RxDoctor Payments Data

Ashokkumar Ghadia, MD

Family Medicine · Bakersfield, CANPI 1124049234

Payments from drug & device makers

$15,191in general payments, 2019–2025

Across 723 payments — averaging $21.01 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • GSK$2K
  • AstraZeneca$2K
  • AbbVie$1K
  • Lilly USA, LLC$938
  • Pfizer$684
  • Novo Nordisk$582
  • plus $7K from 54 others

What the payments were for

  • Food & beverage$15,165100%
  • Education$260%

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

19
20
21
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.

CompanyPaymentsTotal
GSK89$2,371
AstraZeneca86$1,877
AbbVie(2 entities)84$1,179
Lilly USA, LLC67$938
Pfizer40$684
Novo Nordisk27$582
Boehringer Ingelheim24$536
Johnson & Johnson25$519
Amarin Pharma, Inc.14$488
Amgen(2 entities)24$449
Merck27$448
Takeda Pharmaceuticals U.S.A., Inc.23$395
Ironshore Pharmaceuticals Inc.19$373
Bayer16$311
Biohaven Pharmaceuticals, Inc.10$284
Otsuka America Pharmaceutical, Inc.12$265
Biohaven Pharmaceutical Holding Company Ltd.14$252
Biosense Webster, Inc.2$225
Abbott5$175
Salix Pharmaceuticals, A Division Of Bausch Health US, LLC10$162
Corcept Therapeutics3$161
Avanir Pharmaceuticals, Inc.3$151
Heartflow, Inc.1$150
Xeris Pharmaceuticals, Inc.1$135
Alcon1$134
Agile Therapeutics, Inc.7$130
Exact Sciences7$129
Astellas Pharma US Inc7$125
Pulmonx Corporation1$113
Inspire Medical Systems, Inc.1$96
Angiodynamics, Inc.1$91
Eisai Inc.5$85
Vanda Pharmaceuticals Inc.4$73
Organon4$70
Ironwood Pharmaceuticals, Inc5$70
Sanofi-aventis U.S. LLC5$66
Collegium Pharmaceutical, Inc.3$58
Phathom Pharmaceuticals, Inc.4$55
Lundbeck LLC3$54
Nevro Corp.2$52
Daiichi Sankyo Inc.3$52
ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.)3$51
Medtronic2$47
Hologic Sales And Service, LLC2$45
Agios Pharmaceuticals, Inc.2$44
Sanofi Pasteur Inc.2$39
Baxter Healthcare1$31
Corium, LLC2$30
Scilex Pharmaceuticals Inc.2$26
Esperion Therapeutics, Inc.1$25
Nestle Healthcare Nutrition Inc.1$23
Thea Pharma Inc.1$22
Shield Therapeutics Inc1$20
E.r. Squibb & Sons, L.L.C.1$20
Vertex1$20
Teva Pharmaceuticals USA, Inc.1$19
Cranial Technologies, Inc1$19
VBI Vaccine (delaware) Inc.1$19
Currax Pharmaceuticals LLC1$17
Novartis1$17

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

$15,191 in reported general payments places this provider in the 95th percentile of 10,533 family medicine providers in California.

See all family medicine providers in California

Medicare billing

Part B allowed, 2024
$244,130
Medicare patients
636
Services billed
7,668

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
FarxigaDapagliflozin Propanediol82$83,858
JardianceEmpagliflozin31$45,362
EliquisApixaban37$40,587
TrulicityDulaglutide28$40,530
OzempicSemaglutide29$33,156
XareltoRivaroxaban37$27,295
Trelegy ElliptaFluticasone/Umeclidin/Vilanter27$24,255
RybelsusSemaglutide23$21,157
JanuviaSitagliptin Phosphate17$19,457
VeltassaPatiromer Calcium Sorbitex11$11,213
Janumet XrSitagliptin Phos/Metformin Hcl14$7,578
Atorvastatin Calcium522$4,210
Levothyroxine Sodium287$3,362
Rosuvastatin Calcium238$3,332
Lantus SolostarInsulin Glargine,hum.Rec.Anlog23$2,971

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
AstraZenecaFarxiga$1,877$83,85882 claims
Novo NordiskOzempic, Rybelsus$582$54,31452 claims
Boehringer IngelheimJardiance$536$45,36231 claims
PfizerEliquis$684$40,58737 claims
Lilly USA, LLCTrulicity$938$40,53028 claims
Johnson & JohnsonXarelto$519$27,29537 claims
MerckJanuvia, Janumet Xr$448$27,03631 claims
GSKTrelegy Ellipta$2,371$24,25527 claims
AbbVieSynthroid$1,179$1,67131 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 95th percentile of 10,533 family medicine providers in California.

Other family medicine in Bakersfield

See the full list for California

Where these figures come from

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