RxDoctor Payments Data

Lee Ralph, MD

Sports Medicine · San Diego, CANPI 1063523330

Payments from drug & device makers

$2,453in general payments, 2019–2025

Across 17 payments — averaging $144.30 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Boehringer Ingelheim$2K
  • Johnson & Johnson$88
  • Edwards Lifesciences$52
  • Sanofi Pasteur Inc.$46
  • Hologic Sales And Service, LLC$38
  • Neurelis, Inc.$25
  • plus $128 from 6 others

What the payments were for

  • Food & beverage$379100%

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
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

$2,453 in reported general payments places this provider in the 50th percentile of 662 sports medicine providers in California.

See all sports medicine providers in California

Medicare billing

Part B allowed, 2024
$73,402
Medicare patients
171
Services billed
831

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
JardianceEmpagliflozin19$18,535
EliquisApixaban14$13,842
TrulicityDulaglutide14$13,461
SynthroidLevothyroxine Sodium22$2,173
Humalog Kwikpen U-100Insulin Lispro12$1,928
Atorvastatin Calcium171$1,254
Celecoxib20$1,115
Losartan Potassium133$1,060
Amlodipine Besylate98$1,059
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen37$1,018
Levothyroxine Sodium68$770
Rosuvastatin Calcium71$748
Metoprolol Succinate57$748
Metformin Hcl ErMetformin Hcl58$730
ValacyclovirValacyclovir Hcl19$668

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
Boehringer IngelheimJardiance$2,075$18,53519 claims
AbbVieSynthroid$22$2,17322 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 50th percentile of 662 sports medicine providers in California.

Other sports medicine in San Diego

See the full list for California

Where these figures come from

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