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Michael Melucci, MD

Cardiovascular Disease · Kerrville, TXNPI 1326048588

Payments from drug & device makers

$612,246in general payments, 2019–2025

Across 400 payments — averaging $1530.61 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Amgen$365K
  • Merck$141K
  • Esperion Therapeutics, Inc.$59K
  • Bayer$42K
  • Organon$3K
  • Novartis$1K
  • plus $2K from 17 others

What the payments were for

  • Food & beverage$3,397100%
  • Education$50%

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.

How this compares

$612,246 in reported general payments places this provider in the 95th percentile of 1,515 cardiovascular disease providers in Texas.

See all cardiovascular disease providers in Texas

Medicare billing

Part B allowed, 2024
$661,924
Medicare patients
1,166
Services billed
4,055

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
EliquisApixaban207$226,957
EntrestoSacubitril/Valsartan164$181,283
XareltoRivaroxaban75$68,488
Repatha SureclickEvolocumab50$32,176
FarxigaDapagliflozin Propanediol28$31,028
JardianceEmpagliflozin16$20,787
Repatha SyringeEvolocumab12$19,230
Metoprolol Succinate222$3,205
Rosuvastatin Calcium202$3,055
Ranolazine ErRanolazine16$1,485
Atorvastatin Calcium121$1,248
Losartan Potassium135$1,144
SotalolSotalol Hcl48$1,073
Carvedilol145$922
Amlodipine Besylate124$758

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
PfizerEliquis$120$226,957207 claims
NovartisEntresto$1,347$181,283164 claims
Johnson & JohnsonXarelto$305$68,48875 claims
Boehringer IngelheimJardiance$191$20,78716 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 95th percentile of 1,515 cardiovascular disease providers in Texas.

Other cardiovascular disease in Kerrville

See the full list for Texas

Where these figures come from

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