Michelle Welch, MD
Endocrinology, Diabetes & Metabolism · Shavano Park, TXNPI 1891764957
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $378,604 of the $456,597 with a category attached, or 82.9%. 60 manufacturers reported payments, led by Lilly USA, LLC at 49.6% of the total. Reporting peaked in 2019 at $118,148 and has fallen 64.0% since, to $42,489 in 2025. Among endocrinology, diabetes & metabolism clinicians in TX with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 1,745 payments — averaging $261.66 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Lilly USA, LLC$226K
- AstraZeneca$88K
- Amgen$26K
- Boehringer Ingelheim$19K
- Eli Lilly$15K
- AbbVie$14K
- plus $68K from 54 others
Across 3,067 payments — averaging $5563.71 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Eli Lilly$12.8M
- AstraZeneca$1.1M
- Novo Nordisk AS$708K
- Pfizer$563K
- Regeneron$516K
- AbbVie$357K
- plus $998K from 16 others
What the payments were for
- Consulting fees$12,0203%
- Speaking & faculty fees$378,60483%
- Travel & lodging$27,6686%
- Food & beverage$38,1108%
- Education$580%
- Gifts$1370%
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.
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.
- MOUNJARO$182,842
- FARXIGA$82,700
- JARDIANCE$44,018
- EVENITY$20,596
- Eversense$13,622
- AFREZZA$9,711
- INVOKANA$9,603
- Synthroid$8,700
- SOLIQUA 100/33$5,083
- CeQur Simplicity$4,780
- Prolia$3,063
- TOUJEO$2,707
- DISEASE STATE$2,655
- iLet Bionic Pancreas$1,248
- Minimed 670G System$1,125
- DEXCOM G6 TRANSMITTER$984
- TWIIST$552
- TEPEZZA$382
- ZEPBOUND$354
- iLet Insulin Infusion Kit Inset$270
How this compares
$456,597 in reported general payments places this provider in the 95th percentile of 658 endocrinology, diabetes & metabolism providers in Texas.
See all endocrinology, diabetes & metabolism 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 |
|---|---|---|
| MounjaroTirzepatide | 492 | $623,534 |
| OzempicSemaglutide | 243 | $301,470 |
| TrulicityDulaglutide | 155 | $231,585 |
| JardianceEmpagliflozin | 187 | $214,318 |
| TymlosAbaloparatide | 66 | $198,408 |
| FarxigaDapagliflozin Propanediol | 162 | $187,836 |
| GenotropinSomatropin | 34 | $138,247 |
| Norditropin FlexproSomatropin | 36 | $94,087 |
| Omnipod 5 Dexg7g6 Pods (Gen 5)Insulin Pump Cart,auto,bt,g6/7 | 46 | $64,939 |
| OmnitropeSomatropin | 19 | $61,298 |
| Tresiba Flextouch U-100Insulin Degludec | 47 | $53,895 |
| Synjardy XrEmpagliflozin/Metformin Hcl | 40 | $43,271 |
| SynthroidLevothyroxine Sodium | 395 | $37,034 |
| Tresiba Flextouch U-200Insulin Degludec | 16 | $32,640 |
| JanuviaSitagliptin Phosphate | 26 | $31,811 |
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 |
|---|---|---|
| Lilly USA, LLCMounjaro, Trulicity, Humalog, Insulin Lispro | $226,341 | $865,495684 claims |
| Novo NordiskOzempic, Fiasp, Novolog | $2,808 | $326,428279 claims |
| Boehringer IngelheimJardiance, Synjardy Xr, Tradjenta | $18,914 | $273,862243 claims |
| Radius Health, Inc.Tymlos | $483 | $198,40866 claims |
| AstraZenecaFarxiga | $87,647 | $187,836162 claims |
| PfizerGenotropin | $493 | $138,24734 claims |
| AbbVieSynthroid | $13,670 | $37,034395 claims |
| MerckJanuvia | $96 | $31,81126 claims |
| Cequr CorporationCequr Simplicity | $4,876 | $10,07218 claims |
| Esperion Therapeutics, Inc.Nexletol | $157 | $6,57112 claims |
| Amneal Pharmaceuticals LLCLevothyroxine Sodium | $36 | $6,126541 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 658 endocrinology, diabetes & metabolism providers in Texas.
Other endocrinology, diabetes & metabolism in Shavano Park
- Daniel KatselnikShavano Park$602K
- Lance SloanLufkin$1.7M
- Pablo MoraDallas$1.3M
- Robert HoodBeaumont$1.3M
- Eduardo LunaEdinburg$1.3M
- Steve FordanDallas$1.2M
- Rosemarie LajaraPlano$1.2M
- Saleemah FahmiDallas$1.2M
- Julio RosenstockDallas$1.2M
- Rocio HarbisonHouston$989K
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.