Mary Hughes
Clinical Nurse Specialist · Houston, TXNPI 1518047265
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 12 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 AbbVie at 24.3% of the total. 2024 is the largest year on record at $462, 2.5 times the $185 reported in 2021.
Across 12 payments — averaging $101.86 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$297
- Axsome Therapeutics, Inc.$138
- Eisai Inc.$124
- Pharmacosmos Therapeutics Inc.$122
- EMD Serono, Inc.$122
- Pfizer$119
- plus $300 from 4 others
What the payments were for
- Food & beverage$1,222100%
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 | 3 | $297 |
| Axsome Therapeutics, Inc. | 1 | $138 |
| Eisai Inc. | 1 | $124 |
| Pharmacosmos Therapeutics Inc. | 1 | $122 |
| EMD Serono, Inc. | 1 | $122 |
| Pfizer | 1 | $119 |
| Merck | 1 | $98 |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 1 | $94 |
| Puma Biotechnology, Inc. | 1 | $91 |
| Nestle Healthcare Nutrition Inc. | 1 | $17 |
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.
- Auvelity$138
- LENVIMA$124
- Monoferric$122
- OXBRYTA$119
- VRAYLAR$104
How this compares
$1,222 in reported general payments places this provider in the 75th percentile of 88 clinical nurse specialist 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.
Other clinical nurse specialist in Houston
- Mackenzie PonnapalliHouston$4K
- Theresa SullivanHouston$3K
- Joyce NeumannHouston$2K
- Gina BradleyHouston$427
- Delores DunhamHouston$387
- Tamara BarnesHouston$365
- Mary Catherine Blackwell-GarnerHouston$268
- Maria MirandaHouston$220
- Jacqueline MichaelsonHouston$220
- Rebecca MontiAustin$53K
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.