Adam Fershko, MD
Hospitalist · Miamisburg, OHNPI 1780833244
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 28 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 13 manufacturers reported payments, led by AstraZeneca at 34.8% of the total. Reporting peaked in 2021 at $1,022 and has fallen 88.1% since, to $122 in 2024. Among hospitalist clinicians in OH with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 28 payments — averaging $93.44 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$910
- Amgen$339
- Bayer$230
- Novartis$198
- Ironshore Pharmaceuticals Inc.$133
- Sanofi$125
- plus $681 from 7 others
What the payments were for
- Food & beverage$2,616100%
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 |
|---|---|---|
| AstraZeneca | 11 | $910 |
| Amgen | 3 | $339 |
| Bayer | 2 | $230 |
| Novartis | 2 | $198 |
| Ironshore Pharmaceuticals Inc. | 1 | $133 |
| Sanofi | 1 | $125 |
| Boston Scientific | 1 | $118 |
| Pfizer | 1 | $110 |
| Johnson & Johnson | 1 | $108 |
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $107 |
| Rigel Pharmaceuticals, Inc. | 1 | $96 |
| Lilly USA, LLC | 2 | $94 |
| Eisai Inc. | 1 | $48 |
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
$2,616 in reported general payments places this provider in the 95th percentile of 813 hospitalist providers in Ohio.
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 |
|---|---|---|
| Oxycodone Hcl | 15 | $80 |
| Prednisone | 13 | $70 |
| Pantoprazole Sodium | 13 | $52 |
| Furosemide | 15 | $44 |
Paid to pharmacies, not to this prescriber.
Other hospitalist in Miamisburg
- Chandramohan MeenakshisundaramCleveland$54K
- Kirshan LalDayton$28K
- Geeta SrivastavaCincinnati$10K
- Danielle ClemmerColumbus$9K
- Robert RubinCincinnati$9K
- Roop KawCleveland$8K
- Rohit UppalColumbus$6K
- Patrick GradyCleveland$6K
- Andre FabienCleveland$6K
- Beth ListonColumbus$5K
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.