RxDoctor Payments Data

Tyler Ulmer, DO

Family Medicine · Kerrville, TXNPI 1801419627

Payments from drug & device makers

$785in general payments, 2019–2025

Across 40 payments — averaging $19.63 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Acadia Pharmaceuticals Inc$165
  • AbbVie$138
  • Lilly USA, LLC$117
  • GSK$90
  • Exact Sciences$85
  • AstraZeneca$64
  • plus $125 from 6 others

What the payments were for

  • Food & beverage$785100%

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

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.

How this compares

$785 in reported general payments places this provider in the 55th percentile of 8,760 family medicine providers in Texas.

See all family medicine providers in Texas

Medicare billing

Part B allowed, 2024
$107,397
Medicare patients
249
Services billed
1,309

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
OzempicSemaglutide52$66,737
MounjaroTirzepatide37$37,222
Trelegy ElliptaFluticasone/Umeclidin/Vilanter41$32,032
FarxigaDapagliflozin Propanediol19$25,425
XareltoRivaroxaban14$18,364
Breo ElliptaFluticasone/Vilanterol29$16,120
Fluticasone-SalmeterolFluticasone Propion/Salmeterol22$2,330
Olmesartan Medoxomil113$1,964
Wixela InhubFluticasone Propion/Salmeterol14$1,462
Ezetimibe59$1,443
Atorvastatin Calcium117$1,413
Albuterol Sulfate HfaAlbuterol Sulfate49$1,284
Levothyroxine Sodium98$1,153
Tamsulosin Hcl73$1,023
Celecoxib48$1,020

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$16$66,73752 claims
GSKTrelegy Ellipta, Breo Ellipta$90$48,15270 claims
Lilly USA, LLCMounjaro$117$37,22237 claims
AstraZenecaFarxiga$64$25,42519 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 8,760 family medicine providers in Texas.

Other family medicine in Kerrville

See the full list for Texas

Where these figures come from

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