RxDoctor Payments Data

Robert Houska, MD

Family Medicine · Marshall, VANPI 1740216373

Payments from drug & device makers

$1,839in general payments, 2019–2025

Across 133 payments — averaging $13.82 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Novo Nordisk$332
  • AstraZeneca$295
  • Amgen$177
  • Merck$167
  • Pfizer$146
  • Lilly USA, LLC$84
  • plus $638 from 15 others

What the payments were for

  • Food & beverage$1,830100%
  • Education$90%

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
20

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.

How this compares

$1,839 in reported general payments places this provider in the 75th percentile of 2,553 family medicine providers in Virginia.

See all family medicine providers in Virginia

Medicare billing

Part B allowed, 2024
$272,935
Medicare patients
446
Services billed
3,212

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
EliquisApixaban98$97,371
OzempicSemaglutide47$52,022
XareltoRivaroxaban45$44,795
JanuviaSitagliptin Phosphate34$25,698
WegovySemaglutide17$22,083
Breo ElliptaFluticasone/Vilanterol31$13,207
TrulicityDulaglutide11$9,606
Breztri AerosphereBudesonide/Glycopyr/Formoterol11$8,331
Rosuvastatin Calcium605$6,930
Spiriva HandihalerTiotropium Bromide11$6,701
Albuterol Sulfate HfaAlbuterol Sulfate149$3,991
Metoprolol Succinate276$3,513
Bupropion XlBupropion Hcl93$3,466
BreynaBudesonide/Formoterol Fumarate14$3,019
Levothyroxine Sodium250$2,632

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
PfizerEliquis, Paxlovid$146$98,800119 claims
Novo NordiskOzempic, Wegovy$332$74,10664 claims
Johnson & JohnsonXarelto$80$44,79545 claims
MerckJanuvia$167$25,69834 claims
Lilly USA, LLCTrulicity$84$9,60611 claims
AstraZenecaBreztri Aerosphere$295$8,33111 claims
AbbVieSynthroid$56$1,21419 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 2,553 family medicine providers in Virginia.

Other family medicine in Marshall

See the full list for Virginia

Where these figures come from

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