Joseph Paprota, MD
Pulmonary Disease · Miami Beach, FLNPI 1619183829
Payments from drug & device makers
Across 190 payments — averaging $24.33 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$1K
- GSK$719
- Mylan Specialty L.p.$354
- Inari Medical, Inc.$350
- Sanofi$255
- Grifols USA, LLC$225
- plus $2K from 22 others
What the payments were for
- Food & beverage$4,48397%
- Education$1403%
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
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 |
|---|---|---|
| AstraZeneca | 42 | $1,134 |
| GSK | 43 | $719 |
| Mylan Specialty L.p. | 9 | $354 |
| Inari Medical, Inc. | 2 | $350 |
| Sanofi | 10 | $255 |
| Grifols USA, LLC | 16 | $225 |
| Takeda Pharmaceuticals U.S.A., Inc. | 10 | $220 |
| Actelion Pharmaceuticals US, Inc. | 4 | $208 |
| Amgen | 8 | $199 |
| Penumbra, Inc. | 1 | $146 |
| Inogen, Inc. | 8 | $115 |
| Regeneron Healthcare Solutions, Inc. | 3 | $95 |
| Verona Pharma, Inc. | 4 | $95 |
| Boehringer Ingelheim | 6 | $91 |
| Viatris Specialty LLC | 2 | $68 |
| Insmed, Inc. | 2 | $50 |
| Mallinckrodt Hospital Products Inc. | 2 | $43 |
| United Therapeutics Corporation | 2 | $40 |
| Bayer | 2 | $38 |
| Pfizer | 1 | $23 |
| Pulmonx Corporation | 1 | $22 |
| Philips North America LLC | 1 | $22 |
| Eagle Pharmaceuticals, Inc. | 1 | $21 |
| Exact Sciences | 1 | $20 |
| Coloplast | 1 | $20 |
| Dendreon Pharmaceuticals LLC | 1 | $20 |
| Kvk-tech, Inc. | 6 | $18 |
| Baxter Healthcare | 1 | $14 |
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.
- FLOWTRIEVER CATHETER, S$350
- CT THROMBECTOMY SYSTEM KIT$350
- Yupelri$235
- Indigo System$146
- FASENRA$118
- TEZSPIRE$117
- BREZTRI AEROSPHERE$108
How this compares
$4,623 in reported general payments places this provider in the 50th percentile of 953 pulmonary disease providers in Florida.
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 |
|---|---|---|
| XywavSodium,calcium,mag,pot Oxybate | 12 | $233,164 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 186 | $147,025 |
| Breztri AerosphereBudesonide/Glycopyr/Formoterol | 25 | $18,686 |
| Spiriva RespimatTiotropium Bromide | 20 | $12,497 |
| Anoro ElliptaUmeclidinium Brm/Vilanterol Tr | 18 | $9,453 |
| Combivent RespimatIpratropium/Albuterol Sulfate | 16 | $7,729 |
| Stiolto RespimatTiotropium Br/Olodaterol Hcl | 15 | $7,379 |
| SymbicortBudesonide/Formoterol Fumarate | 27 | $6,897 |
| Breo ElliptaFluticasone/Vilanterol | 14 | $5,757 |
| Azelastine Hcl | 79 | $3,162 |
| Ventolin HfaAlbuterol Sulfate | 28 | $1,833 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 44 | $1,200 |
| Ipratropium Bromide | 12 | $269 |
| Azithromycin | 36 | $267 |
| Prednisone | 89 | $252 |
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 |
|---|---|---|
| GSKTrelegy Ellipta, Anoro Ellipta, Breo Ellipta | $719 | $162,235218 claims |
| Boehringer IngelheimSpiriva Respimat, Combivent Respimat, Stiolto Respimat | $91 | $27,60551 claims |
| AstraZenecaBreztri Aerosphere, Symbicort | $1,134 | $25,58352 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 50th percentile of 953 pulmonary disease providers in Florida.
Other pulmonary disease in Miami Beach
- James KrainsonMiami$11.7M
- Jose DiazLeesburg$11.2M
- Carlos MartinezHomestead$9.2M
- Leonard DunnDunedin$7.6M
- Francis AverillClearwater$6.3M
- Charles BurgerJacksonville$5.6M
- Daniel LorchBrandon$5.5M
- Lourdes BoschMiami$4.2M
- Raj KarunakaraOcala$4M
- Neal WarshoffLoxahatchee$3.6M
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.