RxDoctor Payments Data

Hamsa Subramanian, MD

Allergy & Immunology · Saint Louis, MONPI 1154370203

Payments from drug & device makers

What this record shows

The money is spread across several categories — food and beverage (41.9%), consulting fees and speaking fees — rather than concentrated in one kind of arrangement. 22 manufacturers reported payments, led by Regeneron Healthcare Solutions, Inc. at 37.6% of the total. Reporting peaked in 2022 at $2,382 and has fallen 84.1% since, to $379 in 2025.

$4,567in general payments, 2019–2025

Across 80 payments — averaging $57.09 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Regeneron Healthcare Solutions, Inc.$2K
  • Octapharma USA, Inc.$769
  • GSK$346
  • AstraZeneca$259
  • Sanofi$207
  • Optinose US, Inc.$187
  • plus $1K from 16 others
$19,043in research payments, 2019–2025

Across 3 payments — averaging $6347.74 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.

  • Eli Lilly$19K

What the payments were for

  • Consulting fees$1,65936%
  • Speaking & faculty fees$92520%
  • Food & beverage$1,91442%
  • Education$692%

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

$4,567 in reported general payments places this provider in the 60th percentile of 61 allergy & immunology providers in Missouri.

See all allergy & immunology providers in Missouri

Medicare billing

Part B allowed, 2024
$182,088
Medicare patients
233
Services billed
8,134

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
OrladeyoBerotralstat Hydrochloride12$494,157
XolairOmalizumab27$80,743
Dupixent PenDupilumab16$61,274
Dupixent SyringeDupilumab13$50,232
NucalaMepolizumab12$49,006
Trelegy ElliptaFluticasone/Umeclidin/Vilanter62$44,369
Breo ElliptaFluticasone/Vilanterol72$36,763
Breztri AerosphereBudesonide/Glycopyr/Formoterol44$29,989
Arnuity ElliptaFluticasone Furoate38$13,279
Advair HfaFluticasone Propion/Salmeterol29$10,276
Azelastine Hcl232$8,042
Budesonide-Formoterol FumarateBudesonide/Formoterol Fumarate32$7,326
Epinephrine35$4,512
Fluticasone Propionate HfaFluticasone Propionate17$3,666
Wixela InhubFluticasone Propion/Salmeterol16$3,495

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
GSKNucala, Trelegy Ellipta, Breo Ellipta, Arnuity Ellipta$346$143,418184 claims
AstraZenecaBreztri Aerosphere$259$29,98944 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 60th percentile of 61 allergy & immunology providers in Missouri.

Other allergy & immunology in Saint Louis

See the full list for Missouri

Where these figures come from

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