RxDoctor Payments Data

Lisa Nakamoto, MD

Nephrology · Seattle, WANPI 1164584330

Payments from drug & device makers

What this record shows

This record is dominated by speaking fees: $8,966 of the $9,050 with a category attached, or 99.1%. Amgen accounts for 99.1% of it on its own, with 3 other manufacturers making up the rest. Reporting peaked in 2020 at $5,213 and has fallen 99.9% since, to $3 in 2023. Among nephrology clinicians in WA with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.

$9,050in general payments, 2019–2025

Across 8 payments — averaging $1131.22 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Amgen$9K
  • Otsuka America Pharmaceutical, Inc.$61
  • Alnylam Pharmaceuticals Inc.$19
  • Travere Therapeutics, Inc.$3

What the payments were for

  • Speaking & faculty fees$8,96699%
  • Education$841%

General payments by program year

19
20
21
23

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

$9,050 in reported general payments places this provider in the 95th percentile of 237 nephrology providers in Washington.

See all nephrology providers in Washington

Medicare billing

Part B allowed, 2024
$284,270
Medicare patients
310
Services billed
14,549

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
JardianceEmpagliflozin39$62,447
AranespDarbepoetin Alfa In Polysorbat16$46,723
EliquisApixaban31$44,552
FarxigaDapagliflozin Propanediol15$22,447
Sevelamer Carbonate67$18,293
Calcitriol316$6,292
Cinacalcet Hcl40$5,625
LokelmaSodium Zirconium Cyclosilicate12$4,610
Tacrolimus37$3,407
Cyclosporine ModifiedCyclosporine, Modified19$2,956
Mycophenolic AcidMycophenolate Sodium12$2,647
Losartan Potassium203$1,972
Amlodipine Besylate221$1,880
Torsemide53$1,842
Allopurinol139$1,780

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
AmgenAranesp$8,966$46,72316 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 95th percentile of 237 nephrology providers in Washington.

Other nephrology in Seattle

See the full list for Washington

Where these figures come from

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