Douglas Lotz, MD
Allergy & Immunology · Louisville, KYNPI 1326256827
Payments from drug & device makers
Across 537 payments — averaging $369.71 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Takeda Pharmaceuticals U.S.A., Inc.$73K
- Biocryst US Sales Co., LLC$45K
- AstraZeneca$32K
- Shire North American Group Inc$23K
- Grifols USA, LLC$12K
- Biocryst Pharmaceuticals, Inc.$7K
- plus $7K from 19 others
What the payments were for
- Consulting fees$36,91219%
- Speaking & faculty fees$133,92967%
- Travel & lodging$16,3878%
- Food & beverage$11,1646%
- Education$1460%
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 |
|---|---|---|
| Takeda Pharmaceuticals U.S.A., Inc. | 89 | $72,543 |
| Biocryst US Sales Co., LLC | 56 | $45,092 |
| AstraZeneca | 88 | $32,103 |
| Shire North American Group Inc | 33 | $23,109 |
| Grifols USA, LLC | 18 | $11,629 |
| Biocryst Pharmaceuticals, Inc. | 6 | $7,311 |
| Novartis | 5 | $1,631 |
| GSK | 53 | $1,068 |
| CSL Behring | 51 | $897 |
| Amgen | 15 | $726 |
| Regeneron Healthcare Solutions, Inc. | 30 | $626 |
| Genentech USA, Inc. | 9 | $341 |
| Pfizer | 19 | $306 |
| Pharming Healthcare, Inc. | 15 | $296 |
| Kaleo, Inc. | 12 | $193 |
| Sanofi | 9 | $176 |
| Teva Pharmaceuticals USA, Inc. | 8 | $126 |
| Optinose US, Inc. | 6 | $93 |
| Boehringer Ingelheim | 6 | $86 |
| Covis Pharma GmbH | 3 | $61 |
| Alk-abello, Inc | 2 | $34 |
| Octapharma USA, Inc. | 1 | $27 |
| ARS Pharmaceuticals Operations, Inc. | 1 | $25 |
| Blueprint Medicines Corporation | 1 | $23 |
| Incyte Corporation | 1 | $16 |
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
$198,537 in reported general payments places this provider in the 85th percentile of 66 allergy & immunology providers in Kentucky.
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 |
|---|---|---|
| XembifyImmune Globulin,gamma(Igg)klhw | 14 | $98,200 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 31 | $26,765 |
| Breo ElliptaFluticasone/Vilanterol | 45 | $22,707 |
| Spiriva RespimatTiotropium Bromide | 24 | $18,041 |
| DuleraMometasone/Formoterol | 13 | $8,638 |
| Epinephrine | 33 | $6,681 |
| SymbicortBudesonide/Formoterol Fumarate | 11 | $5,531 |
| Azelastine Hcl | 143 | $4,841 |
| Budesonide-Formoterol FumarateBudesonide/Formoterol Fumarate | 19 | $2,568 |
| Fluticasone Propionate | 125 | $1,267 |
| Montelukast Sodium | 138 | $1,166 |
| Ipratropium Bromide | 18 | $1,091 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 22 | $802 |
| Levocetirizine Dihydrochloride | 27 | $439 |
| Lidocaine-PrilocaineLidocaine/Prilocaine | 17 | $268 |
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 |
|---|---|---|
| Grifols USA, LLCXembify | $11,629 | $98,20014 claims |
| GSKTrelegy Ellipta, Breo Ellipta | $1,068 | $49,47276 claims |
| Boehringer IngelheimSpiriva Respimat | $86 | $18,04124 claims |
| AstraZenecaSymbicort | $32,103 | $5,53111 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 85th percentile of 66 allergy & immunology providers in Kentucky.
Other allergy & immunology in Louisville
- James SublettLouisville$1.7M
- James SublettLouisville$481K
- Stephen PollardLouisville$463K
- Timothy FranxmanLouisville$162K
- Jeremy JonesLouisville$149K
- Mark CorbettLouisville$138K
- Kali GeraceLouisville$30K
- David PallaresLouisville$22K
- Joseph TurbyvilleLouisville$13K
- Stuart WhiteLouisville$10K
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.