RxDoctor Payments Data

Paul Fanning, MD

Obstetrics & Gynecology · Tyler, TXNPI 1972577419

Payments from drug & device makers

$874in general payments, 2019–2025

Across 23 payments — averaging $38.00 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • AbbVie$435
  • Daiichi Sankyo Inc.$117
  • Pfizer$56
  • Channel Medsystems, Inc.$53
  • Hologic Sales And Service, LLC$50
  • Duchesnay USA Incorporated$47
  • plus $117 from 5 others

What the payments were for

  • Food & beverage$86198%
  • Education$132%

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
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

$874 in reported general payments places this provider in the 45th percentile of 3,099 obstetrics & gynecology providers in Texas.

See all obstetrics & gynecology providers in Texas

Medicare billing

Part B allowed, 2024
$40,805
Medicare patients
158
Services billed
351

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
PremarinEstrogens, Conjugated35$9,652
Estradiol234$7,454
Fluocinonide38$1,549
Estradiol (Twice Weekly)Estradiol19$1,471
Tolterodine Tartrate ErTolterodine Tartrate22$1,323
ValacyclovirValacyclovir Hcl24$918
Medroxyprogesterone Acetate70$642
Estradiol-Norethindrone AcetatEstradiol/Norethindrone Acet19$572
Fluocinonide-EFluocinonide/Emollient Base11$456
Nitrofurantoin Mono-MacroNitrofurantoin Monohyd/M-Cryst13$206
Oxybutynin Chloride ErOxybutynin Chloride12$201
Metronidazole14$186
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen19$98
Fluconazole17$82
Citalopram HbrCitalopram Hydrobromide13$41

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
PfizerPremarin$56$9,65235 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 45th percentile of 3,099 obstetrics & gynecology providers in Texas.

Other obstetrics & gynecology in Tyler

See the full list for Texas

Where these figures come from

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