RxDoctor Payments Data

Alan Kramer, MD

Medical Oncology · San Francisco, CANPI 1356357347

Payments from drug & device makers

$169,023in general payments, 2019–2025

Across 492 payments — averaging $343.54 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Merck$137K
  • E.r. Squibb & Sons, L.L.C.$21K
  • Novartis$2K
  • AstraZeneca$2K
  • Pfizer$850
  • Johnson & Johnson$562
  • plus $6K from 38 others

What the payments were for

  • Food & beverage$11,76797%
  • Education$3223%

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
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

$169,023 in reported general payments places this provider in the 60th percentile of 379 medical oncology providers in California.

See all medical oncology providers in California

Medicare billing

Part B allowed, 2024
$1,209,412
Medicare patients
191
Services billed
45,808

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
TagrissoOsimertinib Mesylate67$1,091,287
IbrancePalbociclib26$408,147
ImbruvicaIbrutinib18$291,887
LorbrenaLorlatinib12$248,564
TabrectaCapmatinib Hydrochloride16$229,712
TrazimeraTrastuzumab-Qyyp13$30,617
XareltoRivaroxaban15$11,234
Enoxaparin Sodium12$5,813
Exemestane14$2,915
Letrozole82$2,545
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen27$777
Oxycodone Hcl17$770
Fluconazole17$728
Fentanyl11$704
Levothyroxine Sodium51$503

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
AstraZenecaTagrisso$1,630$1,091,28767 claims
PfizerIbrance, Lorbrena, Trazimera$850$687,32751 claims
Pharmacyclics LLC, An Abbvie CompanyImbruvica$237$291,88718 claims
NovartisTabrecta$2,198$229,71216 claims
Johnson & JohnsonXarelto$562$11,23415 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 60th percentile of 379 medical oncology providers in California.

Other medical oncology in San Francisco

See the full list for California

Where these figures come from

Is this you, or does something look wrong? →