Rispba McCray-Garrison, MD
General Practice · Houston, TXNPI 1164613352
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $68,300 of the $69,769 with a category attached, or 97.9%. Takeda Pharmaceuticals U.S.A., Inc. accounts for 98.6% of it on its own, with 5 other manufacturers making up the rest. 2025 is the largest year on record at $29,700, more than ten times the $722 reported in 2021. Among general practice 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.
Across 40 payments — averaging $1744.23 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Takeda Pharmaceuticals U.S.A., Inc.$69K
- Merz North America, Inc.$688
- Galderma Laboratories, L.p.$168
- ERMI LLC$105
- Theratechnologies Inc.$19
- AbbVie$14
What the payments were for
- Consulting fees$68,30098%
- Food & beverage$9941%
- Education$4751%
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 |
|---|---|---|
| Takeda Pharmaceuticals U.S.A., Inc. | 28 | $68,775 |
| Merz North America, Inc. | 6 | $688 |
| Galderma Laboratories, L.p. | 3 | $168 |
| ERMI LLC | 1 | $105 |
| Theratechnologies Inc. | 1 | $19 |
| AbbVie | 1 | $14 |
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.
- XEOMIN$458
How this compares
$69,769 in reported general payments places this provider in the 95th percentile of 8,074 general practice 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 |
|---|---|---|
| Memantine Hcl | 11 | $155 |
| Donepezil Hcl | 16 | $121 |
| Levothyroxine Sodium | 13 | $47 |
Paid to pharmacies, not to this prescriber.
Other general practice in Houston
- Kathleen Szelei-StevensHouston$253K
- Zsolt GaramiHouston$111K
- Scott ColemanHouston$87K
- Piya GandhiHouston$36K
- Terri AlaniHouston$30K
- Demetris GreenHouston$26K
- Steven XueHouston$19K
- Carol DupuisHouston$16K
- Rosita HamidiHouston$16K
- Marcus LastimadoFort Bliss$2.3M
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.