Manjulatha Badam, MD
Undersea and Hyperbaric Medicine · San Antonio, TXNPI 1417013368
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 47 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 10 manufacturers reported payments, led by Organogenesis Inc. at 50.3% of the total.
Across 47 payments — averaging $25.36 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Organogenesis Inc.$600
- Smith+Nephew$170
- Revance Therapeutics, Inc.$139
- Blueprint Medicines Corporation$87
- Misonix Inc$64
- Tactile Systems Technology Inc$42
- plus $91 from 4 others
What the payments were for
- Food & beverage$1,192100%
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 |
|---|---|---|
| Organogenesis Inc. | 23 | $600 |
| Smith+Nephew | 12 | $170 |
| Revance Therapeutics, Inc. | 1 | $139 |
| Blueprint Medicines Corporation | 1 | $87 |
| Misonix Inc | 2 | $64 |
| Tactile Systems Technology Inc | 3 | $42 |
| Medline Industries LP | 1 | $30 |
| Convatec Inc. | 2 | $29 |
| Osiris Therapeutics Inc. | 1 | $18 |
| Hydrofera LLC | 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.
- DAXI$139
How this compares
$1,192 in reported general payments places this provider in the 55th percentile of 59 undersea and hyperbaric medicine providers in Texas.
See all undersea and hyperbaric medicine 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 |
|---|---|---|
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 14 | $108 |
| Levofloxacin | 16 | $55 |
Paid to pharmacies, not to this prescriber.
Other undersea and hyperbaric medicine in San Antonio
- Heather AguirreSan Antonio$98K
- Jayesh ShahSan Antonio$17K
- Heather McKenzieSan Antonio$6K
- Fernando KarstSan Antonio$1K
- Khan ShiraniSan Antonio$953
- Jason KellySan Antonio$632
- Homer ReyesSan Antonio$291
- Jerry KelleySan Antonio$130
- Robert DunnSan Antonio$23
- Merritt Davis JrSan Antonio$14
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.