Who Paid My Doc
Aramis Cosme
Internal Medicine Cypress, TX Medical Doctor
NPI 1194179010 CMS profile 8807044
21214 Northwest Fwy, Cypress, TX 77429
General payments
$0
Research payments
$2,466
Ownership & investment interest
$0
Research they led as principal investigator
$1,878,681
Through program year 2022, Aramis Cosme of Cypress, TX is reported in the CMS Open Payments database as having received $0 across 0 general payments and $2,466 in research payments paid to them. Separately, studies naming them as principal investigator received $1,878,681 in research payments, paid to institutions rather than to them.
No combined total General, research and ownership are kept apart. Each is reported under its own rules, and ownership is not money that moved at all but the value of a stake held. A meal, a clinical trial grant and a shareholding do not add up to anything meaningful, so this site does not add them. The principal-investigator line is research money paid to institutions for studies they led — not to them — and is not added to anything either.
General payments for this record sit in the 81st percentile of Internal Medicine profiles with reported payments. Percentile describes the distribution, not the conduct.
By program year
1 row| Year | Kind | Relative to this record's peak year | Amount | Records |
|---|---|---|---|---|
| 2022 | Research | $2,466 | 1 |
Prescribing to Medicare patients
Part D · data year 2024 · 9 drugsPart D claims
164
Drug cost
$10,488
Branded share of claims
15.9%
| Drug | Type | Relative to their largest | Claims | Drug cost |
|---|---|---|---|---|
| Eliquis Apixaban | Brand | 14 | $9,709 | |
| Atorvastatin Calcium | Generic | 28 | $182 | |
| Losartan Potassium | Generic | 20 | $135 | |
| Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav | Brand | 12 | $107 | |
| Metoprolol Succinate | Generic | 12 | $83 | |
| Furosemide | Generic | 22 | $78 | |
| Amlodipine Besylate | Generic | 24 | $78 | |
| Carvedilol | Generic | 19 | $66 | |
| Levothyroxine Sodium | Generic | 13 | $51 |
Drug cost is what was paid for the drugs at the pharmacy — by Medicare, the patient and others — and is not money to the prescriber. Medicare Part D only: drugs dispensed to Medicare beneficiaries. A drug with fewer than 11 claims for this prescriber is not published, so a missing drug does not mean zero. The medians are for the 104,182 Part D prescribers listed as Internal Medicine; they describe a distribution and say nothing about conduct.
Billing to Medicare
Part B · data year 2024 · 32 billing codesPaid by Medicare
$2,577,095
Medicare patients
205
Services billed
2,246
| Condition among their Medicare patients | Relative to the most common | Share of patients |
|---|---|---|
| High blood pressure | 75% | |
| Diabetes | 62% | |
| Ischemic heart disease | 62% | |
| Heart failure | 61% | |
| Chronic kidney disease | 56% | |
| Arthritis | 55% | |
| Atrial fibrillation | 43% | |
| Depression | 38% |
Medicare Part B only: services billed to Medicare. Rows covering fewer than 11 beneficiaries are not published. Only drugs given in the clinic are itemised here; the rest of what this provider billed is in the total above.
Records
1 reportedEvery payment, record by record
Date, company, amount, what it was for and the product named — filter by year, kind and company, or download as CSV.
Other Internal Medicine in Texas
Related records
Internal Medicine in Texas
Practitioners in the same specialty and state, ranked by reported value.
All Internal Medicine
Everyone recorded under this specialty, nationwide.
Doctors in Texas
Every practitioner in the state with a reported payment.
How to read this page
What each amount means, and what it does not mean.
What this means
U.S. law requires drug and medical device manufacturers to report payments and transfers of value they make to physicians and teaching hospitals. The Centers for Medicare & Medicaid Services publishes that record each year. This page shows what was reported about this person, and nothing else.
An ownership interest is different from the other two. It is not a payment: it is a stake — shares, options, a partnership holding — that a physician or an immediate family member held in a manufacturer during that year. The figure shown is what the stake was reported to be worth.
Research payments frequently pass through a clinician to the institution running a trial, and rarely represent personal income. They should be read differently from general payments.