RxDoctor Payments Data

Jonathan Ducastel, MD

Nephrology · Traverse City, MINPI 1073956694

Payments from drug & device makers

$401in general payments, 2019–2025

Across 22 payments — averaging $18.23 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Nxstage Medical, Inc.$129
  • AstraZeneca$82
  • Akebia Therapeutics Inc$46
  • Otsuka America Pharmaceutical, Inc.$38
  • AbbVie$28
  • Amgen$23
  • plus $55 from 3 others

What the payments were for

  • Food & beverage$401100%

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

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

$401 in reported general payments places this provider in the 35th percentile of 325 nephrology providers in Michigan.

See all nephrology providers in Michigan

Medicare billing

Part B allowed, 2024
$96,160
Medicare patients
253
Services billed
718

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
FarxigaDapagliflozin Propanediol25$19,697
ProsolParenteral Amino Acid 20% No.125$4,363
Hydralazine Hcl18$292
Calcitriol27$210
Losartan Potassium20$201
Amlodipine Besylate21$197
Lisinopril23$166

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
AstraZenecaFarxiga$82$19,69725 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 35th percentile of 325 nephrology providers in Michigan.

Other nephrology in Traverse City

See the full list for Michigan

Where these figures come from

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