RxDoctor Payments Data

Gagandeep Khara, NP

Family · Fresno, CANPI 1407416480

Payments from drug & device makers

$2,161in general payments, 2019–2025

Across 84 payments — averaging $25.72 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Astellas Pharma US Inc$587
  • Sumitomo Pharma America, Inc.$474
  • Johnson & Johnson$225
  • Antares Pharma, Inc.$202
  • AbbVie$123
  • Coloplast$119
  • plus $431 from 14 others

What the payments were for

  • Food & beverage$1,49469%
  • Education$66731%

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

$2,161 in reported general payments places this provider in the 85th percentile of 10,634 family providers in California.

See all family providers in California

Medicare billing

Part B allowed, 2024
$132,070
Medicare patients
397
Services billed
15,078

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
MyrbetriqMirabegron68$62,647
GemtesaVibegron65$33,100
Tamsulosin Hcl393$7,220
Finasteride201$3,086
Estradiol29$1,747
Nitrofurantoin Mono-MacroNitrofurantoin Monohyd/M-Cryst76$1,263
Methenamine Hippurate26$1,256
Alfuzosin Hcl ErAlfuzosin Hcl35$1,176
Dutasteride29$1,113
Testosterone Cypionate15$1,074
Oxybutynin Chloride ErOxybutynin Chloride33$825
Oxybutynin Chloride36$413
Ciprofloxacin Hcl75$366
Sertraline Hcl12$248
Levothyroxine Sodium13$157

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
Astellas Pharma US IncMyrbetriq$587$62,64768 claims
Sumitomo Pharma America, Inc.Gemtesa$474$33,10065 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 10,634 family providers in California.

Other family in Fresno

See the full list for California

Where these figures come from

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