RxDoctor Payments Data

Chris Derk, MD

Rheumatology · Philadelphia, PANPI 1609899210

Payments from drug & device makers

What this record shows

This record is dominated by consulting fees: $63,239 of the $66,094 with a category attached, or 95.7%. 10 manufacturers reported payments, led by Astrazeneca UK Limited at 53.6% of the total. 2025 is the largest year on record at $33,252, 3.9 times the $8,449 reported in 2019. Among rheumatology clinicians in PA 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.

$66,094in general payments, 2019–2025

Across 43 payments — averaging $1537.07 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Astrazeneca UK Limited$35K
  • Boehringer Ingelheim International GmbH$10K
  • Boehringer Ingelheim$9K
  • Novartis$5K
  • Ortho Dermatologics, A Division Of Bausch Health US, LLC$4K
  • CSL Behring$2K
  • plus $2K from 4 others
$176,432in research payments, 2019–2025

Across 41 payments — averaging $4303.22 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.

  • GSK$149K
  • CSL Behring$27K

What the payments were for

  • Consulting fees$63,23996%
  • Travel & lodging$1,9783%
  • Food & beverage$8771%

General payments by program year

19
20
21
22
23
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

$66,094 in reported general payments places this provider in the 90th percentile of 351 rheumatology providers in Pennsylvania.

See all rheumatology providers in Pennsylvania

Medicare billing

Part B allowed, 2024
$58,708
Medicare patients
224
Services billed
677

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
HumiraAdalimumab24$238,245
KineretAnakinra24$137,470
Humira PenAdalimumab16$119,909
Humira(Cf)Adalimumab14$101,040
EnbrelEtanercept12$88,052
RinvoqUpadacitinib12$75,296
OtezlaApremilast12$57,890
Hydroxychloroquine Sulfate313$9,215
Sildenafil Citrate15$5,670
Mycophenolate Mofetil40$4,424
Lidocaine14$2,823
MethotrexateMethotrexate Sodium98$1,729
Prednisone233$1,645
Leflunomide22$1,625
Celecoxib57$1,470

Paid to pharmacies, not to this prescriber.

Other rheumatology in Philadelphia

See the full list for Pennsylvania

Where these figures come from

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