RxDoctor Payments Data

Gregory Engel, MD

Clinical Cardiac Electrophysiology · E Palo Alto, CANPI 1467409763

Payments from drug & device makers

What this record shows

The money is spread across several categories — speaking fees (57.4%), travel and lodging and food and beverage — rather than concentrated in one kind of arrangement. Medtronic accounts for 88.5% of it on its own, with 22 other manufacturers making up the rest. 2025 is the largest year on record at $46,489, more than ten times the $3,028 reported in 2019.

$104,961in general payments, 2019–2025

Across 402 payments — averaging $261.10 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Medtronic$93K
  • Abbott$5K
  • Boston Scientific$2K
  • Atricure, Inc.$974
  • Amgen$471
  • Impulse Dynamics (USA) Inc.$401
  • plus $3K from 17 others
$153,722in research payments, 2019–2025

Across 36 payments — averaging $4270.05 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.

  • Medtronic$135K
  • Boston Scientific$19K

What the payments were for

  • Consulting fees$10,31310%
  • Speaking & faculty fees$60,20257%
  • Travel & lodging$18,89818%
  • Food & beverage$15,47015%
  • Education$780%

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.

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

$104,961 in reported general payments places this provider in the 80th percentile of 290 clinical cardiac electrophysiology providers in California.

See all clinical cardiac electrophysiology providers in California

Medicare billing

Part B allowed, 2024
$951,191
Medicare patients
1,870
Services billed
7,417

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
EliquisApixaban612$762,577
JardianceEmpagliflozin109$123,569
EntrestoSacubitril/Valsartan76$99,385
XareltoRivaroxaban91$98,644
MultaqDronedarone Hcl26$43,501
Repatha SureclickEvolocumab29$41,323
Dofetilide46$14,701
Praluent PenAlirocumab15$9,872
Metoprolol Succinate424$6,148
Atorvastatin Calcium539$5,640
Diltiazem 24hr Er (Cd)Diltiazem Hcl132$4,938
Losartan Potassium337$4,290
Rosuvastatin Calcium219$3,671
Ezetimibe74$2,795
Flecainide Acetate62$2,700

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
PfizerEliquis$141$762,577612 claims
Boehringer IngelheimJardiance$154$123,569109 claims
NovartisEntresto$19$99,38576 claims
Johnson & JohnsonXarelto$249$98,64491 claims
Sanofi-aventis U.S. LLCMultaq$257$43,50126 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 80th percentile of 290 clinical cardiac electrophysiology providers in California.

Other clinical cardiac electrophysiology in E Palo Alto

See the full list for California

Where these figures come from

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