RxDoctor Payments Data

Lawrence Macdonald, MD

Pulmonary Disease · Waterford, MINPI 1104868967

Payments from drug & device makers

$12,645in general payments, 2019–2025

Across 70 payments — averaging $180.64 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Intuitive Surgical$11K
  • Jazz Pharmaceuticals Inc.$671
  • AstraZeneca$510
  • Johnson & Johnson$99
  • Resmed Corp$56
  • Grifols USA, LLC$39
  • plus $95 from 4 others

What the payments were for

  • Travel & lodging$1,94115%
  • Food & beverage$1,60413%
  • Education$9,09972%

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

$12,645 in reported general payments places this provider in the 75th percentile of 463 pulmonary disease providers in Michigan.

See all pulmonary disease providers in Michigan

Medicare billing

Part B allowed, 2024
$92,779
Medicare patients
416
Services billed
939

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
Trelegy ElliptaFluticasone/Umeclidin/Vilanter273$224,103
OfevNintedanib Esylate12$84,783
Spiriva RespimatTiotropium Bromide124$84,547
Breztri AerosphereBudesonide/Glycopyr/Formoterol100$71,271
Breo ElliptaFluticasone/Vilanterol156$70,923
Anoro ElliptaUmeclidinium Brm/Vilanterol Tr85$47,956
Incruse ElliptaUmeclidinium Bromide57$21,663
Stiolto RespimatTiotropium Br/Olodaterol Hcl20$12,668
Fluticasone-SalmeterolFluticasone Propion/Salmeterol52$8,910
Combivent RespimatIpratropium/Albuterol Sulfate14$6,884
Albuterol Sulfate HfaAlbuterol Sulfate188$6,655
Spiriva HandihalerTiotropium Bromide12$5,817
Ventolin HfaAlbuterol Sulfate91$5,460
SymbicortBudesonide/Formoterol Fumarate21$5,352
DuleraMometasone/Formoterol11$4,632

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
GSKTrelegy Ellipta, Breo Ellipta, Anoro Ellipta, Incruse Ellipta$32$364,645571 claims
AstraZenecaBreztri Aerosphere, Symbicort$510$76,623121 claims
MerckDulera$17$4,63211 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 463 pulmonary disease providers in Michigan.

Other pulmonary disease in Waterford

See the full list for Michigan

Where these figures come from

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