Carlos Picone, MD
Pulmonary Disease · Chevy Chase, MDNPI 1861475840
Payments from drug & device makers
What this record shows
The money is spread across several categories — speaking fees (39.7%), food and beverage and consulting fees — rather than concentrated in one kind of arrangement. 52 manufacturers reported payments, led by Insmed, Inc. at 43.7% of the total. Reporting peaked in 2019 at $27,560 and has fallen 86.9% since, to $3,599 in 2025. Among pulmonary disease clinicians in MD 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.
Across 997 payments — averaging $74.58 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Insmed, Inc.$33K
- Mylan Specialty L.p.$20K
- AstraZeneca$7K
- GSK$4K
- Sanofi$2K
- Boehringer Ingelheim$1K
- plus $8K from 46 others
Across 3 payments — averaging $4900.81 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.
- Novartis$15K
What the payments were for
- Consulting fees$15,70921%
- Speaking & faculty fees$29,52140%
- Travel & lodging$1,8162%
- Food & beverage$26,84836%
- Education$4641%
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
$74,357 in reported general payments places this provider in the 90th percentile of 297 pulmonary disease 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 |
|---|---|---|
| OfevNintedanib Esylate | 42 | $559,283 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 296 | $474,494 |
| OpsumitMacitentan | 12 | $141,753 |
| MounjaroTirzepatide | 97 | $108,620 |
| AdempasRiociguat | 11 | $103,317 |
| Anoro ElliptaUmeclidinium Brm/Vilanterol Tr | 93 | $93,445 |
| JardianceEmpagliflozin | 64 | $85,203 |
| OzempicSemaglutide | 39 | $73,284 |
| Breztri AerosphereBudesonide/Glycopyr/Formoterol | 49 | $70,602 |
| XareltoRivaroxaban | 42 | $64,782 |
| Breo ElliptaFluticasone/Vilanterol | 76 | $60,020 |
| NuplazidPimavanserin Tartrate | 12 | $58,380 |
| EliquisApixaban | 38 | $56,891 |
| JanuviaSitagliptin Phosphate | 19 | $18,227 |
| MyrbetriqMirabegron | 21 | $17,264 |
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 |
|---|---|---|
| Boehringer IngelheimOfev, Jardiance, Stiolto Respimat | $1,221 | $660,373119 claims |
| GSKTrelegy Ellipta, Anoro Ellipta, Breo Ellipta | $3,990 | $627,960465 claims |
| Actelion Pharmaceuticals US, Inc.Opsumit | $704 | $141,75312 claims |
| Lilly USA, LLCMounjaro | $84 | $108,62097 claims |
| BayerAdempas | $711 | $103,31711 claims |
| AstraZenecaBreztri Aerosphere, Symbicort | $7,076 | $75,79061 claims |
| Novo NordiskOzempic | $45 | $73,28439 claims |
| Johnson & JohnsonXarelto | $82 | $64,78242 claims |
| PfizerEliquis | $181 | $56,89138 claims |
| MerckJanuvia, Janumet Xr | $119 | $32,33535 claims |
| AbbVieLinzess, Synthroid | $62 | $18,71245 claims |
| Astellas Pharma US IncMyrbetriq | $66 | $17,26421 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 297 pulmonary disease providers in Maryland.
Other pulmonary disease in Chevy Chase
- Juan AbrilChevy Chase$13K
- Alan SchwartzBaltimore$1.3M
- Hitesh BatraBaltimore$611K
- Lonny YarmusBaltimore$582K
- Robert WiseBaltimore$389K
- da Wei LiaoBethesda$310K
- Ko Pen WangBaltimore$280K
- Hans LeeBaltimore$277K
- Angela ArgentoBaltimore$269K
- Michael DrummondBaltimore$263K
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.