RxDoctor Payments Data

Lathika Raakesh, MD

Nephrology · Montebello, CANPI 1497048672

Payments from drug & device makers

$7,019in general payments, 2019–2025

Across 334 payments — averaging $21.02 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Amgen$960
  • Akebia Therapeutics Inc$752
  • AstraZeneca$712
  • Fresenius USA Marketing, Inc.$525
  • GSK$520
  • Bayer$442
  • plus $3K from 17 others

What the payments were for

  • Food & beverage$6,996100%
  • Education$230%

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

$7,019 in reported general payments places this provider in the 75th percentile of 1,341 nephrology providers in California.

See all nephrology providers in California

Medicare billing

Part B allowed, 2024
$290,289
Medicare patients
499
Services billed
1,751

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 Oxyhydroxide111$284,718
FarxigaDapagliflozin Propanediol221$133,773
KerendiaFinerenone194$119,078
LokelmaSodium Zirconium Cyclosilicate93$70,352
MounjaroTirzepatide63$62,919
DapagliflozinDapagliflozin Propanediol96$47,068
EpogenEpoetin Alfa83$46,434
XphozahTenapanor Hcl15$42,203
AuryxiaFerric Citrate26$39,957
OzempicSemaglutide37$34,480
VeltassaPatiromer Calcium Sorbitex24$22,548
RayaldeeCalcifediol14$16,221
Sevelamer Carbonate30$4,650
Calcitriol32$903
Losartan Potassium122$733

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$525$284,718111 claims
AstraZenecaFarxiga, Lokelma$712$204,126314 claims
BayerKerendia$442$119,078194 claims
Lilly USA, LLCMounjaro$98$62,91963 claims
AmgenEpogen$960$46,43483 claims
Akebia Therapeutics IncAuryxia$752$39,95726 claims
Novo NordiskOzempic$132$34,48037 claims
OPKO Pharmaceuticals, LLCRayaldee$425$16,22114 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 75th percentile of 1,341 nephrology providers in California.

Other nephrology in Montebello

See the full list for California

Where these figures come from

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