Robert Saunders
Allergy & Immunology · Houston, TXNPI 1184621765
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 187 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 21 manufacturers, the largest accounting for just 15.8% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2021 at $1,150 and has fallen 74.0% since, to $299 in 2023. That places this record below the midpoint for allergy & immunology clinicians in TX, where the typical reported total is $5,878.
Across 187 payments — averaging $20.90 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- GSK$615
- AstraZeneca$585
- Kaleo, Inc.$364
- Pfizer$337
- Optinose US, Inc.$257
- Regeneron Healthcare Solutions, Inc.$227
- plus $2K from 15 others
What the payments were for
- Food & beverage$3,907100%
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.
| Company | Payments | Total |
|---|---|---|
| GSK | 35 | $615 |
| AstraZeneca | 28 | $585 |
| Kaleo, Inc. | 19 | $364 |
| Pfizer | 10 | $337 |
| Optinose US, Inc. | 22 | $257 |
| Regeneron Healthcare Solutions, Inc. | 8 | $227 |
| Sanofi | 9 | $206 |
| Alk-abello, Inc | 7 | $187 |
| Octapharma USA, Inc. | 4 | $171 |
| Boehringer Ingelheim | 10 | $154 |
| Novartis | 8 | $153 |
| Genentech USA, Inc. | 3 | $138 |
| Takeda Pharmaceuticals U.S.A., Inc. | 5 | $110 |
| Teva Pharmaceuticals USA, Inc. | 5 | $90 |
| Blueprint Medicines Corporation | 2 | $81 |
| Grifols USA, LLC | 2 | $62 |
| Amgen | 3 | $61 |
| Sunovion Pharmaceuticals Inc. | 3 | $47 |
| CSL Behring | 2 | $33 |
| Vanda Pharmaceuticals Inc. | 1 | $16 |
| Incyte Corporation | 1 | $13 |
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
$3,907 in reported general payments places this provider in the 40th percentile of 336 allergy & immunology providers in Texas.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Fluticasone Propionate | 11 | $134 |
Paid to pharmacies, not to this prescriber.
Other allergy & immunology in Houston
- Juan ZambranoHouston$146K
- Ekta PereraHouston$75K
- Joud HajjarHouston$52K
- Sara AnvariHouston$35K
- Sarah NicholasHouston$32K
- Julie PatelHouston$24K
- Rama YerramsettiHouston$24K
- Christopher CollacoHouston$21K
- Mahboobeh MahdaviniaHouston$20K
- Joseph DiazSan Antonio$1.1M
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.