Brian Drachman, MD
Cardiovascular Disease · Philadelphia, PANPI 1801827597
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $53,235 of the $78,288 with a category attached, or 68.0%. 7 manufacturers reported payments, led by Alnylam Pharmaceuticals Inc. at 56.1% of the total. Among cardiovascular disease clinicians in PA with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 97 payments — averaging $807.10 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Alnylam Pharmaceuticals Inc.$44K
- Pfizer$29K
- AstraZeneca$5K
- Akcea Therapeutics, Inc.$500
- Impulse Dynamics (USA) Inc.$25
- Cardiva Medical, Inc.$22
- plus $12 from 1 others
Across 329 payments — averaging $11,415 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.
- Alnylam Pharmaceuticals Inc.$3M
- Pfizer$457K
- AstraZeneca$204K
- Ionis Pharmaceuticals, Inc.$29K
- Eidos Therapeutics, Inc.$29K
What the payments were for
- Consulting fees$53,23568%
- Speaking & faculty fees$10,57514%
- Travel & lodging$11,93015%
- Food & beverage$2,5283%
- Education$200%
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 |
|---|---|---|
| Alnylam Pharmaceuticals Inc. | 46 | $43,923 |
| Pfizer | 32 | $28,634 |
| AstraZeneca(2 entities) | 15 | $5,173 |
| Akcea Therapeutics, Inc. | 1 | $500 |
| Impulse Dynamics (USA) Inc. | 1 | $25 |
| Cardiva Medical, Inc. | 1 | $22 |
| E.r. Squibb & Sons, L.L.C. | 1 | $12 |
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
$78,288 in reported general payments places this provider in the 95th percentile of 1,250 cardiovascular disease providers in Pennsylvania.
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 |
|---|---|---|
| VyndamaxTafamidis | 1,013 | $28,204,831 |
| VyndaqelTafamidis Meglumine | 182 | $3,929,656 |
| EliquisApixaban | 276 | $360,215 |
| EntrestoSacubitril/Valsartan | 243 | $356,149 |
| FarxigaDapagliflozin Propanediol | 132 | $190,125 |
| JardianceEmpagliflozin | 97 | $132,805 |
| XareltoRivaroxaban | 81 | $102,741 |
| Praluent PenAlirocumab | 45 | $31,530 |
| Repatha SureclickEvolocumab | 42 | $24,133 |
| Potassium Chloride | 158 | $12,130 |
| Metoprolol Succinate | 480 | $9,974 |
| Icosapent Ethyl | 15 | $8,126 |
| Dofetilide | 25 | $5,540 |
| Atorvastatin Calcium | 398 | $5,422 |
| Rosuvastatin Calcium | 298 | $4,941 |
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 |
|---|---|---|
| PfizerVyndamax, Vyndaqel, Eliquis | $28,634 | $32,494,7021,471 claims |
| AstraZenecaFarxiga | $5,173 | $190,125132 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 1,250 cardiovascular disease providers in Pennsylvania.
Other cardiovascular disease in Philadelphia
- Paul ForfiaPhiladelphia$1.2M
- Quang BuiPhiladelphia$933K
- Dean KaralisPhiladelphia$385K
- Manavendra BakhshiPhiladelphia$250K
- Philip HainesPhiladelphia$170K
- Julio ChirinosPhiladelphia$145K
- Michael MillerPhiladelphia$133K
- Nehal MehtaPhiladelphia$129K
- Garo GaribianPhiladelphia$115K
- Norman FeinsmithPhiladelphia$94K
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.