RxDoctor Payments Data

Neil Adelman, MD

Internal Medicine · Tyler, TXNPI 1902848120

Payments from drug & device makers

$1,293in general payments, 2019–2025

Across 42 payments — averaging $30.78 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Amgen$376
  • Abbott$165
  • Relievant Medsystems, Inc.$151
  • Surgalign Spine Technologies, Inc.$127
  • Idorsia Pharmaceuticals US Inc$68
  • Lilly USA, LLC$65
  • plus $342 from 12 others

What the payments were for

  • Food & beverage$1,293100%

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
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.

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

$1,293 in reported general payments places this provider in the 70th percentile of 7,675 internal medicine providers in Texas.

See all internal medicine providers in Texas

Medicare billing

Part B allowed, 2024
$185,296
Medicare patients
373
Services billed
2,525

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
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen5,552$240,532
Fentanyl266$49,641
MounjaroTirzepatide42$43,904
Oxycodone Hcl1,098$38,087
Xtampza ErOxycodone Myristate11$26,952
EliquisApixaban29$26,857
XareltoRivaroxaban20$15,528
Butorphanol Tartrate23$15,478
LinzessLinaclotide18$14,786
Gabapentin607$11,689
Naloxone Hcl163$11,366
Morphine Sulfate ErMorphine Sulfate263$10,704
JardianceEmpagliflozin12$8,842
Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen252$8,090
Morphine Sulfate436$8,089

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, LLCMounjaro$65$43,90442 claims
PfizerEliquis, Premarin$42$32,27442 claims
AbbVieLinzess$41$14,78618 claims
Hikma Pharmaceuticals USAMorphine Sulfate, Buprenorphine Hcl$19$11,659482 claims
Amneal Pharmaceuticals LLCLevothyroxine Sodium$17$2,822202 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 70th percentile of 7,675 internal medicine providers in Texas.

Other internal medicine in Tyler

See the full list for Texas

Where these figures come from

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