Md Alam, MD
Geriatric Medicine · Sugar Land, TXNPI 1669535357
Payments from drug & device makers
Across 15 payments — averaging $16.96 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Merck$110
- Idorsia Pharmaceuticals US Inc$21
- Amgen$20
- Novartis$20
- AstraZeneca$19
- Abbott$18
- plus $45 from 3 others
What the payments were for
- Food & beverage$254100%
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 |
|---|---|---|
| Merck | 7 | $110 |
| Idorsia Pharmaceuticals US Inc | 1 | $21 |
| Amgen | 1 | $20 |
| Novartis | 1 | $20 |
| AstraZeneca | 1 | $19 |
| Abbott | 1 | $18 |
| Boston Scientific | 1 | $17 |
| Exact Sciences | 1 | $15 |
| Mylan Specialty L.p. | 1 | $13 |
How this compares
$254 in reported general payments places this provider in the 55th percentile of 275 geriatric 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 |
|---|---|---|
| EliquisApixaban | 27 | $22,780 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 39 | $692 |
| Atorvastatin Calcium | 77 | $648 |
| Clobetasol Propionate | 16 | $643 |
| Pantoprazole Sodium | 52 | $475 |
| CefuroximeCefuroxime Axetil | 26 | $457 |
| ClopidogrelClopidogrel Bisulfate | 41 | $447 |
| Nifedipine ErNifedipine | 19 | $359 |
| Cefdinir | 22 | $349 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 13 | $341 |
| Losartan Potassium | 59 | $340 |
| Mirtazapine | 13 | $335 |
| Hydralazine Hcl | 28 | $323 |
| Omeprazole | 15 | $309 |
| Lisinopril | 37 | $298 |
Paid to pharmacies, not to this prescriber.
Other geriatric medicine in Sugar Land
- Ranganath KandalaSugar Land$5K
- Arusha BavareSugar Land$2K
- Owen CapocyanSugar Land$1K
- Diana KerwinDallas$12.7M
- Mauricio Gonzalez-AriasAustin$825K
- Eberenne IgbokwePearland$124K
- Janice KneblFort Worth$54K
- David SmithBrownwood$19K
- Alejandro ArizmendiHelotes$15K
- Rosa VizcarraSan Antonio$9K
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.