Sammy Lerma, MD
Family Medicine · Bastrop, TXNPI 1871571950
Payments from drug & device makers
Across 159 payments — averaging $15.53 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$571
- GSK$263
- Nalu Medical, Inc.$242
- Abbott$182
- Medtronic$173
- AstraZeneca$133
- plus $905 from 22 others
What the payments were for
- Food & beverage$2,469100%
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 |
|---|---|---|
| AbbVie(2 entities) | 58 | $571 |
| GSK | 27 | $263 |
| Nalu Medical, Inc. | 2 | $242 |
| Abbott | 2 | $182 |
| Medtronic | 6 | $173 |
| AstraZeneca | 2 | $133 |
| Merck | 16 | $117 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 7 | $95 |
| Corcept Therapeutics | 1 | $85 |
| Kowa Pharmaceuticals America, Inc. | 5 | $81 |
| Astellas Pharma US Inc | 5 | $72 |
| Sunovion Pharmaceuticals Inc. | 5 | $69 |
| Supernus Pharmaceuticals, Inc. | 1 | $56 |
| Boehringer Ingelheim | 4 | $49 |
| Mylan Specialty L.p. | 3 | $39 |
| Bolton Medical Inc | 1 | $37 |
| Bayer | 2 | $28 |
| Exact Sciences | 1 | $23 |
| Idorsia Pharmaceuticals US Inc | 1 | $22 |
| Jazz Pharmaceuticals Inc. | 1 | $19 |
| Sanofi | 1 | $17 |
| Novo Nordisk | 1 | $15 |
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $15 |
| Eisai Inc. | 1 | $15 |
| Dexcom, Inc. | 1 | $14 |
| Corium, LLC | 2 | $13 |
| Orexo US, Inc. | 1 | $13 |
| Johnson & Johnson | 1 | $12 |
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.
- Nalu Neurostimulation System$242
- FARXIGA$120
- PROCLAIM$117
- VANTA ADAPTIVESTIM$106
How this compares
$2,469 in reported general payments places this provider in the 75th percentile of 8,760 family medicine 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 | 136 | $142,536 |
| JardianceEmpagliflozin | 100 | $125,433 |
| TrulicityDulaglutide | 90 | $107,170 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 75 | $62,913 |
| FarxigaDapagliflozin Propanediol | 53 | $59,298 |
| EliquisApixaban | 54 | $56,017 |
| MounjaroTirzepatide | 49 | $53,250 |
| JanuviaSitagliptin Phosphate | 27 | $31,642 |
| LinzessLinaclotide | 33 | $29,845 |
| CreonLipase/Protease/Amylase | 11 | $23,961 |
| XareltoRivaroxaban | 17 | $23,557 |
| LybalviOlanzapine/Samidorphan Malate | 12 | $18,004 |
| Lantus SolostarInsulin Glargine,hum.Rec.Anlog | 133 | $15,826 |
| SymbicortBudesonide/Formoterol Fumarate | 41 | $14,447 |
| Spiriva HandihalerTiotropium Bromide | 14 | $14,420 |
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 |
|---|---|---|
| Novo NordiskOzempic, Levemir | $15 | $147,383154 claims |
| Boehringer IngelheimJardiance | $49 | $125,433100 claims |
| AstraZenecaFarxiga, Symbicort | $133 | $73,74594 claims |
| GSKTrelegy Ellipta, Shingrix | $263 | $69,370105 claims |
| AbbVieLinzess, Creon | $571 | $53,80644 claims |
| MerckJanuvia | $117 | $31,64227 claims |
| Johnson & JohnsonXarelto | $12 | $23,55717 claims |
| Takeda Pharmaceuticals U.S.A., Inc.Trintellix | $15 | $13,71318 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 8,760 family medicine providers in Texas.
Other family medicine in Bastrop
- Douglas DenhamSan Antonio$68.5M
- Vicki MillerPasadena$58.3M
- Hareshkumar BogharaDesoto$30.3M
- Earl MartinTomball$30.1M
- Lisa HollowayHouston$30.1M
- William SegerFort Worth$27.5M
- Veronica FragosoHouston$24.5M
- Joel SolisMcAllen$21.1M
- George AtieeSan Antonio$19.9M
- Bonnie ColvilleHouston$19.6M
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.