RxDoctor Payments Data

Charles Gerardo, MD

Emergency Medicine · Durham, NCNPI 1033292297

Payments from drug & device makers

What this record shows

This record is dominated by speaking fees: $42,975 of the $55,469 with a category attached, or 77.5%. Every reported general payment came from a single manufacturer, BTG International Inc.. Reporting peaked in 2021 at $24,831 and has fallen 93.6% since, to $1,587 in 2025. Among emergency medicine clinicians in NC 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.

$55,469in general payments, 2019–2025

Across 29 payments — averaging $1912.72 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • BTG International Inc.$55K
$98,346in research payments, 2019–2025

Across 1 payment — averaging $98,346 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.

  • BTG International Inc.$98K

What the payments were for

  • Consulting fees$9,08116%
  • Speaking & faculty fees$42,97577%
  • Travel & lodging$2,5735%
  • Food & beverage$8402%

General payments by program year

19
20
21
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
BTG International Inc.29$55,469

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

$55,469 in reported general payments places this provider in the 95th percentile of 1,657 emergency medicine providers in North Carolina.

See all emergency medicine providers in North Carolina

Medicare billing

Part B allowed, 2024
$12,853
Medicare patients
81
Services billed
88

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.

Other emergency medicine in Durham

See the full list for North Carolina

Where these figures come from

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