Christopher Orabella, MD
Critical Care Medicine · Cincinnati, OHNPI 1154370575
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 97.6% of the total across 246 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 29 manufacturers reported payments, led by GSK at 32.3% of the total. Among critical care medicine clinicians in OH 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.
Across 246 payments — averaging $18.36 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- GSK$1K
- Sanofi$403
- AstraZeneca$330
- Boehringer Ingelheim$245
- Pulmonx Corporation$228
- Mylan Specialty L.p.$221
- plus $2K from 23 others
What the payments were for
- Food & beverage$4,40898%
- Education$1092%
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 | 97 | $1,459 |
| Sanofi | 23 | $403 |
| AstraZeneca | 16 | $330 |
| Boehringer Ingelheim | 13 | $245 |
| Pulmonx Corporation | 9 | $228 |
| Mylan Specialty L.p. | 8 | $221 |
| Amgen | 5 | $205 |
| Johnson & Johnson | 4 | $188 |
| Sunovion Pharmaceuticals Inc. | 19 | $168 |
| Regeneron Healthcare Solutions, Inc. | 7 | $168 |
| Sanofi-aventis U.S. LLC | 1 | $97 |
| Takeda Pharmaceuticals U.S.A., Inc. | 3 | $92 |
| Astellas Pharma US Inc | 5 | $82 |
| Genentech USA, Inc. | 5 | $81 |
| Grifols USA, LLC | 4 | $70 |
| Medical Device Business Services, Inc. | 2 | $68 |
| Portola Pharmaceuticals, LLC | 4 | $63 |
| Mayne Pharma Commercial LLC | 3 | $51 |
| Inogen, Inc. | 3 | $45 |
| Baxter Healthcare | 2 | $38 |
| Electromed, Inc. | 3 | $34 |
| Philips North America LLC | 2 | $32 |
| Merck | 2 | $32 |
| Medtronic | 1 | $23 |
| Covis Pharma GmbH | 1 | $22 |
| United Therapeutics Corporation | 1 | $22 |
| Advanced Respiratory, Inc | 1 | $19 |
| Veran Medical Technologies, Inc. | 1 | $18 |
| Teva Pharmaceuticals USA, Inc. | 1 | $12 |
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
$4,517 in reported general payments places this provider in the 90th percentile of 285 critical care medicine providers in Ohio.
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 |
|---|---|---|
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 261 | $220,360 |
| OfevNintedanib Esylate | 16 | $219,898 |
| Breztri AerosphereBudesonide/Glycopyr/Formoterol | 70 | $51,425 |
| Stiolto RespimatTiotropium Br/Olodaterol Hcl | 76 | $51,154 |
| Anoro ElliptaUmeclidinium Brm/Vilanterol Tr | 55 | $43,995 |
| Breo ElliptaFluticasone/Vilanterol | 63 | $31,621 |
| Spiriva RespimatTiotropium Bromide | 51 | $31,093 |
| SymbicortBudesonide/Formoterol Fumarate | 53 | $14,046 |
| Spiriva HandihalerTiotropium Bromide | 21 | $12,863 |
| DuleraMometasone/Formoterol | 21 | $12,289 |
| Budesonide-Formoterol FumarateBudesonide/Formoterol Fumarate | 31 | $8,324 |
| Advair DiskusFluticasone Propion/Salmeterol | 21 | $5,958 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 190 | $5,142 |
| Ventolin HfaAlbuterol Sulfate | 31 | $3,192 |
| AsmanexMometasone Furoate | 12 | $2,767 |
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 |
|---|---|---|
| Boehringer IngelheimOfev, Stiolto Respimat, Spiriva Respimat | $245 | $302,146143 claims |
| GSKTrelegy Ellipta, Anoro Ellipta, Breo Ellipta | $1,459 | $295,976379 claims |
| AstraZenecaBreztri Aerosphere, Symbicort | $330 | $65,471123 claims |
| MerckDulera, Asmanex | $32 | $15,05633 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 90th percentile of 285 critical care medicine providers in Ohio.
Other critical care medicine in Cincinnati
- Sadia BenzaquenCincinnati$15K
- Maria IndiharCincinnati$8K
- Geoffrey LohCincinnati$7K
- Kiranmayee LankaCincinnati$6K
- Thomas PrestonCincinnati$5K
- Muhammad KhawarCincinnati$5K
- Adam ColeCincinnati$4K
- Christopher SchmittCincinnati$4K
- Eric WeinsteinCincinnati$4K
- Jonathan HendersonCincinnati$4K
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.