RxDoctor Payments Data

Andrew Bland, MD

Nephrology · Dubuque, IANPI 1467582775

Payments from drug & device makers

What this record shows

This record is dominated by speaking fees: $66,678 of the $75,944 with a category attached, or 87.8%. 8 manufacturers reported payments, led by AstraZeneca at 52.4% of the total. Reporting peaked in 2023 at $33,825 and has fallen 99.4% since, to $207 in 2025. Among nephrology clinicians in IA 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.

$75,944in general payments, 2019–2025

Across 120 payments — averaging $632.87 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • AstraZeneca$40K
  • Bayer$36K
  • Boehringer Ingelheim$158
  • Novo Nordisk$153
  • Novartis$54
  • Otsuka America Pharmaceutical, Inc.$36
  • plus $25 from 2 others

What the payments were for

  • Consulting fees$3,8925%
  • Speaking & faculty fees$66,67888%
  • Travel & lodging$2,8454%
  • Food & beverage$2,4653%
  • Education$640%

General payments by program year

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

$75,944 in reported general payments places this provider in the 95th percentile of 73 nephrology providers in Iowa.

See all nephrology providers in Iowa

Medicare billing

Part B allowed, 2024
$204,385
Medicare patients
324
Services billed
13,087

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 Propanediol157$140,066
KerendiaFinerenone53$42,148
JardianceEmpagliflozin35$37,560
ClinolipidFat Emulsion/Olive/Soy/Phospho28$12,943
LokelmaSodium Zirconium Cyclosilicate18$10,345
Sevelamer Carbonate21$8,963
Bumetanide142$6,037
Potassium Citrate ErPotassium Citrate18$2,722
Olmesartan Medoxomil157$2,497
Carvedilol328$2,495
Nifedipine ErNifedipine83$2,147
Calcitriol97$1,832
Potassium Chloride78$1,660
Tamsulosin Hcl101$1,545
Colchicine11$1,236

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, Lokelma$39,779$150,412175 claims
BayerKerendia$35,739$42,14853 claims
Boehringer IngelheimJardiance$158$37,56035 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 95th percentile of 73 nephrology providers in Iowa.

Other nephrology in Dubuque

See the full list for Iowa

Where these figures come from

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