RxDoctor Payments Data

Fuad Afzal, MD

Nephrology · Altamonte Springs, FLNPI 1033195839

Payments from drug & device makers

$1,565in general payments, 2019–2025

Across 70 payments — averaging $22.36 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Mallinckrodt Hospital Products Inc.$271
  • Amgen$204
  • Otsuka America Pharmaceutical, Inc.$169
  • Aurinia Pharma U.S., Inc.$110
  • AstraZeneca$97
  • Vifor Pharma, Inc.$97
  • plus $616 from 15 others

What the payments were for

  • Food & beverage$1,41590%
  • Education$15010%

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.

How this compares

$1,565 in reported general payments places this provider in the 45th percentile of 756 nephrology providers in Florida.

See all nephrology providers in Florida

Medicare billing

Part B allowed, 2024
$341,960
Medicare patients
503
Services billed
3,093

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
FarxigaDapagliflozin Propanediol353$240,222
JardianceEmpagliflozin209$176,670
VelphoroSucroferric Oxyhydroxide25$61,879
AuryxiaFerric Citrate20$56,318
Sevelamer Carbonate110$34,499
DapagliflozinDapagliflozin Propanediol19$9,117
Bumetanide168$6,137
Cinacalcet Hcl43$5,492
Calcitriol268$3,315
Potassium Chloride154$2,783
Doxazosin Mesylate162$2,378
Losartan Potassium322$2,011
Metoprolol Succinate93$1,499
Amlodipine Besylate286$1,463
Clonidine16$1,417

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
AstraZenecaFarxiga$97$240,222353 claims
Boehringer IngelheimJardiance$47$176,670209 claims
Fresenius USA Marketing, Inc.Velphoro$54$61,87925 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 45th percentile of 756 nephrology providers in Florida.

Other nephrology in Altamonte Springs

See the full list for Florida

Where these figures come from

Is this you, or does something look wrong? →