Marci Roy, MD
Payments from drug & device makers
Across 851 payments — averaging $16.34 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$3K
- Pfizer$2K
- Teva Pharmaceuticals USA, Inc.$1K
- CSL Behring$1K
- Lilly USA, LLC$1K
- Amgen$1K
- plus $5K from 27 others
What the payments were for
- Food & beverage$13,82899%
- Education$771%
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 |
|---|---|---|
| AbbVie(2 entities) | 203 | $2,804 |
| Pfizer | 112 | $1,826 |
| Teva Pharmaceuticals USA, Inc. | 76 | $1,237 |
| CSL Behring | 49 | $1,165 |
| Lilly USA, LLC | 66 | $1,135 |
| Amgen | 61 | $1,025 |
| Biohaven Pharmaceutical Holding Company Ltd. | 30 | $540 |
| Novartis | 32 | $494 |
| Lundbeck LLC | 15 | $422 |
| Biohaven Pharmaceuticals, Inc. | 25 | $399 |
| Supernus Pharmaceuticals, Inc. | 39 | $396 |
| Zyla Life Sciences, Inc. | 34 | $330 |
| AstraZeneca | 17 | $295 |
| Upsher-smith Laboratories LLC | 19 | $265 |
| Amneal Pharmaceuticals LLC | 20 | $261 |
| Argenx US, Inc. | 10 | $248 |
| Takeda Pharmaceuticals U.S.A., Inc. | 9 | $242 |
| Axsome Therapeutics, Inc. | 6 | $150 |
| Scilex Pharmaceuticals Inc. | 3 | $130 |
| Grifols USA, LLC | 4 | $87 |
| Natus Medical Incorporated | 1 | $61 |
| Abbott | 3 | $51 |
| Collegium Pharmaceutical, Inc. | 3 | $49 |
| Octapharma USA, Inc. | 1 | $49 |
| Alnylam Pharmaceuticals Inc. | 2 | $46 |
| Impel Pharmaceuticals Inc. | 2 | $42 |
| Impel Pharmaceuticals LLC | 2 | $39 |
| Assertio Therapeutics, Inc. | 2 | $34 |
| Bausch Health US, LLC | 1 | $21 |
| Arbor Pharmaceuticals, Inc. | 1 | $20 |
| Tanabe Pharma America, Inc. | 1 | $14 |
| Shire North American Group Inc | 1 | $13 |
| Biodelivery Sciences International, Inc. | 1 | $13 |
How this compares
$13,905 in reported general payments places this provider in the 70th 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 |
|---|---|---|
| GammakedImmune Globul G/Gly/Iga Avg 46 | 56 | $488,953 |
| Gammagard LiquidImmun Glob G(Igg)/Gly/Iga Ov50 | 14 | $215,195 |
| Nurtec OdtRimegepant Sulfate | 89 | $207,311 |
| OctagamImmun Globg(Igg)/Malt/Iga Ov50 | 11 | $170,461 |
| Emgality PenGalcanezumab-Gnlm | 57 | $68,627 |
| Aimovig AutoinjectorErenumab-Aooe | 50 | $66,650 |
| UbrelvyUbrogepant | 33 | $57,415 |
| QuliptaAtogepant | 42 | $50,075 |
| Emgality SyringeGalcanezumab-Gnlm | 30 | $30,723 |
| Carbamazepine ErCarbamazepine | 33 | $6,780 |
| Zolmitriptan | 21 | $6,433 |
| Sumatriptan Succinate | 89 | $3,827 |
| Gabapentin | 152 | $3,308 |
| RizatriptanRizatriptan Benzoate | 123 | $2,405 |
| Pregabalin | 72 | $1,915 |
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 |
|---|---|---|
| PfizerNurtec Odt, Octagam | $1,826 | $377,772100 claims |
| Takeda Pharmaceuticals U.S.A., Inc.Gammagard Liquid | $242 | $215,19514 claims |
| AbbVieUbrelvy, Qulipta | $2,804 | $107,49075 claims |
| Upsher-smith Laboratories LLCTopiramate | $265 | $75864 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 70th percentile of 1,246 neurology providers in Texas.
Other neurology in Manor
- 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.