Lester Collins
Payments from drug & device makers
Across 110 payments — averaging $43.03 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Abbott$1K
- Amgen$537
- Livanova USA, Inc.$445
- Neurocrine Biosciences, Inc.$403
- Biogen$241
- MDD US Operations, LLC$206
- plus $1K from 25 others
What the payments were for
- Speaking & faculty fees$581%
- Travel & lodging$74416%
- Food & beverage$3,85882%
- Education$581%
- Entertainment$140%
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 |
|---|---|---|
| Abbott | 16 | $1,475 |
| Amgen(2 entities) | 22 | $537 |
| Livanova USA, Inc. | 8 | $445 |
| Neurocrine Biosciences, Inc. | 5 | $403 |
| Biogen | 6 | $241 |
| MDD US Operations, LLC | 2 | $206 |
| AbbVie(2 entities) | 4 | $183 |
| Biotronik Inc. | 4 | $124 |
| Teva Pharmaceuticals USA, Inc. | 3 | $121 |
| AstraZeneca | 1 | $117 |
| Jazz Pharmaceuticals Inc. | 1 | $109 |
| Genentech USA, Inc. | 6 | $103 |
| Grifols USA, LLC | 1 | $70 |
| UCB, Inc. | 3 | $60 |
| Kyowa Kirin, Inc. | 1 | $59 |
| Acorda Therapeutics, Inc | 2 | $58 |
| Lilly USA, LLC | 4 | $48 |
| Novartis | 2 | $45 |
| Harmony Biosciences LLC | 1 | $45 |
| Sanofi | 2 | $45 |
| CSL Behring | 2 | $34 |
| EMD Serono, Inc. | 2 | $33 |
| Avanir Pharmaceuticals, Inc. | 2 | $27 |
| Philips North America LLC | 2 | $26 |
| Supernus Pharmaceuticals, Inc. | 2 | $23 |
| Biohaven Pharmaceutical Holding Company Ltd. | 1 | $19 |
| Haemonetics Corporation | 1 | $18 |
| Bayer | 1 | $16 |
| Acadia Pharmaceuticals Inc | 1 | $16 |
| Pfizer | 1 | $14 |
| Lundbeck LLC | 1 | $11 |
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
$4,733 in reported general payments places this provider in the 55th percentile of 1,246 neurology 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 |
|---|---|---|
| IngrezzaValbenazine Tosylate | 88 | $714,713 |
| PrivigenImmun Glob G(Igg)/Pro/Iga 0-50 | 28 | $498,691 |
| AustedoDeutetrabenazine | 42 | $325,674 |
| NuplazidPimavanserin Tartrate | 48 | $203,203 |
| Aimovig AutoinjectorErenumab-Aooe | 197 | $157,311 |
| Kesimpta PenOfatumumab | 12 | $155,013 |
| Nurtec OdtRimegepant Sulfate | 123 | $152,271 |
| CopaxoneGlatiramer Acetate | 25 | $135,636 |
| AubagioTeriflunomide | 13 | $121,094 |
| Austedo XrDeutetrabenazine | 12 | $55,257 |
| Emgality SyringeGalcanezumab-Gnlm | 38 | $46,149 |
| UbrelvyUbrogepant | 34 | $37,171 |
| RytaryCarbidopa/Levodopa | 38 | $35,092 |
| NuedextaDextromethorphan Hbr/Quinidine | 18 | $32,499 |
| Nadolol | 370 | $21,585 |
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.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| Neurocrine Biosciences, Inc.Ingrezza | $403 | $714,71388 claims |
| Teva Pharmaceuticals USA, Inc.Austedo, Copaxone, Austedo Xr | $121 | $516,56779 claims |
| CSL BehringPrivigen | $34 | $498,69128 claims |
| Acadia Pharmaceuticals IncNuplazid | $16 | $203,20348 claims |
| PfizerNurtec Odt | $14 | $152,271123 claims |
| SanofiAubagio | $45 | $121,09413 claims |
| AbbVieUbrelvy, Qulipta, Botox, Linzess | $183 | $74,76473 claims |
| Avanir Pharmaceuticals, Inc.Nuedexta | $27 | $32,49918 claims |
| UCB, Inc.Neupro | $60 | $10,88315 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 55th percentile of 1,246 neurology providers in Texas.
Other neurology in Tyler
- Ann BassSan Antonio$12.3M
- Kandasami SenthilkumarBeaumont$7.6M
- Bharathy SundaramSherman$7.2M
- Bhupesh DiheniaLubbock$6.9M
- Jamshid LotfiHouston$6M
- Nazanin MajdHouston$5.9M
- Aziz ShaibaniHouston$5.5M
- Elizabeth PeckhamRound Rock$5.4M
- Susan IannacconeDallas$5.1M
- Benjamin GreenbergDallas$4.6M
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.