RxDoctor Payments Data

Vien Pham, MD

Internal Medicine · Livingston, TXNPI 1043654114

Payments from drug & device makers

$976in general payments, 2019–2025

Across 29 payments — averaging $33.65 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Angiodynamics, Inc.$458
  • AbbVie$101
  • Pacira Therapeutics, Inc.$87
  • Salix Pharmaceuticals, A Division Of Bausch Health US, LLC$76
  • Novo Nordisk$57
  • Pfizer$38
  • plus $160 from 8 others

What the payments were for

  • Food & beverage$976100%

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

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

$976 in reported general payments places this provider in the 65th percentile of 7,675 internal medicine providers in Texas.

See all internal medicine providers in Texas

Medicare billing

Part B allowed, 2024
$68,226
Medicare patients
140
Services billed
4,672

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
Trelegy ElliptaFluticasone/Umeclidin/Vilanter90$65,210
OzempicSemaglutide42$59,130
MounjaroTirzepatide38$41,739
XareltoRivaroxaban28$33,040
EliquisApixaban48$32,844
RybelsusSemaglutide12$18,313
FarxigaDapagliflozin Propanediol32$17,534
JanuviaSitagliptin Phosphate33$12,576
Repatha SyringeEvolocumab11$11,858
VascepaIcosapent Ethyl11$8,320
Combivent RespimatIpratropium/Albuterol Sulfate12$7,222
BrilintaTicagrelor20$5,680
Atorvastatin Calcium395$4,576
Esomeprazole Magnesium24$4,255
LantusInsulin Glargine,hum.Rec.Anlog42$4,073

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, Rybelsus, Levemir, Novolog$57$81,71192 claims
GSKTrelegy Ellipta$35$65,21090 claims
Lilly USA, LLCMounjaro$15$41,73938 claims
PfizerEliquis, Paxlovid$38$34,27363 claims
AstraZenecaFarxiga, Brilinta$21$23,21452 claims
Boehringer IngelheimCombivent Respimat$16$7,22212 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 65th percentile of 7,675 internal medicine providers in Texas.

Other internal medicine in Livingston

See the full list for Texas

Where these figures come from

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