Joshua Goldstein, MD
Emergency Medicine · Boston, MANPI 1114917341
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $184,355 of the $233,767 with a category attached, or 78.9%. 9 manufacturers reported payments, led by Pfizer at 56.5% of the total. Reporting peaked in 2020 at $97,569 and has fallen 75.6% since, to $23,763 in 2025. Among emergency medicine clinicians in MA 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 95 payments — averaging $2460.71 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Pfizer$132K
- CSL Behring$40K
- Takeda Pharmaceuticals U.S.A., Inc.$28K
- AstraZeneca$11K
- Portola Pharmaceuticals, LLC$9K
- Astrazeneca UK Limited$5K
- plus $8K from 3 others
Across 12 payments — averaging $5758.13 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.
- Pfizer$69K
What the payments were for
- Consulting fees$184,35579%
- Speaking & faculty fees$42,71118%
- Travel & lodging$5,5102%
- Food & beverage$1,1921%
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 |
|---|---|---|
| Pfizer | 29 | $132,012 |
| CSL Behring | 16 | $39,964 |
| Takeda Pharmaceuticals U.S.A., Inc. | 7 | $28,370 |
| AstraZeneca(2 entities) | 11 | $11,027 |
| Portola Pharmaceuticals, LLC | 21 | $9,393 |
| Astrazeneca UK Limited | 7 | $5,257 |
| Astrazeneca AB | 2 | $4,900 |
| Philips North America LLC | 1 | $2,170 |
| BTG International Inc. | 1 | $675 |
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
$233,767 in reported general payments places this provider in the 95th percentile of 1,429 emergency medicine providers in Massachusetts.
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.
Other emergency medicine in Boston
- Christopher GilliganBoston$1M
- Nathan ShapiroBoston$311K
- Adaira LandryBoston$211K
- Elissa PerkinsBoston$205K
- Christopher BaughBoston$146K
- Chanel FischettiBoston$71K
- Christopher KabrhelBoston$54K
- Jarone LeeBoston$34K
- Scott WeinerBoston$18K
- Adam LandmanBoston$17K
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.