RxDoctor Payments Data

Juan Kusnir, MD

Nephrology · Miami, FLNPI 1649546631

Payments from drug & device makers

$2,840in general payments, 2019–2025

Across 119 payments — averaging $23.86 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Aurinia Pharma U.S., Inc.$546
  • AstraZeneca$514
  • Vifor Pharma, Inc.$279
  • Otsuka America Pharmaceutical, Inc.$238
  • Bayer$197
  • Ardelyx, Inc.$148
  • plus $918 from 16 others

What the payments were for

  • Food & beverage$2,68995%
  • Education$1515%

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.

How this compares

$2,840 in reported general payments places this provider in the 60th percentile of 756 nephrology providers in Florida.

See all nephrology providers in Florida

Medicare billing

Part B allowed, 2024
$212,882
Medicare patients
467
Services billed
1,409

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
VelphoroSucroferric Oxyhydroxide49$126,611
FarxigaDapagliflozin Propanediol58$66,446
KerendiaFinerenone38$34,926
LokelmaSodium Zirconium Cyclosilicate24$15,532
VeltassaPatiromer Calcium Sorbitex12$11,974
JardianceEmpagliflozin15$8,935
Sevelamer Carbonate51$5,137
Tacrolimus17$4,219
Nifedipine ErNifedipine39$2,061
Potassium Citrate ErPotassium Citrate12$1,734
Bumetanide74$1,601
Calcium Acetate13$1,134
Minoxidil23$806
Calcitriol35$729
Midodrine Hcl13$365

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
Fresenius USA Marketing, Inc.Velphoro$18$126,61149 claims
AstraZenecaFarxiga, Lokelma$514$81,97882 claims
BayerKerendia$197$34,92638 claims
Boehringer IngelheimJardiance$21$8,93515 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 60th percentile of 756 nephrology providers in Florida.

Other nephrology in Miami

See the full list for Florida

Where these figures come from

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