Larry Borish
Allergy & Immunology · Charlottesville, VANPI 1316016934
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $86,833 of the $92,167 with a category attached, or 94.2%. 13 manufacturers reported payments, led by Sanofi at 39.1% of the total. Reporting peaked in 2021 at $31,438 and has fallen 66.5% since, to $10,530 in 2025. Among allergy & immunology clinicians in VA with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 64 payments — averaging $1440.11 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Sanofi$36K
- GSK$27K
- AstraZeneca$12K
- Novartis$10K
- Regeneron Healthcare Solutions, Inc.$3K
- Bristol Myers Squibb$3K
- plus $614 from 7 others
Across 223 payments — averaging $9841.79 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.
- Regeneron$1.9M
- GSK$200K
- AstraZeneca$48K
- Sumitomo Pharma America, Inc.$37K
- CSL Behring$25K
- Sanofi$2K
What the payments were for
- Consulting fees$86,83394%
- Speaking & faculty fees$2500%
- Grants$5001%
- Travel & lodging$2,8893%
- Food & beverage$1,6692%
- Education$260%
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 |
|---|---|---|
| Sanofi | 28 | $35,994 |
| GSK | 8 | $27,330 |
| AstraZeneca | 9 | $11,936 |
| Novartis | 7 | $10,386 |
| Regeneron Healthcare Solutions, Inc. | 1 | $3,306 |
| Bristol Myers Squibb | 1 | $2,600 |
| Regeneron | 3 | $256 |
| Genentech USA, Inc. | 1 | $137 |
| Amgen | 2 | $120 |
| Pharming Healthcare, Inc. | 1 | $40 |
| Genentech, Inc. | 1 | $35 |
| CSL Behring | 1 | $19 |
| Sanofi-aventis U.S. LLC | 1 | $7 |
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
$92,167 in reported general payments places this provider in the 90th percentile of 133 allergy & immunology providers in Virginia.
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 |
|---|---|---|
| Dupixent PenDupilumab | 39 | $145,219 |
| HizentraImmun Glob G(Igg)/Pro/Iga 0-50 | 41 | $83,384 |
| XolairOmalizumab | 12 | $71,409 |
| Spiriva RespimatTiotropium Bromide | 11 | $12,456 |
| Budesonide-Formoterol FumarateBudesonide/Formoterol Fumarate | 14 | $4,473 |
| Wixela InhubFluticasone Propion/Salmeterol | 11 | $1,973 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 13 | $670 |
| Hydroxychloroquine Sulfate | 14 | $493 |
| Azelastine Hcl | 22 | $472 |
| Ipratropium Bromide | 15 | $464 |
| Omeprazole | 22 | $441 |
| Montelukast Sodium | 17 | $257 |
| Prednisone | 32 | $180 |
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 |
|---|---|---|
| CSL BehringHizentra | $19 | $83,38441 claims |
| Genentech, Inc.Xolair | $35 | $71,40912 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 90th percentile of 133 allergy & immunology providers in Virginia.
Other allergy & immunology in Charlottesville
- Emily McGowanCharlottesville$31K
- Arvind MadaanCharlottesville$8K
- Charles LaneLynchburg$1.4M
- Jacqueline Eghrari-SabetVienna$1M
- Eric KarlinWilliamsburg$522K
- Nicholas RiderRoanoke$227K
- Courtney BlairMc Lean$139K
- Andrew KimFredericksburg$104K
- Behnam DaghighLeesburg$99K
- Ananth ThyagarajanBurke$97K
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.