Leslie Cloud, MD
Neurology · Richmond, VANPI 1174700652
Payments from drug & device makers
What this record shows
The money is spread across several categories — speaking fees (54.6%), consulting fees and travel and lodging — rather than concentrated in one kind of arrangement. Kyowa Kirin, Inc. accounts for 62.1% of it on its own, with 6 other manufacturers making up the rest. Among neurology 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 50 payments — averaging $924.77 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Kyowa Kirin, Inc.$29K
- Amneal Pharmaceuticals LLC$10K
- Takeda Pharmaceuticals U.S.A., Inc.$4K
- Medtronic$2K
- UCB, Inc.$1K
- AbbVie$727
- plus $61 from 1 others
Across 86 payments — averaging $5098.46 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.
- Amneal Pharmaceuticals LLC$308K
- ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.)$54K
- AbbVie$39K
- UCB SA$38K
What the payments were for
- Consulting fees$14,97132%
- Speaking & faculty fees$25,23055%
- Travel & lodging$3,2577%
- Food & beverage$1,2013%
- Education$1,5803%
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 |
|---|---|---|
| Kyowa Kirin, Inc. | 15 | $28,721 |
| Amneal Pharmaceuticals LLC | 6 | $9,619 |
| Takeda Pharmaceuticals U.S.A., Inc. | 4 | $4,000 |
| Medtronic | 15 | $1,815 |
| UCB, Inc. | 7 | $1,295 |
| AbbVie | 2 | $727 |
| Sunovion Pharmaceuticals Inc. | 1 | $61 |
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.
- NOURIANZ$28,608
- CREXONT$9,371
- PERCEPT PC BRAINSENSE$1,421
How this compares
$46,238 in reported general payments places this provider in the 90th percentile of 474 neurology 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 |
|---|---|---|
| RytaryCarbidopa/Levodopa | 113 | $211,106 |
| GocovriAmantadine Hcl | 41 | $109,567 |
| DuopaCarbidopa/Levodopa | 13 | $81,251 |
| OngentysOpicapone | 42 | $34,202 |
| Carbidopa-LevodopaCarbidopa/Levodopa | 710 | $33,280 |
| NeuproRotigotine | 18 | $24,302 |
| Carbidopa-Levodopa ErCarbidopa/Levodopa | 339 | $19,207 |
| MyrbetriqMirabegron | 14 | $10,325 |
| Rasagiline Mesylate | 38 | $9,797 |
| Carbidopa | 20 | $8,414 |
| Carbidopa-Levodopa-EntacaponeCarbidopa/Levodopa/Entacapone | 18 | $8,076 |
| AmantadineAmantadine Hcl | 140 | $6,451 |
| LinzessLinaclotide | 12 | $6,292 |
| Rivastigmine | 23 | $5,571 |
| Selegiline Hcl | 62 | $5,259 |
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 |
|---|---|---|
| Amneal Pharmaceuticals LLCRytary | $9,619 | $211,106113 claims |
| AbbVieDuopa, Linzess | $727 | $87,54325 claims |
| UCB, Inc.Neupro | $1,295 | $24,30218 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 474 neurology providers in Virginia.
Other neurology in Richmond
- Catherine HamRichmond$603K
- Daniel HardyRichmond$382K
- Myla GoldmanRichmond$132K
- Alan SchulmanRichmond$104K
- Warren FeltonRichmond$96K
- John WittmanRichmond$61K
- Matthew BoyceRichmond$56K
- Jonathan BekensteinRichmond$37K
- Jessica LehositRichmond$35K
- Claudia TestaRichmond$29K
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.