Ashok Jacob
Rheumatology · Annapolis, MDNPI 1467676759
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (57.9%), speaking fees and travel and lodging — rather than concentrated in one kind of arrangement. 42 manufacturers reported payments, led by Amgen at 32.9% of the total. Reporting peaked in 2019 at $11,331 and has fallen 63.2% since, to $4,168 in 2025.
Across 874 payments — averaging $36.13 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Amgen$10K
- AbbVie$7K
- Novartis$2K
- UCB, Inc.$2K
- Lilly USA, LLC$1K
- Johnson & Johnson$1K
- plus $8K from 36 others
What the payments were for
- Consulting fees$1200%
- Speaking & faculty fees$12,65040%
- Travel & lodging$5032%
- Food & beverage$18,28758%
- Education$150%
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.
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
$31,576 in reported general payments places this provider in the 85th percentile of 173 rheumatology providers in Maryland.
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 |
|---|---|---|
| RinvoqUpadacitinib | 38 | $388,793 |
| Enbrel SureclickEtanercept | 34 | $318,587 |
| Xeljanz XrTofacitinib Citrate | 33 | $184,081 |
| Gammagard LiquidImmun Glob G(Igg)/Gly/Iga Ov50 | 14 | $175,176 |
| Humira(Cf) PenAdalimumab | 22 | $149,854 |
| Cimzia (2 Pack)Certolizumab Pegol | 12 | $114,176 |
| Cosentyx Sensoready (2 Pens)Secukinumab | 14 | $105,893 |
| Cosentyx (2 Syringes)Secukinumab | 12 | $87,482 |
| ActemraTocilizumab | 11 | $61,416 |
| KevzaraSarilumab | 12 | $50,535 |
| ProliaDenosumab | 14 | $24,377 |
| MethotrexateMethotrexate Sodium | 415 | $17,907 |
| Hydroxychloroquine Sulfate | 165 | $9,971 |
| Prednisone | 319 | $2,176 |
| Mycophenolate Mofetil | 14 | $2,077 |
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 |
|---|---|---|
| AbbVieRinvoq | $7,411 | $388,79338 claims |
| UCB, Inc.Cimzia (2 Pack) | $1,577 | $114,17612 claims |
| NovartisCosentyx (2 Syringes) | $1,583 | $87,48212 claims |
| SanofiKevzara | $140 | $50,53512 claims |
| AmgenProlia | $10,390 | $24,37714 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 85th percentile of 173 rheumatology providers in Maryland.
Other rheumatology in Annapolis
- Mariam AmeriAnnapolis$22K
- Susan BergerAnnapolis$12K
- Heidi SamiAnnapolis$8K
- Yiran JiangAnnapolis$7K
- Sonie UpretiAnnapolis$6K
- Evan SiegelRockville$594K
- Donald ThomasGreenbelt$471K
- Edmund MaclaughlinEaston$410K
- Michelle PetriBaltimore$381K
- Herbert BarafWheaton$268K
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.