RxDoctor Payments Data

Anthony Kosinski, MD

Obstetrics & Gynecology · Petaluma, CANPI 1588656631

Payments from drug & device makers

$757in general payments, 2019–2025

Across 37 payments — averaging $20.46 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Astellas Pharma US Inc$150
  • Pfizer$127
  • Avanos Medical$117
  • Mayne Pharma Commercial LLC$72
  • Organon$62
  • Biogen$40
  • plus $188 from 8 others

What the payments were for

  • Food & beverage$72095%
  • Education$375%

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

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.

How this compares

$757 in reported general payments places this provider in the 60th percentile of 3,784 obstetrics & gynecology providers in California.

See all obstetrics & gynecology providers in California

Medicare billing

Part B allowed, 2024
$30,480
Medicare patients
170
Services billed
295

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
PremarinEstrogens, Conjugated28$12,792
MyrbetriqMirabegron17$12,705
EstringEstradiol20$10,651
Estradiol140$9,427
ImvexxyEstradiol13$8,187
PremproEstrogen,con/M-Progest Acet11$5,637
YuvafemEstradiol31$4,332
Estradiol (Once Weekly)Estradiol11$1,580
ProgesteroneProgesterone, Micronized39$955
Clotrimazole-BetamethasoneClotrimazole/Betamethasone Dip35$887
ValacyclovirValacyclovir Hcl12$868
Clobetasol Propionate21$667
Nitrofurantoin Mono-MacroNitrofurantoin Monohyd/M-Cryst17$184
Medroxyprogesterone Acetate11$86
Fluconazole12$31

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
PfizerPremarin, Estring, Prempro$127$29,08059 claims
Astellas Pharma US IncMyrbetriq$150$12,70517 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 60th percentile of 3,784 obstetrics & gynecology providers in California.

Other obstetrics & gynecology in Petaluma

See the full list for California

Where these figures come from

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