RxDoctor Payments Data

Kofi Appiah, MD

Nephrology · Spartanburg, SCNPI 1346200961

Payments from drug & device makers

What this record shows

Almost everything reported here is food and beverage — 95.5% of the total across 387 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 28 manufacturers, the largest accounting for just 17.0% — the pattern of someone who eats at a lot of different presentations.

$7,131in general payments, 2019–2025

Across 387 payments — averaging $18.43 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Amgen$1K
  • Otsuka America Pharmaceutical, Inc.$611
  • Mallinckrodt Hospital Products Inc.$545
  • Vifor Pharma, Inc.$450
  • Novartis$425
  • Akebia Therapeutics Inc$412
  • plus $3K from 22 others

What the payments were for

  • Travel & lodging$130%
  • Food & beverage$6,80795%
  • Education$3114%

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

$7,131 in reported general payments places this provider in the 80th percentile of 180 nephrology providers in South Carolina.

See all nephrology providers in South Carolina

Medicare billing

Part B allowed, 2024
$162,692
Medicare patients
401
Services billed
1,794

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
FarxigaDapagliflozin Propanediol35$24,380
LokelmaSodium Zirconium Cyclosilicate11$8,846
Calcium Acetate23$3,174
Potassium Chloride47$618
Cinacalcet Hcl13$588
Hydralazine Hcl76$585
Amlodipine Besylate70$418
Colchicine11$370
Olmesartan Medoxomil28$365
Calcitriol24$364
Losartan Potassium47$359
Furosemide65$218
Lisinopril29$192
Carvedilol27$191
Tamsulosin Hcl17$143

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
AstraZenecaFarxiga, Lokelma$407$33,22646 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 180 nephrology providers in South Carolina.

Other nephrology in Spartanburg

See the full list for South Carolina

Where these figures come from

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