RxDoctor Payments Data

Saleh Jaafar, MD

Internal Medicine · Castroville, TXNPI 1679564587

Payments from drug & device makers

$34,380in general payments, 2019–2025

Across 1,782 payments — averaging $19.29 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Johnson & Johnson$4K
  • AbbVie$3K
  • Novo Nordisk$3K
  • Lilly USA, LLC$2K
  • Novartis$2K
  • AstraZeneca$2K
  • plus $18K from 54 others

What the payments were for

  • Food & beverage$33,98999%
  • Education$3911%

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
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
Johnson & Johnson211$4,493
AbbVie(2 entities)276$3,447
Novo Nordisk214$3,128
Lilly USA, LLC138$1,791
Novartis115$1,696
AstraZeneca(2 entities)51$1,673
Nevro Corp.18$1,516
GSK65$1,448
Boehringer Ingelheim38$1,068
Merck69$943
Amgen(2 entities)53$906
Astellas Pharma US Inc25$852
Amarin Pharma, Inc.40$663
Bayer40$653
Shield Therapeutics Inc31$639
Sanofi-aventis U.S. LLC32$637
Radius Health, Inc.11$549
Phathom Pharmaceuticals, Inc.6$540
Pfizer52$518
Corcept Therapeutics20$453
E.r. Squibb & Sons, L.L.C.25$428
Eisai Inc.18$404
Axsome Therapeutics, Inc.10$366
Esperion Therapeutics, Inc.21$314
Takeda Pharmaceuticals U.S.A., Inc.22$308
Sunovion Pharmaceuticals Inc.12$303
Globus Medical2$300
Salix Pharmaceuticals, A Division Of Bausch Health US, LLC21$263
Otsuka America Pharmaceutical, Inc.12$233
Inspire Medical Systems, Inc.4$216
Biogen11$197
Cequr Corporation2$196
Si-bone, Inc.4$192
Biohaven Pharmaceuticals, Inc.4$191
Abbott8$155
Althera Pharmaceuticals LLC4$153
Stryker2$146
Medtronic2$134
Sumitomo Pharma America, Inc.6$134
Lexicon Pharmaceuticals, Inc.1$132
Zealand Pharma US, Inc.5$131
Exact Sciences7$126
Edwards Lifesciences1$125
Intuity Medical Inc1$116
Mannkind Corporation1$101
Corium, LLC4$100
Sanofi Pasteur Inc.4$95
Ultragenyx Pharmaceutical Inc.4$83
Boston Scientific3$77
Intuitive Surgical2$73
Ardelyx, Inc.3$63
Nestle Healthcare Nutrition Inc.3$54
Idorsia Pharmaceuticals US Inc3$49
Gilead2$47
Genentech USA, Inc.3$46
Harmony Biosciences LLC2$46
Bausch Health US, LLC3$45
Nalpropion Pharmaceuticals LLC3$42
Xeris Pharmaceuticals, Inc.2$38
Hologic Sales And Service, LLC1$35

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

$34,380 in reported general payments places this provider in the 95th percentile of 7,675 internal medicine providers in Texas.

See all internal medicine providers in Texas

Medicare billing

Part B allowed, 2024
$297,309
Medicare patients
1,045
Services billed
4,501

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
FarxigaDapagliflozin Propanediol378$365,660
MounjaroTirzepatide240$355,450
EliquisApixaban396$340,717
OzempicSemaglutide234$319,241
JardianceEmpagliflozin182$214,696
Trelegy ElliptaFluticasone/Umeclidin/Vilanter196$179,949
XareltoRivaroxaban186$172,863
TrulicityDulaglutide91$110,845
JanuviaSitagliptin Phosphate102$95,233
MyrbetriqMirabegron92$65,467
Janumet XrSitagliptin Phos/Metformin Hcl70$65,283
TradjentaLinagliptin74$62,672
JanumetSitagliptin Phos/Metformin Hcl64$55,976
EntrestoSacubitril/Valsartan47$55,169
Toujeo SolostarInsulin Glargine,hum.Rec.Anlog49$53,297

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
Lilly USA, LLCMounjaro, Trulicity$1,791$466,295331 claims
AstraZenecaFarxiga, Breztri Aerosphere, Symbicort$1,673$421,098478 claims
Novo NordiskOzempic, Rybelsus$3,128$363,029271 claims
PfizerEliquis$518$340,717396 claims
Boehringer IngelheimJardiance, Tradjenta, Synjardy Xr$1,068$294,479280 claims
GSKTrelegy Ellipta, Breo Ellipta$1,448$217,040263 claims
MerckJanuvia, Janumet Xr, Janumet$943$216,492236 claims
Johnson & JohnsonXarelto$4,493$172,863186 claims
Astellas Pharma US IncMyrbetriq$852$65,46792 claims
NovartisEntresto$1,696$55,16947 claims
AbbVieLinzess, Synthroid$3,447$45,219215 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 95th percentile of 7,675 internal medicine providers in Texas.

Other internal medicine in Castroville

See the full list for Texas

Where these figures come from

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