RxDoctor Payments Data

Cecilia Yshii Tamashiro, MD

Pulmonary Disease · Springfield, MONPI 1750518080

Payments from drug & device makers

$4,891in general payments, 2019–2025

Across 82 payments — averaging $59.65 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Intuitive Surgical$4K
  • AstraZeneca$202
  • Boehringer Ingelheim$120
  • GSK$94
  • Grifols USA, LLC$61
  • Avadel CNS Pharmaceuticals, LLC$54
  • plus $542 from 20 others

What the payments were for

  • Travel & lodging$2,94160%
  • Food & beverage$1,90039%
  • Education$501%

General payments by program year

19
20
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.

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

$4,891 in reported general payments places this provider in the 60th percentile of 295 pulmonary disease providers in Missouri.

See all pulmonary disease providers in Missouri

Medicare billing

Part B allowed, 2024
$90,891
Medicare patients
301
Services billed
852

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
OfevNintedanib Esylate16$217,880
Breztri AerosphereBudesonide/Glycopyr/Formoterol75$57,211
Trelegy ElliptaFluticasone/Umeclidin/Vilanter75$49,301
Spiriva RespimatTiotropium Bromide32$18,843
SymbicortBudesonide/Formoterol Fumarate44$11,744
Breo ElliptaFluticasone/Vilanterol28$11,248
Anoro ElliptaUmeclidinium Brm/Vilanterol Tr14$7,563
Advair HfaFluticasone Propion/Salmeterol14$7,357
Budesonide-Formoterol FumarateBudesonide/Formoterol Fumarate26$3,808
Albuterol Sulfate HfaAlbuterol Sulfate104$2,368
BreynaBudesonide/Formoterol Fumarate13$1,513
Azelastine Hcl25$473
Fluticasone Propionate33$392
Montelukast Sodium46$382
Azithromycin24$348

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
Boehringer IngelheimOfev, Spiriva Respimat$120$236,72448 claims
AstraZenecaBreztri Aerosphere, Symbicort$202$68,955119 claims
GSKTrelegy Ellipta, Breo Ellipta, Anoro Ellipta$94$68,113117 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 60th percentile of 295 pulmonary disease providers in Missouri.

Other pulmonary disease in Springfield

See the full list for Missouri

Where these figures come from

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