Tracy Kramer
Payments from drug & device makers
Across 271 payments — averaging $33.29 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$1K
- AstraZeneca$1K
- Lilly USA, LLC$762
- Novo Nordisk$586
- Dexcom, Inc.$570
- Sanofi$510
- plus $4K from 32 others
What the payments were for
- Food & beverage$9,023100%
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 | 38 | $1,204 |
| AstraZeneca | 19 | $1,114 |
| Lilly USA, LLC | 25 | $762 |
| Novo Nordisk | 19 | $586 |
| Dexcom, Inc. | 14 | $570 |
| Sanofi | 5 | $510 |
| Phathom Pharmaceuticals, Inc. | 14 | $489 |
| Pfizer | 32 | $451 |
| Amgen | 13 | $341 |
| Astellas Pharma US Inc | 5 | $285 |
| Kowa Pharmaceuticals America, Inc. | 5 | $264 |
| Idorsia Pharmaceuticals US Inc | 9 | $252 |
| GSK | 13 | $240 |
| Sanofi-aventis U.S. LLC | 7 | $226 |
| Medtronic | 2 | $204 |
| Bayer | 7 | $200 |
| Exact Sciences | 7 | $181 |
| Sumitomo Pharma America, Inc. | 3 | $133 |
| Gilead | 2 | $119 |
| Inspire Medical Systems, Inc. | 1 | $114 |
| Esperion Therapeutics, Inc. | 1 | $109 |
| Mirum Pharmaceuticals, Inc. | 1 | $87 |
| Novartis | 2 | $78 |
| Angiodynamics, Inc. | 1 | $73 |
| Intuity Medical Inc | 3 | $55 |
| Otsuka America Pharmaceutical, Inc. | 3 | $51 |
| Boehringer Ingelheim | 3 | $50 |
| Biohaven Pharmaceuticals, Inc. | 2 | $38 |
| Axsome Therapeutics, Inc. | 2 | $37 |
| Supernus Pharmaceuticals, Inc. | 2 | $37 |
| Sanofi Pasteur Inc. | 2 | $34 |
| Organon | 3 | $26 |
| Corium, LLC | 1 | $23 |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 1 | $20 |
| Ironshore Pharmaceuticals Inc. | 1 | $19 |
| Aimmune Therapeutics, Inc. | 1 | $15 |
| Merck | 1 | $14 |
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $13 |
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
$9,023 in reported general payments places this provider in the 95th percentile of 15,456 family 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 | 92 | $102,822 |
| MounjaroTirzepatide | 93 | $101,931 |
| JardianceEmpagliflozin | 76 | $60,222 |
| TrulicityDulaglutide | 29 | $34,628 |
| EliquisApixaban | 22 | $27,977 |
| Breztri AerosphereBudesonide/Glycopyr/Formoterol | 16 | $15,242 |
| MyrbetriqMirabegron | 18 | $14,393 |
| Janumet XrSitagliptin Phos/Metformin Hcl | 12 | $12,868 |
| JanumetSitagliptin Phos/Metformin Hcl | 15 | $12,454 |
| VascepaIcosapent Ethyl | 28 | $11,327 |
| XareltoRivaroxaban | 12 | $9,992 |
| Breo ElliptaFluticasone/Vilanterol | 18 | $7,067 |
| Omega-3 Acid Ethyl Esters | 48 | $3,313 |
| Gabapentin | 170 | $2,799 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 116 | $2,770 |
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, LLCMounjaro, Trulicity | $762 | $136,559122 claims |
| Novo NordiskOzempic | $586 | $102,82292 claims |
| Boehringer IngelheimJardiance | $50 | $60,22276 claims |
| PfizerEliquis | $451 | $27,97722 claims |
| MerckJanumet Xr, Janumet | $14 | $25,32227 claims |
| AstraZenecaBreztri Aerosphere | $1,114 | $15,24216 claims |
| Astellas Pharma US IncMyrbetriq | $285 | $14,39318 claims |
| GSKBreo Ellipta | $240 | $7,06718 claims |
| AbbVieSynthroid | $1,204 | $96325 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 15,456 family providers in Texas.
Other family in Waco
- Jena MannWaco$51K
- Lashonda CraneHouston$3.4M
- David WeirDallas$959K
- Luba YammineHouston$479K
- Robin BeachHouston$428K
- Nirupama JeromeAustin$418K
- April LopezMcAllen$417K
- Linda MercadoHouston$211K
- Sarah AguilarHouston$199K
- Sie ThomasDallas$197K
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.