Christina Abraham, MD
Allergy · Roanoke, VANPI 1821013392
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 23 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 9 manufacturers reported payments, led by GSK at 42.0% of the total. Reporting peaked in 2019 at $219 and has fallen 63.2% since, to $81 in 2025. That places this record below the midpoint for allergy clinicians in VA, where the typical reported total is $4,380.
Across 23 payments — averaging $17.17 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- GSK$166
- AstraZeneca$53
- Genentech USA, Inc.$41
- Sanofi$29
- Optinose US, Inc.$27
- Shire North American Group Inc$25
- plus $54 from 3 others
What the payments were for
- Food & beverage$395100%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
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 |
|---|---|---|
| GSK | 9 | $166 |
| AstraZeneca | 4 | $53 |
| Genentech USA, Inc. | 2 | $41 |
| Sanofi | 2 | $29 |
| Optinose US, Inc. | 2 | $27 |
| Shire North American Group Inc | 1 | $25 |
| Pfizer | 1 | $19 |
| Scilex Pharmaceuticals Inc. | 1 | $19 |
| Regeneron Healthcare Solutions, Inc. | 1 | $17 |
How this compares
$395 in reported general payments places this provider in the 20th percentile of 26 allergy providers in Virginia.
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 |
|---|---|---|
| NucalaMepolizumab | 13 | $55,697 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 49 | $43,912 |
| SymbicortBudesonide/Formoterol Fumarate | 84 | $36,326 |
| Spiriva RespimatTiotropium Bromide | 43 | $29,192 |
| Spiriva HandihalerTiotropium Bromide | 13 | $18,423 |
| Advair HfaFluticasone Propion/Salmeterol | 36 | $17,475 |
| Breo ElliptaFluticasone/Vilanterol | 36 | $16,693 |
| Breztri AerosphereBudesonide/Glycopyr/Formoterol | 21 | $13,632 |
| Epinephrine | 54 | $8,421 |
| Azelastine Hcl | 233 | $7,935 |
| Qvar RedihalerBeclomethasone Dipropionate | 27 | $7,847 |
| Ipratropium Bromide | 147 | $5,150 |
| Budesonide-Formoterol FumarateBudesonide/Formoterol Fumarate | 55 | $5,121 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 171 | $4,992 |
| Fluticasone-SalmeterolFluticasone Propion/Salmeterol | 46 | $4,801 |
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 |
|---|---|---|
| GSKNucala, Trelegy Ellipta, Breo Ellipta | $166 | $116,30298 claims |
| AstraZenecaSymbicort, Breztri Aerosphere | $53 | $49,957105 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 20th percentile of 26 allergy providers in Virginia.
Other allergy in Roanoke
- Lawrence GelberRichmond$1.9M
- Robert CallRichmond$1.9M
- William HarkRichmond$945K
- Thomas Platts MillsCharlottesville$35K
- Kelly MaplesNorfolk$26K
- Muhammad RaisRichmond$16K
- Jaimin PatelHenrico$14K
- Sarah SprietFort Belvoir$9K
- Laura IspasLeesburg$9K
- Zeeshan KhakwaniRichmond$8K
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.