Annette Esper, MD
Pulmonary Disease · Atlanta, GANPI 1285661389
Payments from drug & device makers
What this record shows
This record is dominated by education: $15 of the $15 with a category attached, or 100.0%. Every reported general payment came from a single manufacturer, AstraZeneca. That places this record below the midpoint for pulmonary disease clinicians in GA, where the typical reported total is $3,789.
Across 1 payment — averaging $15.45 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$15
Across 2 payments — averaging $93,084 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.
- Siemens Medical Solutions USA, Inc.$186K
What the payments were for
- Education$15100%
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 |
|---|---|---|
| AstraZeneca | 1 | $15 |
How this compares
$15 in reported general payments places this provider in the 5th percentile of 365 pulmonary disease providers in Georgia.
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.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Spiriva RespimatTiotropium Bromide | 104 | $55,783 |
| Bevespi AerosphereGlycopyrrolate/Formoterol Fum | 95 | $49,153 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 59 | $42,607 |
| SymbicortBudesonide/Formoterol Fumarate | 105 | $31,803 |
| Incruse ElliptaUmeclidinium Bromide | 61 | $25,129 |
| Breztri AerosphereBudesonide/Glycopyr/Formoterol | 20 | $14,240 |
| Anoro ElliptaUmeclidinium Brm/Vilanterol Tr | 25 | $11,428 |
| Advair HfaFluticasone Propion/Salmeterol | 25 | $11,349 |
| EliquisApixaban | 15 | $11,101 |
| Atrovent HfaIpratropium Bromide | 13 | $10,128 |
| Stiolto RespimatTiotropium Br/Olodaterol Hcl | 14 | $8,892 |
| Budesonide-Formoterol FumarateBudesonide/Formoterol Fumarate | 50 | $8,601 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 240 | $8,288 |
| Ventolin HfaAlbuterol Sulfate | 84 | $4,552 |
| Varenicline Tartrate | 14 | $4,155 |
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.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| AstraZenecaBevespi Aerosphere, Symbicort, Breztri Aerosphere | $15 | $95,196220 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 5th percentile of 365 pulmonary disease providers in Georgia.
Other pulmonary disease in Atlanta
- Colin SwensonAtlanta$255K
- Eric FlenaughAtlanta$93K
- Gregory MartinAtlanta$88K
- Victor TsengAtlanta$55K
- Ralitza MartinAtlanta$48K
- Venkatesh LakshminarayananAtlanta$33K
- Sisir AkkineniAtlanta$21K
- Gerald StatonAtlanta$21K
- Mirza AliAtlanta$16K
- Srihari VeeraraghavanAtlanta$16K
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.