RxDoctor Payments Data

Jose Miranda, MD

Internal Medicine · Auburn, CANPI 1679616437

Payments from drug & device makers

$5,328in general payments, 2019–2025

Across 69 payments — averaging $77.22 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • GSK$2K
  • Sanofi$734
  • Merck$527
  • Regeneron Healthcare Solutions, Inc.$364
  • Inspire Medical Systems, Inc.$265
  • Verona Pharma, Inc.$244
  • plus $1K from 10 others

What the payments were for

  • Food & beverage$5,304100%
  • Education$240%

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

$5,328 in reported general payments places this provider in the 90th percentile of 13,581 internal medicine providers in California.

See all internal medicine providers in California

Medicare billing

Part B allowed, 2024
$187,713
Medicare patients
1,018
Services billed
2,074

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 Esylate63$882,993
Trelegy ElliptaFluticasone/Umeclidin/Vilanter535$522,114
OpsumitMacitentan22$315,731
Anoro ElliptaUmeclidinium Brm/Vilanterol Tr176$104,860
Breo ElliptaFluticasone/Vilanterol149$83,837
NucalaMepolizumab16$68,497
Spiriva RespimatTiotropium Bromide54$51,309
Stiolto RespimatTiotropium Br/Olodaterol Hcl38$33,406
Breztri AerosphereBudesonide/Glycopyr/Formoterol30$25,715
Incruse ElliptaUmeclidinium Bromide43$24,422
Wixela InhubFluticasone Propion/Salmeterol106$13,629
Fluticasone-SalmeterolFluticasone Propion/Salmeterol92$12,307
Albuterol Sulfate HfaAlbuterol Sulfate175$7,939
Arnuity ElliptaFluticasone Furoate26$7,910
Advair HfaFluticasone Propion/Salmeterol16$7,803

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, Stiolto Respimat$115$967,708155 claims
GSKTrelegy Ellipta, Anoro Ellipta, Breo Ellipta, Nucala, Incruse Ellipta$1,761$811,640945 claims
Actelion Pharmaceuticals US, Inc.Opsumit$205$315,73122 claims
AstraZenecaBreztri Aerosphere, Symbicort$123$33,15649 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 90th percentile of 13,581 internal medicine providers in California.

Other internal medicine in Auburn

See the full list for California

Where these figures come from

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