RxDoctor Payments Data

Christopher Bowlus, MD

Gastroenterology · Sacramento, CANPI 1942252085

Payments from drug & device makers

What this record shows

This record is dominated by consulting fees: $105,750 of the $168,480 with a category attached, or 62.8%. 13 manufacturers reported payments, led by Ipsen Innovation at 28.7% of the total. Reporting peaked in 2024 at $89,828 and has fallen 77.4% since, to $20,336 in 2025. Among gastroenterology clinicians in CA 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.

$168,480in general payments, 2019–2025

Across 88 payments — averaging $1914.54 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Ipsen Innovation$48K
  • Ipsen Biopharmaceuticals, Inc$44K
  • Gilead$27K
  • GSK$23K
  • Takeda Pharmaceuticals U.S.A., Inc.$7K
  • Amgen$5K
  • plus $15K from 7 others
$2,847,646in research payments, 2019–2025

Across 367 payments — averaging $7759.25 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$1.1M
  • Gilead$806K
  • Intercept Pharmaceuticals, Inc.$262K
  • Ipsen Bioscience Inc.$243K
  • Novartis$121K
  • Takeda Pharmaceuticals U.S.A., Inc.$79K
  • plus $252K from 6 others

What the payments were for

  • Consulting fees$105,75063%
  • Speaking & faculty fees$32,78519%
  • Travel & lodging$27,77416%
  • Food & beverage$1,6211%
  • Education$5500%

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

$168,480 in reported general payments places this provider in the 95th percentile of 1,885 gastroenterology providers in California.

See all gastroenterology providers in California

Medicare billing

Part B allowed, 2024
$41,657
Medicare patients
268
Services billed
466

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
XifaxanRifaximin58$187,374
Ursodiol208$53,282
VemlidyTenofovir Alafenamide19$39,849
Entecavir18$7,273
Azathioprine97$6,129
LinzessLinaclotide11$5,654
Colesevelam Hcl15$3,662
Mycophenolate Mofetil25$3,118
Rifampin27$2,953
Lactulose21$1,728
Budesonide DrBudesonide16$1,341
Gavilyte-GPeg3350/Sod Sulf,bicarb,cl/Kcl31$580
Spironolactone40$518
Omeprazole31$395
Propranolol Hcl15$287

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
GileadVemlidy$27,040$39,84919 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 95th percentile of 1,885 gastroenterology providers in California.

Other gastroenterology in Sacramento

See the full list for California

Where these figures come from

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