Randy Gardell, MD
Payments from drug & device makers
Across 1,658 payments — averaging $16.68 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$4K
- EMD Serono, Inc.$3K
- Biogen$2K
- Teva Pharmaceuticals USA, Inc.$2K
- Novartis$1K
- Pfizer$1K
- plus $15K from 54 others
What the payments were for
- Speaking & faculty fees$1831%
- Food & beverage$27,26599%
- Education$2011%
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.
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.
- Mavenclad$394
- XCOPRI$125
- Leqembi$124
- KISUNLA$121
- NOURIANZ$117
- KESIMPTA$117
- VYVGART HYTRULO$112
- NURTEC ODT$108
- AJOVY$104
- VYVGART$102
How this compares
$27,649 in reported general payments places this provider in the 75th percentile of 1,246 neurology 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 |
|---|---|---|
| VumerityDiroximel Fumarate | 112 | $1,059,295 |
| OctagamImmun Globg(Igg)/Malt/Iga Ov50 | 16 | $349,506 |
| NuplazidPimavanserin Tartrate | 63 | $320,557 |
| IngrezzaValbenazine Tosylate | 33 | $263,219 |
| PrivigenImmun Glob G(Igg)/Pro/Iga 0-50 | 28 | $259,135 |
| UbrelvyUbrogepant | 129 | $231,183 |
| Kesimpta PenOfatumumab | 22 | $210,659 |
| Gammagard LiquidImmun Glob G(Igg)/Gly/Iga Ov50 | 11 | $127,360 |
| QuliptaAtogepant | 93 | $117,258 |
| CopaxoneGlatiramer Acetate | 12 | $87,313 |
| Nurtec OdtRimegepant Sulfate | 57 | $73,439 |
| AustedoDeutetrabenazine | 12 | $57,549 |
| Penicillamine | 11 | $54,382 |
| AptiomEslicarbazepine Acetate | 26 | $53,829 |
| RexultiBrexpiprazole | 36 | $53,167 |
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.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| BiogenVumerity | $1,841 | $1,059,295112 claims |
| PfizerOctagam, Nurtec Odt, Dilantin | $1,006 | $434,461111 claims |
| AbbVieUbrelvy, Qulipta, Botox, Namzaric | $3,533 | $393,056265 claims |
| Acadia Pharmaceuticals IncNuplazid | $628 | $320,55763 claims |
| Neurocrine Biosciences, Inc.Ingrezza | $491 | $263,21933 claims |
| CSL BehringPrivigen | $291 | $259,13528 claims |
| Teva Pharmaceuticals USA, Inc.Copaxone, Austedo | $1,586 | $144,86224 claims |
| Takeda Pharmaceuticals U.S.A., Inc.Gammagard Liquid | $218 | $127,36011 claims |
| Sunovion Pharmaceuticals Inc.Aptiom | $775 | $53,82926 claims |
| Otsuka America Pharmaceutical, Inc.Rexulti | $537 | $53,16736 claims |
| Amneal Pharmaceuticals LLCRytary | $392 | $48,74834 claims |
| Kyowa Kirin, Inc.Nourianz | $304 | $45,99020 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 75th percentile of 1,246 neurology providers in Texas.
Other neurology in Waco
- Ann BassSan Antonio$12.3M
- Kandasami SenthilkumarBeaumont$7.6M
- Bharathy SundaramSherman$7.2M
- Bhupesh DiheniaLubbock$6.9M
- Jamshid LotfiHouston$6M
- Nazanin MajdHouston$5.9M
- Aziz ShaibaniHouston$5.5M
- Elizabeth PeckhamRound Rock$5.4M
- Susan IannacconeDallas$5.1M
- Benjamin GreenbergDallas$4.6M
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.