RxDoctor Payments Data

Fadi Akoum, MD

Nephrology · Richland, WANPI 1952577231

Payments from drug & device makers

What this record shows

Almost everything reported here is food and beverage — 99.6% of the total across 21 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 7 manufacturers reported payments, led by Travere Therapeutics, Inc. at 26.8% of the total. Reporting peaked in 2023 at $408 and has fallen 65.4% since, to $141 in 2024.

$973in general payments, 2019–2025

Across 21 payments — averaging $46.33 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Travere Therapeutics, Inc.$261
  • Akebia Therapeutics Inc$258
  • Baxter Healthcare$140
  • AstraZeneca$128
  • Bayer$120
  • GSK$37
  • plus $27 from 1 others

What the payments were for

  • Food & beverage$969100%
  • Education$40%

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
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.

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

$973 in reported general payments places this provider in the 75th percentile of 237 nephrology providers in Washington.

See all nephrology providers in Washington

Medicare billing

Part B allowed, 2024
$32,446
Medicare patients
91
Services billed
336

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
VelphoroSucroferric Oxyhydroxide23$97,555
XphozahTenapanor Hcl12$31,755
ClinolipidFat Emulsion/Olive/Soy/Phospho64$19,022
Sevelamer Carbonate64$10,934
Cinacalcet Hcl17$9,946
EliquisApixaban11$9,286
ProsolParenteral Amino Acid 20% No.151$6,889
Indapamide250$3,864
Torsemide111$2,931
Allopurinol252$2,927
Nifedipine ErNifedipine97$2,569
Calcitriol131$2,319
Losartan Potassium180$2,027
Potassium Chloride45$1,888
Spironolactone107$1,809

Paid to pharmacies, not to this prescriber.

Other nephrology in Richland

See the full list for Washington

Where these figures come from

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