Jacob Raphael, MD
Anesthesiology · Philadelphia, PANPI 1376684936
Payments from drug & device makers
What this record shows
The money is spread across several categories — speaking fees (43.8%), consulting fees and travel and lodging — rather than concentrated in one kind of arrangement. 18 manufacturers reported payments, led by CSL Behring at 31.0% of the total. 2025 is the largest year on record at $13,940, more than ten times the $276 reported in 2019. Among anesthesiology clinicians in PA with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 63 payments — averaging $512.42 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- CSL Behring$10K
- Octapharma USA, Inc.$9K
- Instrumentation Laboratory Company$8K
- Werfen USA LLC$3K
- Chugai Pharmaceutical Co., Ltd.$1K
- Hemosonics LLC$341
- plus $711 from 12 others
Across 12 payments — averaging $11,425 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.
- Octapharma USA, Inc.$77K
- CSL Behring$60K
What the payments were for
- Consulting fees$9,68030%
- Speaking & faculty fees$14,15644%
- Travel & lodging$6,02219%
- Food & beverage$2,4248%
General payments by program year
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.
| Company | Payments | Total |
|---|---|---|
| CSL Behring | 12 | $10,005 |
| Octapharma USA, Inc. | 19 | $9,325 |
| Instrumentation Laboratory Company | 7 | $7,571 |
| Werfen USA LLC | 4 | $3,049 |
| Chugai Pharmaceutical Co., Ltd. | 1 | $1,280 |
| Hemosonics LLC | 2 | $341 |
| Haemonetics Corporation | 4 | $329 |
| Abiomed | 2 | $78 |
| La Jolla Pharmaceutical Company | 2 | $46 |
| Johnson & Johnson | 2 | $45 |
| Atricure, Inc. | 1 | $39 |
| Surgical Specialties Corporation (US), Inc. (dba Corza Medical) | 1 | $35 |
| Merck | 1 | $29 |
| Amgen | 1 | $27 |
| Cvrx, Inc. | 1 | $21 |
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 1 | $20 |
| Abbott | 1 | $20 |
| Boehringer Ingelheim | 1 | $20 |
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.
- FIBRYGA & BALFAXAR$5,224
- FIBRYGA$3,939
- Quantra QPlus System$341
- TEG6s HEMOSTASIS SYSTEM$260
How this compares
$32,282 in reported general payments places this provider in the 95th percentile of 2,015 anesthesiology providers in Pennsylvania.
Medicare billing
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.
Other anesthesiology in Philadelphia
- Lee FleisherPhiladelphia$659K
- Eugene ViscusiPhiladelphia$398K
- Michael ScottPhiladelphia$250K
- Joshua AtkinsPhiladelphia$55K
- Armen VoskeridjianPhiladelphia$26K
- Eleazar MorrisPhiladelphia$19K
- Brian MalonePhiladelphia$15K
- Rebecca BarnettPhiladelphia$14K
- Michael WilliamsPhiladelphia$9K
- Jeffrey JosephPhiladelphia$7K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.