RxDoctor Payments Data

Beth Zha

Pulmonary Disease · San Francisco, CANPI 1396087342

Payments from drug & device makers

What this record shows

This record is dominated by consulting fees: $18,168 of the $20,544 with a category attached, or 88.4%. Insmed, Inc. accounts for 68.5% of it on its own, with 2 other manufacturers making up the rest. 2025 is the largest year on record at $9,966, more than ten times the $136 reported in 2019. Among pulmonary disease clinicians in CA with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.

$20,544in general payments, 2019–2025

Across 27 payments — averaging $760.89 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Insmed, Inc.$14K
  • Genentech, Inc.$3K
  • Boehringer Ingelheim$3K
$472,048in research payments, 2019–2025

Across 132 payments — averaging $3576.12 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.

  • Insmed, Inc.$470K
  • Boehringer Ingelheim International GmbH$2K

What the payments were for

  • Consulting fees$18,16888%
  • Travel & lodging$1,6788%
  • Food & beverage$6983%

General payments by program year

19
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
Insmed, Inc.21$14,077
Genentech, Inc.2$3,300
Boehringer Ingelheim4$3,167

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

$20,544 in reported general payments places this provider in the 90th percentile of 1,261 pulmonary disease providers in California.

See all pulmonary disease providers in California

Medicare billing

Part B allowed, 2024
$62,528
Medicare patients
342
Services billed
1,003

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
TrikaftaElexacaftor/Tezacaftor/Ivacaft18$478,624
ArikayceAmikacin Liposomal/Neb.Accessr22$321,387
Anoro ElliptaUmeclidinium Brm/Vilanterol Tr132$73,893
Stiolto RespimatTiotropium Br/Olodaterol Hcl88$59,795
Spiriva RespimatTiotropium Bromide53$40,534
ColistimethateColistin (Colistimethate Na)37$14,874
Incruse ElliptaUmeclidinium Bromide37$14,315
Spiriva HandihalerTiotropium Bromide14$12,452
Combivent RespimatIpratropium/Albuterol Sulfate21$10,206
DuleraMometasone/Formoterol13$6,751
Advair HfaFluticasone Propion/Salmeterol13$4,662
Albuterol Sulfate HfaAlbuterol Sulfate146$3,817
Ceftazidime36$3,646
Levalbuterol Tartrate HfaLevalbuterol Tartrate49$3,411
Rifampin37$2,862

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
Insmed, Inc.Arikayce$14,077$321,38722 claims
Boehringer IngelheimStiolto Respimat, Spiriva Respimat, Combivent Respimat$3,167$110,535162 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 90th percentile of 1,261 pulmonary disease providers in California.

Other pulmonary disease in San Francisco

See the full list for California

Where these figures come from

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