RxDoctor Payments Data

Jignesh Shah, MD

Nephrology · Kansas City, MONPI 1871741751

Payments from drug & device makers

What this record shows

This record is dominated by speaking fees: $5,700 of the $7,159 with a category attached, or 79.6%. AstraZeneca accounts for 86.2% of it on its own, with 13 other manufacturers making up the rest. Reporting peaked in 2023 at $4,615 and has fallen 60.1% since, to $1,843 in 2024.

$7,159in general payments, 2019–2025

Across 35 payments — averaging $204.54 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • AstraZeneca$6K
  • Vifor Pharma, Inc.$263
  • Mallinckrodt Enterprises LLC$142
  • Otsuka America Pharmaceutical, Inc.$114
  • GSK$97
  • Medtronic$83
  • plus $290 from 8 others

What the payments were for

  • Speaking & faculty fees$5,70080%
  • Travel & lodging$1011%
  • Food & beverage$99714%
  • Education$3615%

General payments by program year

19
20
22
23
24

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

$7,159 in reported general payments places this provider in the 85th percentile of 253 nephrology providers in Missouri.

See all nephrology providers in Missouri

Medicare billing

Part B allowed, 2024
$70,288
Medicare patients
109
Services billed
638

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
ProcysbiCysteamine Bitartrate24$172,909
JardianceEmpagliflozin52$79,509
FarxigaDapagliflozin Propanediol85$76,632
VelphoroSucroferric Oxyhydroxide24$45,887
VeltassaPatiromer Calcium Sorbitex12$13,141
Sevelamer Carbonate50$10,526
JanuviaSitagliptin Phosphate14$10,373
Calcium Acetate21$1,031
Calcitriol45$810
Spironolactone73$797
Atorvastatin Calcium118$747
Hydralazine Hcl53$695
Potassium Chloride28$672
Nifedipine ErNifedipine34$613
Furosemide152$594

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
AmgenProcysbi$52$172,90924 claims
AstraZenecaFarxiga$6,171$76,63285 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 85th percentile of 253 nephrology providers in Missouri.

Other nephrology in Kansas City

See the full list for Missouri

Where these figures come from

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