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Ruy Carrasco

Pediatric Rheumatology · Austin, TXNPI 1063478154

Payments from drug & device makers

What this record shows

The money is spread across several categories — consulting fees (45.3%), food and beverage and speaking fees — rather than concentrated in one kind of arrangement. 49 manufacturers reported payments, led by Kyowa Kirin, Inc. at 27.7% of the total. 2025 is the largest year on record at $8,784, more than ten times the $492 reported in 2019. Among pediatric rheumatology 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.

$26,290in general payments, 2019–2025

Across 424 payments — averaging $62.00 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Kyowa Kirin, Inc.$7K
  • Novartis$7K
  • Pfizer$3K
  • Amgen$2K
  • AbbVie$1K
  • Medexus Pharma, Inc.$880
  • plus $5K from 43 others
$156,678in research payments, 2019–2025

Across 41 payments — averaging $3821.42 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.

  • AbbVie$68K
  • E.r. Squibb & Sons, L.L.C.$53K
  • Janssen Research & Development, LLC$25K
  • Pfizer$10K

What the payments were for

  • Consulting fees$11,91145%
  • Speaking & faculty fees$3,50013%
  • Travel & lodging$8903%
  • Food & beverage$9,98938%

General payments by program year

19
20
21
22
23
24
25

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.

CompanyPaymentsTotal
Kyowa Kirin, Inc.23$7,287
Novartis25$6,788
Pfizer31$3,248
Amgen(2 entities)58$1,564
AbbVie48$1,472
Medexus Pharma, Inc.5$880
GSK19$599
UCB, Inc.18$431
Mallinckrodt Hospital Products Inc.9$418
Octapharma USA, Inc.18$342
Livanova USA, Inc.30$340
Jazz Pharmaceuticals Inc.12$316
E.r. Squibb & Sons, L.L.C.9$199
Neos Therapeutics, LP9$157
Ipsen Biopharmaceuticals, Inc8$152
Genentech USA, Inc.8$152
Neurelis, Inc.6$133
Vertical Pharmaceuticals, LLC6$124
Ironshore Pharmaceuticals Inc.6$122
Corium, LLC6$111
Upsher-smith Laboratories LLC4$108
Zogenix Inc.5$106
Tris Pharma Inc5$93
Otter Pharmaceuticals, LLC3$92
Biocodex, Inc.3$86
Johnson & Johnson3$79
SK Life Science, Inc.4$76
Supernus Pharmaceuticals, Inc.3$67
Pharming Healthcare, Inc.3$61
Aquestive Therapeutics, Inc.4$61
Antares Pharma, Inc.3$61
Greenwich Biosciences, Inc.3$55
Collegium Pharmaceutical, Inc.3$53
Azurity Pharmaceuticals, Inc.2$48
Biogen2$45
Acadia Pharmaceuticals Inc2$45
AstraZeneca3$44
Avion Pharmaceuticals1$35
Sandoz2$34
Takeda Pharmaceuticals U.S.A., Inc.2$29
Kiniksa Pharmaceuticals, Ltd.2$29
Tersera Therapeutics LLC1$25
PTC Therapeutics, Inc.1$23
Novartis Gene Therapies, Inc. (fka Avexis, Inc.)1$21
Ultragenyx Pharmaceutical Inc.1$18
Aprecia Pharmaceuticals, LLC1$17
Cumberland Pharmaceuticals, Inc.1$15
Biomarin Pharmaceutical Inc.1$15
Amneal Pharmaceuticals LLC1$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.

How this compares

$26,290 in reported general payments places this provider in the 95th percentile of 32 pediatric rheumatology providers in Texas.

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Other pediatric rheumatology in Austin

See the full list for Texas →

Where these figures come from

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