Arthur Cacacho, MD
Pulmonary Disease · Olean, NYNPI 1679970453
Payments from drug & device makers
Across 464 payments — averaging $20.37 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- GSK$2K
- Boehringer Ingelheim$809
- AstraZeneca$733
- Sanofi$639
- Regeneron Healthcare Solutions, Inc.$592
- Insmed, Inc.$554
- plus $4K from 29 others
What the payments were for
- Travel & lodging$4535%
- Food & beverage$8,55791%
- Education$4425%
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
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 |
|---|---|---|
| GSK | 123 | $1,709 |
| Boehringer Ingelheim | 29 | $809 |
| AstraZeneca | 28 | $733 |
| Sanofi | 26 | $639 |
| Regeneron Healthcare Solutions, Inc. | 24 | $592 |
| Insmed, Inc. | 56 | $554 |
| Olympus Corporation Of The Americas | 5 | $543 |
| Electromed, Inc. | 28 | $525 |
| Actelion Pharmaceuticals US, Inc. | 12 | $418 |
| Grifols USA, LLC | 21 | $395 |
| Takeda Pharmaceuticals U.S.A., Inc. | 15 | $382 |
| Mylan Specialty L.p. | 18 | $342 |
| Mallinckrodt Hospital Products Inc. | 10 | $328 |
| Amgen | 11 | $237 |
| Viatris Specialty LLC | 8 | $195 |
| Philips North America LLC | 6 | $137 |
| Pulmonx Corporation | 5 | $124 |
| Verona Pharma, Inc. | 5 | $96 |
| CSL Behring | 3 | $69 |
| United Therapeutics Corporation | 4 | $68 |
| Pfizer | 4 | $66 |
| Inspire Medical Systems, Inc. | 3 | $66 |
| Inogen, Inc. | 3 | $62 |
| Gilead | 3 | $48 |
| Merck | 2 | $48 |
| Vifor Pharma, Inc. | 2 | $47 |
| Novo Nordisk | 2 | $42 |
| Vapotherm Inc | 1 | $26 |
| Boston Scientific | 1 | $24 |
| Ambu Inc. | 1 | $24 |
| Baxter Healthcare | 1 | $23 |
| Pharming Healthcare, Inc. | 1 | $23 |
| Medtronic | 1 | $22 |
| Novartis | 1 | $21 |
| Johnson & Johnson | 1 | $14 |
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.
- Single Use Guide Sheath Kit$416
- SINGLE USE SUCTION VALVE (Sterile)$416
- FASENRA$168
- AIRSUPRA$168
- BREZTRI$168
- TEZSPIRE$168
- OFEV$125
- TRELEGY ELLIPTA$119
- DUPIXENT$105
How this compares
$9,453 in reported general payments places this provider in the 75th percentile of 1,115 pulmonary disease providers in New York.
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 |
|---|---|---|
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 977 | $735,688 |
| OfevNintedanib Esylate | 37 | $481,223 |
| Breztri AerosphereBudesonide/Glycopyr/Formoterol | 223 | $149,200 |
| Fasenra PenBenralizumab | 25 | $139,189 |
| Dupixent PenDupilumab | 36 | $134,576 |
| Breo ElliptaFluticasone/Vilanterol | 200 | $97,553 |
| Prolastin CAlpha-1-Proteinase Inhibitor | 12 | $89,614 |
| Spiriva RespimatTiotropium Bromide | 101 | $74,985 |
| Anoro ElliptaUmeclidinium Brm/Vilanterol Tr | 121 | $74,127 |
| NucalaMepolizumab | 16 | $58,136 |
| Stiolto RespimatTiotropium Br/Olodaterol Hcl | 80 | $48,699 |
| Dupixent SyringeDupilumab | 12 | $45,440 |
| Roflumilast | 427 | $32,774 |
| Incruse ElliptaUmeclidinium Bromide | 75 | $29,782 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 867 | $27,996 |
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 |
|---|---|---|
| GSKTrelegy Ellipta, Breo Ellipta, Anoro Ellipta, Nucala, Incruse Ellipta | $1,709 | $995,2851,389 claims |
| Boehringer IngelheimOfev, Spiriva Respimat, Stiolto Respimat | $809 | $604,907218 claims |
| AstraZenecaBreztri Aerosphere, Symbicort | $733 | $172,247286 claims |
| Grifols USA, LLCProlastin C | $395 | $89,61412 claims |
| MerckDulera | $48 | $8,08923 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 75th percentile of 1,115 pulmonary disease providers in New York.
Other pulmonary disease in Olean
- Linda RogersNew York$7.1M
- Maria PadillaNew York$3.6M
- R WhiteRochester$3.1M
- Juan WisniveskyNew York$3M
- Bushra MinaNew York$2.5M
- Robert KanerNew York$2.3M
- Negin HajizadehGreenport$2M
- Doreen Addrizzo-HarrisNew York$1.9M
- Sherif El BayadiSyracuse$1.9M
- Daniel LachantRochester$1.6M
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.