RxDoctor Payments Data

Gautam Balakrishnan, MD

Pulmonary Disease · Saint Joseph, MONPI 1609214519

Payments from drug & device makers

$11,890in general payments, 2019–2025

Across 86 payments — averaging $138.25 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Noah Medical Corporation$7K
  • Pulmonx Corporation$2K
  • Intuitive Surgical$777
  • Boston Scientific$487
  • Olympus America Inc.$343
  • AstraZeneca$291
  • plus $501 from 12 others

What the payments were for

  • Consulting fees$1,40012%
  • Travel & lodging$7,06159%
  • Food & beverage$3,42929%

General payments by program year

19
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

$11,890 in reported general payments places this provider in the 75th percentile of 295 pulmonary disease providers in Missouri.

See all pulmonary disease providers in Missouri

Medicare billing

Part B allowed, 2024
$190,241
Medicare patients
645
Services billed
2,292

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
OfevNintedanib Esylate14$182,043
Dupixent PenDupilumab15$81,137
Trelegy ElliptaFluticasone/Umeclidin/Vilanter49$47,290
Spiriva RespimatTiotropium Bromide60$43,827
Breztri AerosphereBudesonide/Glycopyr/Formoterol35$40,584
Spiriva HandihalerTiotropium Bromide35$39,285
Incruse ElliptaUmeclidinium Bromide74$37,665
SymbicortBudesonide/Formoterol Fumarate80$35,170
Advair HfaFluticasone Propion/Salmeterol31$23,611
Combivent RespimatIpratropium/Albuterol Sulfate35$21,081
Breo ElliptaFluticasone/Vilanterol40$19,099
Anoro ElliptaUmeclidinium Brm/Vilanterol Tr25$13,145
Stiolto RespimatTiotropium Br/Olodaterol Hcl13$12,135
Budesonide-Formoterol FumarateBudesonide/Formoterol Fumarate31$9,283
Arnuity ElliptaFluticasone Furoate15$8,721

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
Boehringer IngelheimOfev, Spiriva Respimat, Combivent Respimat, Stiolto Respimat$127$259,086122 claims
GSKTrelegy Ellipta, Incruse Ellipta, Breo Ellipta, Anoro Ellipta, Arnuity Ellipta$20$125,920203 claims
AstraZenecaBreztri Aerosphere, Symbicort$291$75,753115 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 75th percentile of 295 pulmonary disease providers in Missouri.

Other pulmonary disease in Saint Joseph

See the full list for Missouri

Where these figures come from

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