RxDoctor Payments Data

Douglas Shemin, MD

Nephrology · Riverside, RINPI 1710934724

Payments from drug & device makers

What this record shows

This record is dominated by consulting fees: $14,501 of the $22,407 with a category attached, or 64.7%. AstraZeneca accounts for 97.1% of it on its own, with 5 other manufacturers making up the rest. Reporting peaked in 2020 at $18,687 and has fallen 99.3% since, to $123 in 2024. Among nephrology clinicians in RI with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.

$22,407in general payments, 2019–2025

Across 33 payments — averaging $678.99 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • AstraZeneca$22K
  • Otsuka America Pharmaceutical, Inc.$282
  • Pfizer$122
  • Bayer$117
  • Amgen$104
  • Baxter Healthcare$19
$1,224,126in research payments, 2019–2025

Across 235 payments — averaging $5209.05 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.

  • AstraZeneca$387K
  • GSK$308K
  • Akebia Therapeutics Inc$232K
  • Astrazeneca UK Limited$215K
  • Gilead$74K
  • Novo Nordisk AS$8K

What the payments were for

  • Consulting fees$14,50165%
  • Speaking & faculty fees$5,45024%
  • Travel & lodging$1,3126%
  • Food & beverage$1,1445%

General payments by program year

20
21
22
23
24

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.

CompanyPaymentsTotal
AstraZeneca(2 entities)26$21,762
Otsuka America Pharmaceutical, Inc.3$282
Pfizer1$122
Bayer1$117
Amgen1$104
Baxter Healthcare1$19

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

$22,407 in reported general payments places this provider in the 90th percentile of 45 nephrology providers in Rhode Island.

See all nephrology providers in Rhode Island

Medicare billing

Part B allowed, 2024
$35,765
Medicare patients
107
Services billed
213

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
JardianceEmpagliflozin56$35,648
FarxigaDapagliflozin Propanediol12$8,136
KerendiaFinerenone12$7,580
Potassium Citrate ErPotassium Citrate19$1,964
Torsemide98$1,403
Eplerenone13$1,331
Losartan Potassium122$1,241
Sevelamer Carbonate11$743
Chlorthalidone18$528
Tamsulosin Hcl24$379
Allopurinol17$328
Spironolactone35$270
Metoprolol Succinate18$260
Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen13$251
Atorvastatin Calcium15$238

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$21,762$8,13612 claims
BayerKerendia$117$7,58012 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 45 nephrology providers in Rhode Island.

Other nephrology in Riverside

See the full list for Rhode Island

Where these figures come from

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