Medical Doctor Program year 2025 Reported 2019–2025 Source: CMS Open Payments, 2026 publication

Cesar Tula

Hematology & Oncology Waco, TX Medical Doctor

NPI 1487630885 CMS profile 112059

150 Hillcrest Medical Blvd, Waco, TX 76712

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General payments

$2,265

108 records reported · program years 2019–2025

Research payments

$0

Paid to them · None reported · program years 2019–2025

Ownership & investment interest

$0

None reported

Through program year 2025, Cesar Tula of Waco, TX is reported in the CMS Open Payments database as having received $2,265 across 108 general payments and $0 in research payments paid 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.

General payments for this record sit in the 47th percentile of Hematology & Oncology profiles with reported payments. Percentile describes the distribution, not the conduct.

By program year

7 rows
Year Kind Relative to this record's peak year Amount Records
2025 General $366 16
2024 General $344 17
2023 General $712 33
2022 General $38 2
2021 General $70 4
2020 General $644 30
2019 General $91 6

Beside peers

Year by year, beside peers General payments · among profiles paid that year
  • Cesar Tula
  • Hematology & Oncology median
  • Middle half of Hematology & Oncology
  • National median

In program year 2025, general payments to Cesar Tula were reported at $366. Among 8,769 Hematology & Oncology profiles paid that year, the median was $683 and the middle half received between $143 and $3,154.

Show as a table
Year Cesar Tula Hematology & Oncology median Middle half National median
2019 $91 $529 $121–$2,516 $163
2020 $644 $339 $82–$2,213 $114
2021 $70 $263 $49–$1,965 $132
2022 $38 $416 $103–$2,395 $149
2023 $712 $542 $125–$2,646 $160
2024 $344 $692 $141–$3,008 $164
2025 $366 $683 $143–$3,154 $169

Breakdown

Who paid General payments · program years 2019–2025
  1. Janssen Biotech, Inc. $253 10 payments
  2. Merck Sharp & Dohme Corporation $214 12 payments
  3. Genzyme Corporation $162 7 payments
  4. Dova Pharmaceuticals $155 2 payments
  5. AstraZeneca Pharmaceuticals LP $133 6 payments
  6. Incyte Corporation $94 5 payments
  7. Legend Biotech USA Inc. $87 3 payments
  8. GlaxoSmithKline, LLC. $86 5 payments
  9. TerSera Therapeutics LLC $78 4 payments
  10. Karyopharm Therapeutics Inc. $70 4 payments
  11. Other $932 50 payments

Every payment, record by record

What the payments were for General payments · program years 2019–2025
  1. Food and Beverage $2,155 106 payments
  2. Education $110 2 payments
Products named General payments · program years 2019–2025
  1. DARZALEX $226 8 payments
  2. KEYTRUDA $214 12 payments
  3. Doptelet $201 4 payments
  4. SARCLISA $125 5 payments
  5. CARVYKTI $87 3 payments
  6. CALQUENCE $81 3 payments
  7. XPOVIO $70 4 payments
  8. IMBRUVICA $67 4 payments
  9. Lenvima $62 3 payments
  10. OJJAARA $57 3 payments
  11. Other $1,535 85 payments

A payment can name more than one product, so these amounts overlap and do not add up to the general-payment figure.

Prescribing to Medicare patients

Part D · data year 2024 · 14 drugs

Part D claims

213

Median for Internal Medicine: 777

Drug cost

$1,556,605

Median for Internal Medicine: $73,373

Branded share of claims

53.5%

Median for Internal Medicine: 19.3%

Drugs this doctor was counted under in Medicare Part D 2024, by drug cost
Drug Type Relative to their largest Claims Drug cost
Ojjaara Momelotinib Dihydrochloride Brand 11 $306,864
Erleada Apalutamide Brand 18 $280,094
Erivedge Vismodegib Brand 17 $227,984
Imbruvica Ibrutinib Brand 14 $221,845
Ibrance Palbociclib Brand 14 $221,680
Xtandi Enzalutamide Brand 13 $185,781
Lonsurf Trifluridine/Tipiracil Hcl Brand 11 $73,062
Zarxio Filgrastim-Sndz Brand 16 $36,799
Fulvestrant Generic 11 $1,302
Tamoxifen Citrate Generic 17 $335

The 10 drugs with the highest cost, of 14 counted.

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 · 55 billing codes

Paid by Medicare

$206,397

Of which drugs: $178,173

Medicare patients

142

Average age 74

Services billed

20,466

71 women, 71 men among their patients

Share of this provider's Medicare patients with each condition
Condition among their Medicare patients Relative to the most common Share of patients
High blood pressure 75%
Cancer 58%
Diabetes 39%
Arthritis 35%
Chronic kidney disease 34%
Ischemic heart disease 30%
Osteoporosis 23%
COPD 18%

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.

Payments and prescribing

First 5 of 16 products · payments 2024

Two separate records. The payments come from Open Payments and the claims from Medicare. They are set side by side because they name the same product; they do not show that a payment affected a prescription.

Products this doctor was paid in connection with in 2024, beside Medicare claims for the same product
Product Paid by Related payments Part D claims Part B services
SARCLISA
  • GENZYME CORPORATION $43
$43 — —
OJJAARA
  • GlaxoSmithKline, LLC. $35
$35 11 —
CALQUENCE
  • AstraZeneca Pharmaceuticals LP $34
$34 — —
XPOVIO
  • Karyopharm Therapeutics Inc. $31
$31 — —
BESREMI
  • PharmaEssentia USA Corporation $25
$25 — —

A dash means Medicare published no figure for this doctor and product — fewer than 11 claims, or the product is not covered under that part — which is not the same as none. Payments are general payments only; one that names several products is split evenly between them, so an amount is payments related to the product, not money paid for it.

See all 16 in the dashboard with a free account

Records

108 reported

Every 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 Hematology & Oncology in Texas

Related records

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.

Provenance

Source: CMS Open Payments · through program year 2025

Data current to program year 2025, from CMS's 2026 publication.

We reproduce what manufacturers reported. We do not verify, edit or correct the underlying records.

A payment record is not evidence of wrongdoing. Financial relationships between industry and medicine are legal, common and often necessary for research. Who Paid My Doc reports what was disclosed; it does not judge it.

Who Paid My Doc is independent and is not affiliated with, endorsed by or sponsored by CMS or any U.S. government agency. It is not a consumer reporting agency and this is not a consumer report; do not use it for decisions covered by the Fair Credit Reporting Act.

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