RxDoctor Payments Data

Rajeev Raghavan, MD

Internal Medicine · Houston, TXNPI 1851599740

Payments from drug & device makers

What this record shows

The money is spread across several categories — speaking fees (54.1%), consulting fees and food and beverage — rather than concentrated in one kind of arrangement. 36 manufacturers reported payments, led by Lilly USA, LLC at 37.2% of the total. Reporting peaked in 2024 at $77,772 and has fallen 62.7% since, to $29,028 in 2025. Among internal medicine 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.

$157,979in general payments, 2019–2025

Across 317 payments — averaging $498.36 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Lilly USA, LLC$59K
  • GSK$56K
  • Boehringer Ingelheim$14K
  • Bayer$14K
  • Travere Therapeutics, Inc.$8K
  • Novartis$4K
  • plus $4K from 30 others
$80,833in research payments, 2019–2025

Across 34 payments — averaging $2377.45 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.

  • Travere Therapeutics, Inc.$81K

What the payments were for

  • Consulting fees$56,40836%
  • Speaking & faculty fees$85,48854%
  • Travel & lodging$2,7892%
  • Food & beverage$7,1345%
  • Education$6,1614%

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.

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

$157,979 in reported general payments places this provider in the 95th percentile of 7,675 internal medicine providers in Texas.

See all internal medicine providers in Texas →

Medicare billing

Part B allowed, 2024
$53,498
Medicare patients
148
Services billed
395

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
JardianceEmpagliflozin15$21,853
FarxigaDapagliflozin Propanediol21$11,436
EliquisApixaban11$7,027
Nifedipine ErNifedipine20$808
Olmesartan Medoxomil23$737
Tamsulosin Hcl30$473
Chlorthalidone27$373
Atorvastatin Calcium55$350
Furosemide55$302
Losartan Potassium39$226
Albuterol Sulfate HfaAlbuterol Sulfate12$223
Gabapentin22$214
Calcitriol12$197
Torsemide12$158
Lisinopril30$151

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
Boehringer IngelheimJardiance$14,224$21,85315 claims
AstraZenecaFarxiga$590$11,43621 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 7,675 internal medicine providers in Texas.

Other internal medicine in Houston

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Where these figures come from

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