RxDoctor Payments Data

Antranik Mangardich, MD

Pulmonary Disease · Grand Forks, NDNPI 1033559620

Payments from drug & device makers

What this record shows

This record is dominated by education: $5,549 of the $7,702 with a category attached, or 72.0%. Intuitive Surgical accounts for 93.2% of it on its own, with 7 other manufacturers making up the rest. Reporting peaked in 2024 at $7,122 and has fallen 98.4% since, to $116 in 2025.

$7,702in general payments, 2019–2025

Across 21 payments — averaging $366.77 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Intuitive Surgical$7K
  • Sanofi$115
  • Mylan Specialty L.p.$101
  • Boehringer Ingelheim$86
  • Regeneron Healthcare Solutions, Inc.$83
  • Angiodynamics, Inc.$60
  • plus $79 from 2 others

What the payments were for

  • Travel & lodging$1,62221%
  • Food & beverage$5327%
  • Education$5,54972%

General payments by program year

19
21
22
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

$7,702 in reported general payments places this provider in the 80th percentile of 31 pulmonary disease providers in North Dakota.

See all pulmonary disease providers in North Dakota

Medicare billing

Part B allowed, 2024
$95,640
Medicare patients
523
Services billed
1,359

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
OfevNintedanib Esylate24$313,840
NucalaMepolizumab43$153,331
Spiriva RespimatTiotropium Bromide104$73,016
Anoro ElliptaUmeclidinium Brm/Vilanterol Tr53$25,655
Breo ElliptaFluticasone/Vilanterol45$24,668
Incruse ElliptaUmeclidinium Bromide63$22,160
Advair HfaFluticasone Propion/Salmeterol36$19,037
DuleraMometasone/Formoterol39$16,521
Stiolto RespimatTiotropium Br/Olodaterol Hcl17$13,695
Spiriva HandihalerTiotropium Bromide17$13,609
Trelegy ElliptaFluticasone/Umeclidin/Vilanter14$11,291
Fluticasone-SalmeterolFluticasone Propion/Salmeterol50$10,270
SymbicortBudesonide/Formoterol Fumarate32$10,051
Arnuity ElliptaFluticasone Furoate28$9,226
Fluticasone Propionate HfaFluticasone Propionate21$5,673

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
Boehringer IngelheimOfev, Spiriva Respimat, Stiolto Respimat$86$400,552145 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 80th percentile of 31 pulmonary disease providers in North Dakota.

Other pulmonary disease in Grand Forks

See the full list for North Dakota

Where these figures come from

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