Melanie Fombang
Primary Care · Humble, TXNPI 1447779590
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 51 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 25 manufacturers, the largest accounting for just 14.9% — the pattern of someone who eats at a lot of different presentations. 2025 is the largest year on record at $881, 4.3 times the $207 reported in 2021.
Across 51 payments — averaging $27.09 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Bridgebio Pharma, Inc.$206
- Amgen$196
- Bayer$150
- Merck$130
- Novo Nordisk$113
- Lilly USA, LLC$107
- plus $480 from 19 others
What the payments were for
- Food & beverage$1,382100%
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 |
|---|---|---|
| Bridgebio Pharma, Inc. | 3 | $206 |
| Amgen | 5 | $196 |
| Bayer | 2 | $150 |
| Merck | 7 | $130 |
| Novo Nordisk | 1 | $113 |
| Lilly USA, LLC | 5 | $107 |
| GSK | 4 | $78 |
| Pfizer | 2 | $45 |
| Esperion Therapeutics, Inc. | 3 | $43 |
| AbbVie | 2 | $37 |
| Chiesi USA, Inc. | 2 | $33 |
| UCB, Inc. | 1 | $27 |
| Tactile Systems Technology Inc | 2 | $25 |
| Abbott | 1 | $25 |
| Adlon Therapeutics L.p. | 1 | $21 |
| Hologic Sales And Service, LLC | 1 | $21 |
| Azurity Pharmaceuticals, Inc. | 1 | $19 |
| Ultragenyx Pharmaceutical Inc. | 1 | $19 |
| Boston Scientific | 1 | $17 |
| Eisai Inc. | 1 | $16 |
| Medtronic | 1 | $14 |
| Tris Pharma Inc | 1 | $13 |
| Seqirus USA Inc | 1 | $13 |
| Organon | 1 | $7 |
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 1 | $7 |
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
$1,382 in reported general payments places this provider in the 75th percentile of 563 primary care providers in Texas.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Methylprednisolone | 11 | $59 |
| Azithromycin | 15 | $31 |
| Amoxicillin | 13 | $20 |
Paid to pharmacies, not to this prescriber.
Other primary care in Humble
- Mary GibbensHouston$42K
- Phillip GulleySan Antonio$23K
- Herbert BautistaDallas$14K
- Brandi JoynerLongview$12K
- Steven ParisAustin$10K
- Hope OdomCollege Station$10K
- Arlena GraysTomball$9K
- Charlotte BallardSan Antonio$9K
- Hannah LancasterMcKinney$9K
- Jacqueline MilesGrand Prairie$9K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.