RxDoctor Payments Data

Christopher Meshberger, MD

Nephrology · Chattanooga, TNNPI 1225425390

Payments from drug & device makers

$3,586in general payments, 2019–2025

Across 86 payments — averaging $41.70 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Fresenius USA Marketing, Inc.$2K
  • AstraZeneca$361
  • Otsuka America Pharmaceutical, Inc.$189
  • Amgen$135
  • Bayer$131
  • OPKO Pharmaceuticals, LLC$130
  • plus $574 from 12 others

What the payments were for

  • Travel & lodging$1,34437%
  • Food & beverage$2,17561%
  • Education$672%

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

20
21
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.

How this compares

$3,586 in reported general payments places this provider in the 65th percentile of 229 nephrology providers in Tennessee.

See all nephrology providers in Tennessee

Medicare billing

Part B allowed, 2024
$493,226
Medicare patients
1,054
Services billed
11,615

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
FarxigaDapagliflozin Propanediol115$120,823
Cinacalcet Hcl15$6,566
Tamsulosin Hcl113$2,170
Bumetanide46$1,112
Losartan Potassium91$728
Potassium Chloride45$707
Spironolactone70$684
Torsemide30$670
Lisinopril83$590
Telmisartan18$572
Hydralazine Hcl38$445
Amlodipine Besylate93$362
Hydrochlorothiazide69$325
Furosemide69$287
Doxazosin Mesylate18$281

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
AstraZenecaFarxiga$361$120,823115 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 65th percentile of 229 nephrology providers in Tennessee.

Other nephrology in Chattanooga

See the full list for Tennessee

Where these figures come from

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