RxDoctor Payments Data

Adarsha Shrestha, MD

Nephrology · Stuart, FLNPI 1548426398

Payments from drug & device makers

$720in general payments, 2019–2025

Across 8 payments — averaging $90.00 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Calliditas Therapeutics US Inc.$275
  • AstraZeneca$170
  • Nxstage Medical, Inc.$120
  • Amgen$119
  • Astellas Pharma US Inc$37

What the payments were for

  • Food & beverage$720100%

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

19
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

$720 in reported general payments places this provider in the 30th percentile of 756 nephrology providers in Florida.

See all nephrology providers in Florida

Medicare billing

Part B allowed, 2024
$258,187
Medicare patients
700
Services billed
2,273

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
FarxigaDapagliflozin Propanediol13$16,857
Sevelamer Carbonate27$5,809
Doxazosin Mesylate207$3,106
Potassium Citrate ErPotassium Citrate22$2,606
Allopurinol348$2,473
Nifedipine ErNifedipine46$1,792
Amlodipine Besylate239$1,612
Hydralazine Hcl142$1,593
Furosemide371$1,592
Calcium Acetate25$1,588
SpsSodium Polystyrene Sulfon/Sorb39$1,503
Bumetanide37$1,421
Potassium Chloride87$1,296
Calcitriol72$1,247
Cinacalcet Hcl19$1,219

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
AstraZenecaFarxiga$170$16,85713 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 30th percentile of 756 nephrology providers in Florida.

Other nephrology in Stuart

See the full list for Florida

Where these figures come from

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