RxDoctor Payments Data

Emily Gilbert

Acute Care · Richmond, VANPI 1376091116

Payments from drug & device makers

What this record shows

Almost everything reported here is food and beverage — 97.6% of the total across 481 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 52 manufacturers, the largest accounting for just 16.5% — the pattern of someone who eats at a lot of different presentations. Among acute care clinicians in VA with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.

$9,733in general payments, 2019–2025

Across 481 payments — averaging $20.23 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • AstraZeneca$2K
  • GSK$1K
  • Novartis$874
  • Sanofi$693
  • Regeneron Healthcare Solutions, Inc.$685
  • Boehringer Ingelheim$684
  • plus $4K from 46 others

What the payments were for

  • Food & beverage$9,49698%
  • Education$2372%

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.

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

$9,733 in reported general payments places this provider in the 95th percentile of 599 acute care providers in Virginia.

See all acute care providers in Virginia

Medicare billing

Part B allowed, 2024
$377,241
Medicare patients
390
Services billed
14,491

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
Trelegy ElliptaFluticasone/Umeclidin/Vilanter281$218,798
Breztri AerosphereBudesonide/Glycopyr/Formoterol68$66,490
Spiriva RespimatTiotropium Bromide28$23,383
Stiolto RespimatTiotropium Br/Olodaterol Hcl40$22,611
Anoro ElliptaUmeclidinium Brm/Vilanterol Tr41$20,946
Breo ElliptaFluticasone/Vilanterol24$12,374
Budesonide-Formoterol FumarateBudesonide/Formoterol Fumarate64$9,400
SymbicortBudesonide/Formoterol Fumarate34$7,864
EliquisApixaban12$6,937
Albuterol Sulfate HfaAlbuterol Sulfate220$4,962
BreynaBudesonide/Formoterol Fumarate12$3,754
Fluticasone-SalmeterolFluticasone Propion/Salmeterol18$3,643
Wixela InhubFluticasone Propion/Salmeterol34$2,955
Ventolin HfaAlbuterol Sulfate25$1,879
Montelukast Sodium142$1,667

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
GSKTrelegy Ellipta, Anoro Ellipta, Breo Ellipta$1,469$252,118346 claims
AstraZenecaBreztri Aerosphere, Symbicort$1,606$74,354102 claims
Boehringer IngelheimSpiriva Respimat, Stiolto Respimat$684$45,99468 claims
PfizerEliquis$141$6,93712 claims
Lilly USA, LLCOlanzapine$27$10911 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 95th percentile of 599 acute care providers in Virginia.

Other acute care in Richmond

See the full list for Virginia

Where these figures come from

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