Juan Armstrong, MD
Pulmonary Disease · Acworth, GANPI 1639259666
Payments from drug & device makers
Across 423 payments — averaging $49.20 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$15K
- GSK$2K
- Boehringer Ingelheim$855
- Grifols USA, LLC$540
- Sanofi$372
- Mylan Specialty L.p.$347
- plus $2K from 33 others
What the payments were for
- Speaking & faculty fees$13,10063%
- Travel & lodging$870%
- Food & beverage$7,50736%
- Education$1171%
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(2 entities) | 94 | $15,004 |
| GSK | 148 | $2,108 |
| Boehringer Ingelheim | 45 | $855 |
| Grifols USA, LLC | 26 | $540 |
| Sanofi | 14 | $372 |
| Mylan Specialty L.p. | 18 | $347 |
| Amgen | 15 | $287 |
| Regeneron Healthcare Solutions, Inc. | 7 | $148 |
| Verona Pharma, Inc. | 6 | $140 |
| Sanofi-aventis U.S. LLC | 1 | $100 |
| Novo Nordisk | 4 | $73 |
| Insmed, Inc. | 3 | $71 |
| ANI Pharmaceuticals, Inc. | 3 | $62 |
| Vapotherm Inc | 2 | $49 |
| Mallinckrodt Enterprises LLC | 2 | $46 |
| La Jolla Pharmaceutical Company | 2 | $44 |
| Johnson & Johnson | 3 | $42 |
| Takeda Pharmaceuticals U.S.A., Inc. | 2 | $40 |
| E.r. Squibb & Sons, L.L.C. | 3 | $40 |
| Electromed, Inc. | 2 | $36 |
| AbbVie | 2 | $36 |
| Teva Pharmaceuticals USA, Inc. | 2 | $33 |
| Pulmonx Corporation | 2 | $32 |
| Shionogi Inc | 1 | $31 |
| Pfizer | 2 | $30 |
| Baxter Healthcare | 1 | $27 |
| Actelion Pharmaceuticals US, Inc. | 1 | $23 |
| Mallinckrodt Hospital Products Inc. | 1 | $21 |
| Cvrx, Inc. | 1 | $20 |
| Viatris Specialty LLC | 1 | $19 |
| CSL Behring | 1 | $17 |
| Genentech USA, Inc. | 1 | $16 |
| Advanced Respiratory, Inc | 1 | $16 |
| Shire North American Group Inc | 1 | $16 |
| Resmed Corp | 1 | $15 |
| Paratek Pharmaceuticals, Inc. | 1 | $15 |
| Merck | 1 | $14 |
| Phadia US Inc. | 1 | $14 |
| Gilead | 1 | $13 |
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.
- BREZTRI AEROSPHERE$6,509
- BREZTRI$4,950
- DALIRESP$1,000
- BEVESPI AEROSPHERE$1,000
How this compares
$20,811 in reported general payments places this provider in the 80th percentile of 365 pulmonary disease providers in Georgia.
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 |
|---|---|---|
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 485 | $382,548 |
| Breztri AerosphereBudesonide/Glycopyr/Formoterol | 121 | $101,734 |
| TezspireTezepelumab-Ekko | 18 | $82,078 |
| EliquisApixaban | 88 | $63,181 |
| Breo ElliptaFluticasone/Vilanterol | 77 | $46,579 |
| Anoro ElliptaUmeclidinium Brm/Vilanterol Tr | 59 | $34,143 |
| Stiolto RespimatTiotropium Br/Olodaterol Hcl | 38 | $27,188 |
| Spiriva RespimatTiotropium Bromide | 22 | $21,275 |
| Fluticasone-SalmeterolFluticasone Propion/Salmeterol | 87 | $11,423 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 303 | $8,894 |
| SymbicortBudesonide/Formoterol Fumarate | 28 | $8,186 |
| XareltoRivaroxaban | 15 | $7,534 |
| Azelastine Hcl | 306 | $7,035 |
| Budesonide-Formoterol FumarateBudesonide/Formoterol Fumarate | 28 | $4,303 |
| JanuviaSitagliptin Phosphate | 13 | $3,716 |
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, Breo Ellipta, Anoro Ellipta | $2,108 | $463,270621 claims |
| AstraZenecaBreztri Aerosphere, Tezspire, Symbicort | $15,004 | $191,997167 claims |
| PfizerEliquis | $30 | $63,18188 claims |
| Boehringer IngelheimStiolto Respimat, Spiriva Respimat | $855 | $48,46360 claims |
| Johnson & JohnsonXarelto | $42 | $7,53415 claims |
| MerckJanuvia | $14 | $3,71613 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 80th percentile of 365 pulmonary disease providers in Georgia.
Other pulmonary disease in Acworth
- Christopher ChanAcworth$51K
- Maria MascoloRincon$2.7M
- Chad MillerAustell$2M
- Amy CaseAustell$1.5M
- Srihari VeeraraghavanAtlanta$1.3M
- Jose MedinaValdosta$1.3M
- Micah FisherAtlanta$1.2M
- Frances LeeAtlanta$1.2M
- Vijay PatelNewnan$1.1M
- Lawrence McDermottSavannah$963K
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.