$712$14,31317 claims
AbbVieSynthroid$1,725$7,61893 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 95th percentile of 8,760 family medicine providers in Texas.

Other family medicine in Rockwall

See the full list for Texas

Where these figures come from

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