RxDoctor Payments Data

Andrew Pachner, MD

Neurology · Lebanon, NHNPI 1720111867

Payments from drug & device makers

What this record shows

This record is dominated by consulting fees: $22,552 of the $31,476 with a category attached, or 71.6%. 3 manufacturers reported payments, led by EMD Serono, Inc. at 53.3% of the total. Among neurology clinicians in NH 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.

$31,476in general payments, 2019–2025

Across 33 payments — averaging $953.83 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • EMD Serono, Inc.$17K
  • Biogen$9K
  • AstraZeneca$5K
$178,514in research payments, 2019–2025

Across 11 payments — averaging $16,229 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.

  • Novartis$120K
  • Biogen$40K
  • EMD Serono, Inc.$18K

What the payments were for

  • Consulting fees$22,55272%
  • Speaking & faculty fees$3,82512%
  • Travel & lodging$4,20313%
  • Food & beverage$8963%

General payments by program year

19
20

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.

CompanyPaymentsTotal
EMD Serono, Inc.16$16,768
Biogen8$9,252
AstraZeneca9$5,457

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

$31,476 in reported general payments places this provider in the 95th percentile of 92 neurology providers in New Hampshire.

See all neurology providers in New Hampshire

Medicare billing

Part B allowed, 2024
$8,869
Medicare patients
55
Services billed
117

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
TecfideraDimethyl Fumarate25$223,643
Rebif RebidoseInterferon Beta-1a/Albumin12$124,675
GilenyaFingolimod Hcl11$103,427
FingolimodFingolimod Hcl63$31,787
Teriflunomide24$24,389
Dalfampridine ErDalfampridine16$5,888
Dimethyl Fumarate14$2,244
Tizanidine Hcl14$771
Gabapentin21$541
Baclofen30$465

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
BiogenTecfidera$9,252$223,64325 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 92 neurology providers in New Hampshire.

Other neurology in Lebanon

See the full list for New Hampshire

Where these figures come from

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