RxDoctor Payments Data

Daniel Legault, MD

Nephrology · Grand Rapids, MINPI 1649204892

Payments from drug & device makers

$2,576in general payments, 2019–2025

Across 143 payments — averaging $18.02 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • AstraZeneca$528
  • Amgen$383
  • Otsuka America Pharmaceutical, Inc.$171
  • Calliditas Therapeutics US Inc.$167
  • GSK$125
  • Mallinckrodt Hospital Products Inc.$120
  • plus $1K from 19 others

What the payments were for

  • Food & beverage$2,48096%
  • Education$964%

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

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

$2,576 in reported general payments places this provider in the 65th percentile of 325 nephrology providers in Michigan.

See all nephrology providers in Michigan

Medicare billing

Part B allowed, 2024
$74,857
Medicare patients
315
Services billed
730

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 Propanediol40$28,163
Cinacalcet Hcl27$7,435
Valganciclovir Hcl41$7,208
Sevelamer Carbonate52$7,086
Mycophenolic AcidMycophenolate Sodium19$5,477
Tacrolimus27$4,116
LokelmaSodium Zirconium Cyclosilicate11$3,867
Potassium Citrate ErPotassium Citrate19$3,164
Calcium Acetate14$2,767
Valsartan79$2,761
Mycophenolate Mofetil23$2,743
Carvedilol174$2,460
Febuxostat11$2,457
Torsemide82$2,104
Prednisone143$1,838

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, Lokelma$528$32,03051 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 325 nephrology providers in Michigan.

Other nephrology in Grand Rapids

See the full list for Michigan

Where these figures come from

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