RxDoctor Payments Data

John Lederer, MD

Radiation Oncology · Honolulu, HINPI 1740253327

Payments from drug & device makers

What this record shows

Almost everything reported here is food and beverage — 100.0% of the total across 92 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 23 manufacturers, the largest accounting for just 11.0% — the pattern of someone who eats at a lot of different presentations.

$2,549in general payments, 2019–2025

Across 92 payments — averaging $27.71 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Palette Life Sciences, Inc.$279
  • Elekta, Inc.$273
  • AstraZeneca$243
  • E.r. Squibb & Sons, L.L.C.$221
  • Pfizer$200
  • Siemens Medical Solutions USA, Inc.$200
  • plus $1K from 17 others
$144,876in research payments, 2019–2025

Across 13 payments — averaging $11,144 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.

  • Palette Life Sciences, Inc.$98K
  • Teleflex LLC$46K

What the payments were for

  • Food & beverage$2,549100%

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
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.

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

$2,549 in reported general payments places this provider in the 80th percentile of 27 radiation oncology providers in Hawaii.

See all radiation oncology providers in Hawaii

Medicare billing

Part B allowed, 2024
$633,810
Medicare patients
288
Services billed
3,383

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
Ciprofloxacin Hcl98$436
Tamsulosin Hcl21$227
Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim48$116
Cephalexin21$45
Lorazepam21$11

Paid to pharmacies, not to this prescriber.

Other radiation oncology in Honolulu

See the full list for Hawaii

Where these figures come from

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