RxDoctor Payments Data

David Grech, MD

Cardiovascular Disease · Orange Park, FLNPI 1336128792

Payments from drug & device makers

$4,088in general payments, 2019–2025

Across 174 payments — averaging $23.50 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • E.r. Squibb & Sons, L.L.C.$734
  • Medtronic$672
  • Johnson & Johnson$464
  • Merck$415
  • Sanofi-aventis U.S. LLC$326
  • Novartis$221
  • plus $1K from 25 others

What the payments were for

  • Food & beverage$4,04799%
  • Education$411%

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

$4,088 in reported general payments places this provider in the 50th percentile of 1,740 cardiovascular disease providers in Florida.

See all cardiovascular disease providers in Florida

Medicare billing

Part B allowed, 2024
$385,935
Medicare patients
1,609
Services billed
3,659

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
EliquisApixaban303$374,278
XareltoRivaroxaban149$178,089
EntrestoSacubitril/Valsartan75$107,572
MultaqDronedarone Hcl36$48,923
Repatha SureclickEvolocumab13$11,115
Metoprolol Succinate359$4,746
ClopidogrelClopidogrel Bisulfate235$2,918
Clonidine28$2,775
Rosuvastatin Calcium165$2,505
Atorvastatin Calcium212$2,442
Midodrine Hcl18$1,855
Amlodipine Besylate258$1,803
Valsartan67$1,605
Nebivolol Hcl24$1,543
Carvedilol185$1,529

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
PfizerEliquis$20$374,278303 claims
Johnson & JohnsonXarelto$464$178,089149 claims
NovartisEntresto$221$107,57275 claims
Sanofi-aventis U.S. LLCMultaq$326$48,92336 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 50th percentile of 1,740 cardiovascular disease providers in Florida.

Other cardiovascular disease in Orange Park

See the full list for Florida

Where these figures come from

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