RxDoctor Payments Data

Jeffrey Lessar, MD

Pulmonary Disease · Winchester, VANPI 1194726521

Payments from drug & device makers

$1,368in general payments, 2019–2025

Across 60 payments — averaging $22.80 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • ZOLL Medical Corporation$368
  • GSK$240
  • United Therapeutics Corporation$121
  • Novo Nordisk$84
  • AstraZeneca$83
  • Actelion Pharmaceuticals US, Inc.$75
  • plus $398 from 15 others

What the payments were for

  • Consulting fees$36827%
  • Speaking & faculty fees$1007%
  • Food & beverage$85963%
  • Education$423%

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
20
21
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

$1,368 in reported general payments places this provider in the 40th percentile of 317 pulmonary disease providers in Virginia.

See all pulmonary disease providers in Virginia

Medicare billing

Part B allowed, 2024
$260,266
Medicare patients
1,488
Services billed
3,154

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 Esylate43$506,988
Trelegy ElliptaFluticasone/Umeclidin/Vilanter443$425,415
Breztri AerosphereBudesonide/Glycopyr/Formoterol451$383,218
OpsumitMacitentan23$292,884
Prolastin CAlpha-1-Proteinase Inhibitor21$195,029
Spiriva RespimatTiotropium Bromide199$194,635
GlassiaAlpha-1-Proteinase Inhibitor13$193,075
Bosentan23$171,555
Fasenra PenBenralizumab27$151,599
Breo ElliptaFluticasone/Vilanterol220$133,423
Combivent RespimatIpratropium/Albuterol Sulfate107$92,344
NucalaMepolizumab23$84,572
Stiolto RespimatTiotropium Br/Olodaterol Hcl105$81,712
SymbicortBudesonide/Formoterol Fumarate185$77,426
Pirfenidone42$76,041

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$45$875,679454 claims
GSKTrelegy Ellipta, Breo Ellipta, Nucala, Anoro Ellipta, Incruse Ellipta$240$746,963869 claims
AstraZenecaBreztri Aerosphere, Symbicort, Bevespi Aerosphere$83$477,626659 claims
Actelion Pharmaceuticals US, Inc.Opsumit, Bosentan$75$464,43946 claims
Grifols USA, LLCProlastin C$28$195,02921 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 40th percentile of 317 pulmonary disease providers in Virginia.

Other pulmonary disease in Winchester

See the full list for Virginia

Where these figures come from

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