Rogina Gosnell
Gerontology · Brownwood, TXNPI 1518557198
Payments from drug & device makers
Across 69 payments — averaging $16.06 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$322
- Lilly USA, LLC$152
- Novo Nordisk$109
- Boehringer Ingelheim$56
- Exact Sciences$52
- Dexcom, Inc.$51
- plus $365 from 16 others
What the payments were for
- Food & beverage$1,108100%
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 |
|---|---|---|
| AstraZeneca | 22 | $322 |
| Lilly USA, LLC | 9 | $152 |
| Novo Nordisk | 7 | $109 |
| Boehringer Ingelheim | 3 | $56 |
| Exact Sciences | 3 | $52 |
| Dexcom, Inc. | 3 | $51 |
| Novartis | 2 | $42 |
| Pfizer | 2 | $37 |
| Neurocrine Biosciences, Inc. | 2 | $33 |
| AbbVie | 2 | $32 |
| Arbor Pharmaceuticals, Inc. | 2 | $30 |
| Sanofi | 1 | $26 |
| Merck | 1 | $20 |
| Amgen | 1 | $19 |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 1 | $19 |
| Eisai Inc. | 1 | $18 |
| Medtronic | 1 | $17 |
| Bayer | 1 | $17 |
| Gilead | 1 | $17 |
| Phathom Pharmaceuticals, Inc. | 1 | $15 |
| Teva Pharmaceuticals USA, Inc. | 1 | $13 |
| Organon | 2 | $10 |
How this compares
$1,108 in reported general payments places this provider in the 70th percentile of 653 gerontology 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 |
|---|---|---|
| OzempicSemaglutide | 93 | $101,811 |
| FarxigaDapagliflozin Propanediol | 73 | $73,609 |
| JardianceEmpagliflozin | 71 | $72,714 |
| TrulicityDulaglutide | 51 | $65,840 |
| MounjaroTirzepatide | 47 | $52,728 |
| XareltoRivaroxaban | 39 | $41,670 |
| LinzessLinaclotide | 25 | $18,289 |
| TradjentaLinagliptin | 18 | $15,747 |
| Breztri AerosphereBudesonide/Glycopyr/Formoterol | 14 | $13,730 |
| MyrbetriqMirabegron | 17 | $13,679 |
| Stiolto RespimatTiotropium Br/Olodaterol Hcl | 23 | $10,779 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 15 | $9,662 |
| Tresiba Flextouch U-200Insulin Degludec | 15 | $9,404 |
| Bydureon BciseExenatide Microspheres | 13 | $9,170 |
| Gabapentin | 330 | $5,385 |
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 |
|---|---|---|
| Lilly USA, LLCTrulicity, Mounjaro | $152 | $118,56898 claims |
| Novo NordiskOzempic | $109 | $101,81193 claims |
| Boehringer IngelheimJardiance, Tradjenta, Stiolto Respimat | $56 | $99,241112 claims |
| AstraZenecaFarxiga, Breztri Aerosphere | $322 | $87,33887 claims |
| AbbVieLinzess | $32 | $18,28925 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 70th percentile of 653 gerontology providers in Texas.
Other gerontology in Brownwood
- Kimberly WelchCoppell$113K
- Tiffany KesslerDallas$84K
- Jennifer WestFort Worth$67K
- Meagan ChavarriaHouston$40K
- Bailey EstesAbilene$34K
- Scott ZelaHouston$28K
- Marissa Marti-SmithDallas$27K
- Andrew BargerAustin$22K
- Samantha BoggsGalveston$15K
- Amber ArmstrongAustin$13K
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.