RxDoctor Payments Data

Douglas Mielke, MD

Interventional Cardiology · Appleton, WINPI 1104878149

Payments from drug & device makers

$1,265in general payments, 2019–2025

Across 43 payments — averaging $29.41 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Novartis$428
  • Pfizer$102
  • Edwards Lifesciences$100
  • Amgen$98
  • Inspire Medical Systems, Inc.$86
  • Cleerly, Inc.$75
  • plus $376 from 12 others

What the payments were for

  • Food & beverage$1,19594%
  • Education$706%

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

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.

How this compares

$1,265 in reported general payments places this provider in the 20th percentile of 118 interventional cardiology providers in Wisconsin.

See all interventional cardiology providers in Wisconsin

Medicare billing

Part B allowed, 2024
$156,022
Medicare patients
787
Services billed
2,426

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
EliquisApixaban703$814,145
EntrestoSacubitril/Valsartan185$198,748
AdempasRiociguat12$170,157
XareltoRivaroxaban117$143,388
BrilintaTicagrelor47$47,690
JardianceEmpagliflozin34$43,121
Repatha SureclickEvolocumab45$39,981
Metoprolol Succinate726$12,793
Dofetilide44$6,431
Praluent PenAlirocumab13$6,148
Rosuvastatin Calcium112$3,957
Flecainide Acetate98$3,860
Spironolactone365$3,581
Atorvastatin Calcium245$3,216
Furosemide452$3,026

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$102$814,145703 claims
NovartisEntresto$428$198,748185 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 20th percentile of 118 interventional cardiology providers in Wisconsin.

Other interventional cardiology in Appleton

See the full list for Wisconsin

Where these figures come from

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