RxDoctor Payments Data

Spandana Brown, MD

Endocrinology, Diabetes & Metabolism · Houston, TXNPI 1255710802

Payments from drug & device makers

$6,209in general payments, 2019–2025

Across 316 payments — averaging $19.65 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Novo Nordisk$1K
  • Amgen$644
  • Lilly USA, LLC$583
  • Radius Health, Inc.$513
  • Dexcom, Inc.$303
  • AbbVie$268
  • plus $3K from 42 others

What the payments were for

  • Food & beverage$6,197100%
  • Education$120%

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.

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

$6,209 in reported general payments places this provider in the 55th percentile of 658 endocrinology, diabetes & metabolism providers in Texas.

See all endocrinology, diabetes & metabolism providers in Texas

Medicare billing

Part B allowed, 2024
$439,046
Medicare patients
420
Services billed
24,230

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
OzempicSemaglutide333$549,073
MounjaroTirzepatide186$294,366
JardianceEmpagliflozin154$181,225
FarxigaDapagliflozin Propanediol101$114,650
TymlosAbaloparatide31$107,851
TrulicityDulaglutide72$106,066
Tresiba Flextouch U-100Insulin Degludec203$102,921
Toujeo Max SolostarInsulin Glargine,hum.Rec.Anlog88$87,003
Synjardy XrEmpagliflozin/Metformin Hcl39$48,569
TradjentaLinagliptin36$37,950
Tresiba Flextouch U-200Insulin Degludec43$37,448
Humalog Kwikpen U-200Insulin Lispro21$35,095
Lyumjev Kwikpen U-100Insulin Lispro-Aabc27$21,954
JanuviaSitagliptin Phosphate15$19,790
Xigduo XrDapaglifloz Propaned/Metformin13$18,074

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
Novo NordiskOzempic$1,021$549,073333 claims
Lilly USA, LLCMounjaro, Trulicity$583$400,432258 claims
Boehringer IngelheimJardiance, Synjardy Xr, Tradjenta$146$267,745229 claims
AstraZenecaFarxiga$196$114,650101 claims
Radius Health, Inc.Tymlos$513$107,85131 claims
MerckJanuvia$28$19,79015 claims
AbbVieSynthroid$268$7,846114 claims
Amneal Pharmaceuticals LLCLevothyroxine Sodium$15$4,509318 claims
PfizerLevoxyl$106$70111 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 55th percentile of 658 endocrinology, diabetes & metabolism providers in Texas.

Other endocrinology, diabetes & metabolism in Houston

See the full list for Texas

Where these figures come from

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