RxDoctor Payments Data

Herbon Fleming, MD

Pulmonary Disease · Burlington, NCNPI 1447355185

Payments from drug & device makers

$38,229in general payments, 2019–2025

Across 52 payments — averaging $735.18 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • AstraZeneca$28K
  • Boehringer Ingelheim$9K
  • GSK$261
  • Intuitive Surgical$87
  • United Therapeutics Corporation$63
  • CSL Behring$62
  • plus $46 from 3 others

What the payments were for

  • Food & beverage$53081%
  • Education$12519%

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
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

$38,229 in reported general payments places this provider in the 80th percentile of 393 pulmonary disease providers in North Carolina.

See all pulmonary disease providers in North Carolina

Medicare billing

Part B allowed, 2024
$102,876
Medicare patients
294
Services billed
1,750

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
Trelegy ElliptaFluticasone/Umeclidin/Vilanter891$757,208
Fasenra PenBenralizumab53$327,592
Pirfenidone30$165,281
OpsumitMacitentan11$141,198
Ambrisentan54$104,308
SymbicortBudesonide/Formoterol Fumarate272$88,402
Spiriva HandihalerTiotropium Bromide111$86,441
Dupixent PenDupilumab19$72,121
Breo ElliptaFluticasone/Vilanterol133$63,264
Tadalafil57$57,329
Anoro ElliptaUmeclidinium Brm/Vilanterol Tr90$51,201
Incruse ElliptaUmeclidinium Bromide102$46,616
Breztri AerosphereBudesonide/Glycopyr/Formoterol48$41,296
Spiriva RespimatTiotropium Bromide50$39,466
Albuterol Sulfate HfaAlbuterol Sulfate1,074$34,703

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
GSKTrelegy Ellipta, Breo Ellipta, Anoro Ellipta, Incruse Ellipta, Arnuity Ellipta$261$948,8701,342 claims
AstraZenecaSymbicort, Breztri Aerosphere$28,351$129,699320 claims
Boehringer IngelheimSpiriva Respimat, Stiolto Respimat, Combivent Respimat$9,360$91,008117 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 393 pulmonary disease providers in North Carolina.

Other pulmonary disease in Burlington

See the full list for North Carolina

Where these figures come from

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