RxDoctor Payments Data

Murray Snook, MD

Family Medicine · Leander, TXNPI 1326125097

Payments from drug & device makers

$1,134,030in general payments, 2019–2025

Across 1,555 payments — averaging $729.28 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Endo Pharmaceuticals Inc.$374K
  • Regeneron$168K
  • Imbrium Therapeutics L.p.$164K
  • Acella Pharmaceuticals, LLC$163K
  • Sagent Pharmaceuticals$141K
  • Seikagaku Corporation$62K
  • plus $61K from 54 others
$1,570in research payments, 2019–2025

Across 9 payments — averaging $174.39 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.

  • Regeneron$2K

What the payments were for

  • Travel & lodging$4451%
  • Food & beverage$29,00398%
  • Education$2811%

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.

CompanyPaymentsTotal
Endo Pharmaceuticals Inc.40$374,365
Regeneron49$168,179
Imbrium Therapeutics L.p.18$164,186
Acella Pharmaceuticals, LLC8$163,227
Sagent Pharmaceuticals16$140,677
Seikagaku Corporation17$61,655
AstraZeneca173$26,398
Avion Pharmaceuticals1$9,000
AbbVie(2 entities)82$3,299
Novo Nordisk138$3,268
Lilly USA, LLC126$1,942
Amgen(2 entities)85$1,766
Boehringer Ingelheim82$1,730
Johnson & Johnson74$1,448
Pfizer58$1,142
Otsuka America Pharmaceutical, Inc.61$1,042
Salix Pharmaceuticals, A Division Of Bausch Health US, LLC61$866
Amarin Pharma, Inc.34$831
GSK57$802
Abbott29$664
Corium, LLC15$539
Esperion Therapeutics, Inc.27$485
Merck22$446
Astellas Pharma US Inc19$443
Teva Pharmaceuticals USA, Inc.22$417
Biohaven Pharmaceuticals, Inc.7$377
Radius Health, Inc.14$268
Arbor Pharmaceuticals, Inc.20$254
Novartis12$248
Antares Pharma, Inc.12$233
Aytu Biopharma, Inc.12$214
Eisai Inc.7$207
Kowa Pharmaceuticals America, Inc.16$204
Exact Sciences11$185
Takeda Pharmaceuticals U.S.A., Inc.17$184
Abiomed2$182
Corcept Therapeutics5$175
TMS Neurohealth Centers Inc.4$147
Clarus Therapeutics Inc.7$147
Inspire Medical Systems, Inc.1$139
Mylan Specialty L.p.2$134
Biohaven Pharmaceutical Holding Company Ltd.1$125
Idorsia Pharmaceuticals US Inc3$124
Tris Pharma Inc6$124
Ironshore Pharmaceuticals Inc.7$112
Axsome Therapeutics, Inc.4$107
Boston Scientific1$102
IBSA Pharma Inc.7$95
ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.)4$94
Sanofi Pasteur Inc.5$93
Dexcom, Inc.5$92
Shire North American Group Inc6$84
Sanofi-aventis U.S. LLC5$79
Tolmar, Inc.5$78
Lundbeck LLC3$63
Vertex2$61
Bayer3$56
Genentech USA, Inc.3$52
Baudax Bio Inc.1$50
Nestle Healthcare Nutrition Inc.3$46

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

$1,134,030 in reported general payments places this provider in the 95th percentile of 8,760 family medicine providers in Texas.

See all family medicine providers in Texas

Medicare billing

Part B allowed, 2024
$97,993
Medicare patients
363
Services billed
41,326

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
TrulicityDulaglutide34$56,109
JardianceEmpagliflozin44$39,465
MounjaroTirzepatide37$38,740
Synjardy XrEmpagliflozin/Metformin Hcl38$35,862
XareltoRivaroxaban24$32,215
Xigduo XrDapaglifloz Propaned/Metformin34$30,742
EliquisApixaban26$27,893
RybelsusSemaglutide21$25,063
FarxigaDapagliflozin Propanediol15$22,872
MyrbetriqMirabegron22$21,129
Repatha SureclickEvolocumab19$18,301
Trelegy ElliptaFluticasone/Umeclidin/Vilanter17$13,126
Breztri AerosphereBudesonide/Glycopyr/Formoterol20$11,576
VascepaIcosapent Ethyl13$10,010
PremarinEstrogens, Conjugated14$8,918

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
Lilly USA, LLCTrulicity, Mounjaro$1,942$94,84871 claims
Boehringer IngelheimJardiance, Synjardy Xr$1,730$75,32782 claims
AstraZenecaFarxiga, Breztri Aerosphere, Symbicort$26,398$38,70048 claims
PfizerEliquis, Premarin, Paxlovid$1,142$38,24060 claims
Johnson & JohnsonXarelto$1,448$32,21524 claims
Novo NordiskRybelsus$3,268$25,06321 claims
Astellas Pharma US IncMyrbetriq$443$21,12922 claims
GSKTrelegy Ellipta, Arexvy$802$16,65828 claims
AbbVieSynthroid$3,299$2,31425 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 8,760 family medicine providers in Texas.

Other family medicine in Leander

See the full list for Texas

Where these figures come from

Is this you, or does something look wrong? →