RxDoctor Payments Data

Amandeep Gill, MD

Nephrology · Tacoma, WANPI 1306934831

Payments from drug & device makers

What this record shows

Almost everything reported here is food and beverage — 96.1% of the total across 87 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. Vifor Pharma, Inc. accounts for 79.9% of it on its own, with 6 other manufacturers making up the rest. Reporting peaked in 2019 at $537 and has fallen 76.7% since, to $125 in 2025.

$1,810in general payments, 2019–2025

Across 87 payments — averaging $20.80 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Vifor Pharma, Inc.$1K
  • Calliditas Therapeutics US Inc.$125
  • Ardelyx, Inc.$123
  • Amgen$77
  • AstraZeneca$20
  • Fresenius USA Marketing, Inc.$17
  • plus $3 from 1 others

What the payments were for

  • Food & beverage$1,73996%
  • Education$714%

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

$1,810 in reported general payments places this provider in the 80th percentile of 237 nephrology providers in Washington.

See all nephrology providers in Washington

Medicare billing

Part B allowed, 2024
$374,417
Medicare patients
674
Services billed
2,689

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
VelphoroSucroferric Oxyhydroxide70$172,263
XphozahTenapanor Hcl28$153,898
Sevelamer Carbonate227$52,113
LokelmaSodium Zirconium Cyclosilicate45$46,072
VeltassaPatiromer Calcium Sorbitex35$37,826
JardianceEmpagliflozin19$24,644
FarxigaDapagliflozin Propanediol12$19,046
Calcium Acetate93$7,907
Calcitriol428$6,463
Cinacalcet Hcl29$3,945
Clonidine12$2,483
Hydralazine Hcl188$2,197
Torsemide77$1,811
Midodrine Hcl22$1,598
Amlodipine Besylate250$1,474

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
Fresenius USA Marketing, Inc.Velphoro$17$172,26370 claims
AstraZenecaLokelma, Farxiga$20$65,11857 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 80th percentile of 237 nephrology providers in Washington.

Other nephrology in Tacoma

See the full list for Washington

Where these figures come from

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