Joel Neugarten, MD
Nephrology · Bronx, NYNPI 1750466520
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $206,408 of the $248,458 with a category attached, or 83.1%. 14 manufacturers reported payments, led by Amgen at 34.9% of the total. Reporting peaked in 2019 at $82,662 and has fallen 98.8% since, to $1,015 in 2025. Among nephrology clinicians in NY 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 407 payments — averaging $610.46 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Amgen$87K
- AstraZeneca$68K
- Akebia Therapeutics Inc$43K
- Aurinia Pharma U.S., Inc.$21K
- Vifor Pharma, Inc.$18K
- Fresenius USA Marketing, Inc.$4K
- plus $7K from 8 others
Across 10 payments — averaging $706.60 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.
- Medtronic$7K
What the payments were for
- Consulting fees$11,5485%
- Speaking & faculty fees$206,40883%
- Travel & lodging$22,1519%
- Food & beverage$8,2533%
- Education$990%
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 |
|---|---|---|
| Amgen | 132 | $86,731 |
| AstraZeneca | 102 | $68,059 |
| Akebia Therapeutics Inc | 87 | $43,162 |
| Aurinia Pharma U.S., Inc. | 32 | $20,581 |
| Vifor Pharma, Inc. | 30 | $18,182 |
| Fresenius USA Marketing, Inc. | 7 | $4,336 |
| Calliditas Therapeutics US Inc. | 2 | $4,044 |
| Vertex | 7 | $1,948 |
| Novartis | 2 | $350 |
| Alnylam Pharmaceuticals Inc. | 1 | $321 |
| Beigene USA, Inc. | 1 | $290 |
| Vifor (international) Ltd. | 1 | $192 |
| Otsuka America Pharmaceutical, Inc. | 2 | $173 |
| GSK | 1 | $90 |
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
$248,458 in reported general payments places this provider in the 95th percentile of 935 nephrology providers in New York.
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.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| VeltassaPatiromer Calcium Sorbitex | 70 | $96,444 |
| FarxigaDapagliflozin Propanediol | 66 | $69,462 |
| JardianceEmpagliflozin | 43 | $55,455 |
| LokelmaSodium Zirconium Cyclosilicate | 46 | $48,613 |
| KerendiaFinerenone | 44 | $38,952 |
| XphozahTenapanor Hcl | 11 | $35,387 |
| ProcritEpoetin Alfa | 14 | $21,916 |
| JanuviaSitagliptin Phosphate | 20 | $17,079 |
| OzempicSemaglutide | 12 | $16,951 |
| EliquisApixaban | 13 | $10,682 |
| VascepaIcosapent Ethyl | 28 | $6,904 |
| Nifedipine ErNifedipine | 286 | $5,749 |
| Sevelamer Carbonate | 42 | $4,561 |
| Losartan Potassium | 180 | $1,058 |
| Doxazosin Mesylate | 87 | $961 |
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.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| AstraZenecaFarxiga, Lokelma | $68,059 | $118,075112 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 95th percentile of 935 nephrology providers in New York.
Other nephrology in Bronx
- Bruce SpinowitzBronx$465K
- Enver AkalinBronx$101K
- John KangBronx$93K
- Daniel AddankiBronx$54K
- Chaim CharytanBronx$34K
- Payam ShakouriPoughkeepsie$930K
- Gerald AppelNew York$842K
- Richard ChanNew York$514K
- Steven CocaNew York$445K
- Joseph RoglieriTroy$425K
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.