RxDoctor Payments Data

Manuel Mercado, MD

Internal Medicine · Pharr, TXNPI 1316919228

Payments from drug & device makers

$13,460in general payments, 2019–2025

Across 943 payments — averaging $14.27 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Lilly USA, LLC$2K
  • Novo Nordisk$2K
  • GSK$2K
  • AbbVie$1K
  • Pfizer$1K
  • Johnson & Johnson$950
  • plus $5K from 25 others

What the payments were for

  • Food & beverage$13,14698%
  • Education$3142%

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.

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

$13,460 in reported general payments places this provider in the 90th percentile of 7,675 internal medicine providers in Texas.

See all internal medicine providers in Texas

Medicare billing

Part B allowed, 2024
$75,293
Medicare patients
111
Services billed
927

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
MounjaroTirzepatide206$325,799
TrulicityDulaglutide117$221,616
Trelegy ElliptaFluticasone/Umeclidin/Vilanter129$174,023
TradjentaLinagliptin160$154,629
OzempicSemaglutide94$148,639
LinzessLinaclotide116$126,534
EliquisApixaban88$119,909
JanuviaSitagliptin Phosphate96$116,304
JanumetSitagliptin Phos/Metformin Hcl104$113,182
FarxigaDapagliflozin Propanediol76$92,243
JardianceEmpagliflozin54$75,926
MyrbetriqMirabegron53$69,326
RexultiBrexpiprazole41$63,803
XareltoRivaroxaban36$51,172
Janumet XrSitagliptin Phos/Metformin Hcl41$50,378

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
Lilly USA, LLCMounjaro, Trulicity$1,699$547,415323 claims
Boehringer IngelheimTradjenta, Jardiance, Synjardy, Synjardy Xr, Jentadueto$713$304,131274 claims
MerckJanuvia, Janumet, Janumet Xr$321$279,864241 claims
GSKTrelegy Ellipta, Breo Ellipta$1,502$186,932147 claims
Novo NordiskOzempic, Rybelsus$1,559$175,135107 claims
AbbVieLinzess$1,399$126,534116 claims
PfizerEliquis$1,271$119,90988 claims
AstraZenecaFarxiga, Brilinta$686$98,86488 claims
Astellas Pharma US IncMyrbetriq$495$69,32653 claims
Otsuka America Pharmaceutical, Inc.Rexulti$480$63,80341 claims
Johnson & JohnsonXarelto$950$51,17236 claims
Sumitomo Pharma America, Inc.Gemtesa$34$33,53827 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 90th percentile of 7,675 internal medicine providers in Texas.

Other internal medicine in Pharr

See the full list for Texas

Where these figures come from

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