Andra Duncan, MD
Anesthesiology · Cleveland, OHNPI 1578527743
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $4,000 of the $4,951 with a category attached, or 80.8%. Octapharma USA, Inc. accounts for 80.8% of it on its own, with 3 other manufacturers making up the rest. 2025 is the largest year on record at $4,145, more than ten times the $20 reported in 2020. Among anesthesiology 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 6 payments — averaging $825.16 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Octapharma USA, Inc.$4K
- Abiomed$474
- Hemosonics LLC$346
- Heron Therapeutics, Inc.$131
Across 36 payments — averaging $20,642 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Hemosonics LLC$678K
- Fresenius Kabi USA, LLC$65K
What the payments were for
- Speaking & faculty fees$4,00081%
- Travel & lodging$47410%
- Food & beverage$47710%
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 |
|---|---|---|
| Octapharma USA, Inc. | 1 | $4,000 |
| Abiomed | 1 | $474 |
| Hemosonics LLC | 2 | $346 |
| Heron Therapeutics, Inc. | 2 | $131 |
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.
- FIBRYGA & BALFAXAR$4,000
- Impella$474
- QUNATRA QPLUS SYSTEM$346
- Quantra QPlus System$145
- Zynrelef$111
How this compares
$4,951 in reported general payments places this provider in the 95th percentile of 1,623 anesthesiology 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.
Other anesthesiology in Cleveland
- Sabry AyadCleveland$427K
- Edwin AveryCleveland$194K
- Hesham ElsharkawyCleveland$189K
- Basem AbdelmalakCleveland$147K
- Daniel SesslerCleveland$140K
- Andrew ShawCleveland$112K
- Michael SmithCleveland$75K
- Adi CosicCleveland$57K
- Sameam ShahrestaniCleveland$57K
- Peter SchoenwaldCleveland$55K
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.