RxDoctor Payments Data

Emanuel Kostacos, MD

Cardiovascular Disease · Horsham, PANPI 1861488181

Payments from drug & device makers

$1,898in general payments, 2019–2025

Across 84 payments — averaging $22.60 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Boston Scientific$645
  • Edwards Lifesciences$244
  • E.r. Squibb & Sons, L.L.C.$195
  • Abbott$144
  • Pfizer$133
  • Sanofi-aventis U.S. LLC$133
  • plus $404 from 11 others

What the payments were for

  • Food & beverage$1,87899%
  • Education$201%

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

$1,898 in reported general payments places this provider in the 50th percentile of 1,250 cardiovascular disease providers in Pennsylvania.

See all cardiovascular disease providers in Pennsylvania

Medicare billing

Part B allowed, 2024
$781,184
Medicare patients
2,607
Services billed
8,792

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
EliquisApixaban559$503,226
XareltoRivaroxaban282$270,324
EntrestoSacubitril/Valsartan104$105,652
Repatha SureclickEvolocumab72$48,588
Praluent PenAlirocumab70$42,442
MultaqDronedarone Hcl27$33,049
Metoprolol Succinate920$12,549
BrilintaTicagrelor11$9,346
Nebivolol Hcl213$9,313
Atorvastatin Calcium623$6,767
Losartan Potassium709$6,673
Flecainide Acetate155$6,140
Nadolol97$5,040
Diltiazem 24hr Er (Cd)Diltiazem Hcl114$4,356
Amlodipine Besylate775$4,153

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$133$503,226559 claims
Johnson & JohnsonXarelto$107$270,324282 claims
NovartisEntresto$56$105,652104 claims
Sanofi-aventis U.S. LLCMultaq$133$33,04927 claims
AstraZenecaBrilinta$32$9,34611 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 1,250 cardiovascular disease providers in Pennsylvania.

Other cardiovascular disease in Horsham

See the full list for Pennsylvania

Where these figures come from

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