RxDoctor Payments Data

Daniel Arkfeld, MD

Rheumatology · Los Angeles, CANPI 1780610105

Payments from drug & device makers

$377,543in general payments, 2019–2025

Across 747 payments — averaging $505.41 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Amgen$163K
  • Sanofi$81K
  • GSK$51K
  • E.r. Squibb & Sons, L.L.C.$34K
  • Gilead$16K
  • AbbVie$9K
  • plus $25K from 16 others

What the payments were for

  • Consulting fees$41,08711%
  • Speaking & faculty fees$290,81777%
  • Travel & lodging$27,0077%
  • Food & beverage$18,3795%
  • Education$2540%

General payments by program year

19
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.

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

$377,543 in reported general payments places this provider in the 90th percentile of 808 rheumatology providers in California.

See all rheumatology providers in California

Medicare billing

Part B allowed, 2024
$66,160
Medicare patients
252
Services billed
742

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
RinvoqUpadacitinib28$224,125
Enbrel SureclickEtanercept21$197,072
Gammagard LiquidImmun Glob G(Igg)/Gly/Iga Ov5013$171,390
Cosentyx Sensoready (2 Pens)Secukinumab21$141,703
Humira(Cf) PenAdalimumab13$139,045
Cimzia (2 Pack)Certolizumab Pegol13$65,755
OtezlaApremilast12$57,891
KevzaraSarilumab13$53,073
BenlystaBelimumab11$50,856
Morphine Sulfate ErMorphine Sulfate12$20,524
RasuvoMethotrexate/Pf30$15,858
OtrexupMethotrexate/Pf13$8,712
LinzessLinaclotide11$5,851
SynthroidLevothyroxine Sodium44$5,048
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen99$3,500

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
AbbVieRinvoq, Linzess, Synthroid$8,640$235,02483 claims
UCB, Inc.Cimzia (2 Pack)$2,066$65,75513 claims
AmgenOtezla$163,495$57,89112 claims
SanofiKevzara$80,694$53,07313 claims
GSKBenlysta$50,543$50,85611 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 808 rheumatology providers in California.

Other rheumatology in Los Angeles

See the full list for California

Where these figures come from

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