RxDoctor Payments Data

Edward Nassif, MD

Allergy & Immunology · Ames, IANPI 1295726255

Payments from drug & device makers

What this record shows

The money is spread across several categories — consulting fees (46.2%), food and beverage and travel and lodging — rather than concentrated in one kind of arrangement. 25 manufacturers reported payments, led by Optinose US, Inc. at 54.6% of the total. Reporting peaked in 2019 at $3,164 and has fallen 84.2% since, to $500 in 2025.

$5,416in general payments, 2019–2025

Across 108 payments — averaging $50.15 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Optinose US, Inc.$3K
  • AstraZeneca$648
  • Sanofi$442
  • Pfizer$226
  • GSK$212
  • Amgen$201
  • plus $731 from 19 others

What the payments were for

  • Consulting fees$2,50046%
  • Travel & lodging$3096%
  • Food & beverage$2,49646%
  • Education$1112%

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

$5,416 in reported general payments places this provider in the 85th percentile of 32 allergy & immunology providers in Iowa.

See all allergy & immunology providers in Iowa

Medicare billing

Part B allowed, 2024
$998,984
Medicare patients
534
Services billed
32,536

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
OrladeyoBerotralstat Hydrochloride13$535,337
Trelegy ElliptaFluticasone/Umeclidin/Vilanter280$206,554
Dupixent PenDupilumab18$101,569
Breo ElliptaFluticasone/Vilanterol132$68,085
Arnuity ElliptaFluticasone Furoate218$56,143
NucalaMepolizumab11$41,387
Advair HfaFluticasone Propion/Salmeterol62$33,653
Breztri AerosphereBudesonide/Glycopyr/Formoterol24$20,150
SymbicortBudesonide/Formoterol Fumarate47$19,362
Incruse ElliptaUmeclidinium Bromide37$12,849
Fluticasone-SalmeterolFluticasone Propion/Salmeterol90$10,375
DuleraMometasone/Formoterol27$9,767
Azelastine Hcl292$7,936
Montelukast Sodium772$6,320
Albuterol Sulfate HfaAlbuterol Sulfate224$5,417

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
Biocryst US Sales Co., LLCOrladeyo$160$535,33713 claims
GSKTrelegy Ellipta, Breo Ellipta, Arnuity Ellipta, Nucala, Incruse Ellipta$212$385,018678 claims
AstraZenecaBreztri Aerosphere, Symbicort$648$39,51171 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 32 allergy & immunology providers in Iowa.

Other allergy & immunology in Ames

See the full list for Iowa

Where these figures come from

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