Nikki Onstead
Family · Sugar Land, TXNPI 1407582562
Payments from drug & device makers
Across 54 payments — averaging $20.17 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Lilly USA, LLC$229
- Novo Nordisk$187
- Abiomed$109
- Boehringer Ingelheim$108
- Exact Sciences$102
- Salix Pharmaceuticals, A Division Of Bausch Health US, LLC$42
- plus $312 from 13 others
What the payments were for
- Food & beverage$1,089100%
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 |
|---|---|---|
| Lilly USA, LLC | 8 | $229 |
| Novo Nordisk | 12 | $187 |
| Abiomed | 4 | $109 |
| Boehringer Ingelheim | 6 | $108 |
| Exact Sciences | 5 | $102 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 3 | $42 |
| Sanofi-aventis U.S. LLC | 2 | $39 |
| GSK | 2 | $34 |
| Viatris Specialty LLC | 1 | $33 |
| Astellas Pharma US Inc | 1 | $28 |
| Amgen | 2 | $28 |
| Edwards Lifesciences | 1 | $22 |
| AbbVie | 1 | $20 |
| Phathom Pharmaceuticals, Inc. | 1 | $19 |
| Otsuka America Pharmaceutical, Inc. | 1 | $19 |
| Procept Biorobotics Corporation | 1 | $19 |
| Bayer | 1 | $18 |
| Avadel CNS Pharmaceuticals, LLC | 1 | $16 |
| Bausch Health US, LLC | 1 | $16 |
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$112
How this compares
$1,089 in reported general payments places this provider in the 70th percentile of 15,456 family 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 |
|---|---|---|
| Celecoxib | 18 | $801 |
| Atorvastatin Calcium | 26 | $277 |
| Losartan Potassium | 27 | $205 |
| Famotidine | 19 | $201 |
| Cefdinir | 13 | $198 |
| Tamsulosin Hcl | 11 | $167 |
| Fluticasone Propionate | 15 | $149 |
| Meloxicam | 21 | $127 |
| Metformin Hcl | 17 | $117 |
| Methylprednisolone | 21 | $115 |
| Amlodipine Besylate | 26 | $111 |
| Rosuvastatin Calcium | 16 | $95 |
| Montelukast Sodium | 11 | $85 |
| Levothyroxine Sodium | 11 | $76 |
| Doxycycline Hyclate | 14 | $67 |
Paid to pharmacies, not to this prescriber.
Other family in Sugar Land
- Lashonda CraneHouston$3.4M
- David WeirDallas$959K
- Luba YammineHouston$479K
- Robin BeachHouston$428K
- Nirupama JeromeAustin$418K
- April LopezMcAllen$417K
- Linda MercadoHouston$211K
- Sarah AguilarHouston$199K
- Sie ThomasDallas$197K
- Anna CastroSan Antonio$184K
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.