RxDoctor Payments Data

Lisa West, MD

Gynecology · Midlothian, VANPI 1346220290

Payments from drug & device makers

What this record shows

This record is dominated by speaking fees: $12,569 of the $20,245 with a category attached, or 62.1%. 33 manufacturers reported payments, led by AbbVie at 38.5% of the total. Reporting peaked in 2019 at $7,934 and has fallen 84.2% since, to $1,256 in 2025. Among gynecology clinicians in VA 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.

$20,245in general payments, 2019–2025

Across 429 payments — averaging $47.19 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • AbbVie$8K
  • AMAG Pharmaceuticals, Inc.$7K
  • Novo Nordisk$806
  • Astellas Pharma US Inc$670
  • Pfizer$415
  • Lilly USA, LLC$409
  • plus $3K from 27 others

What the payments were for

  • Speaking & faculty fees$12,56962%
  • Travel & lodging$2851%
  • Food & beverage$7,17435%
  • Education$2161%

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

$20,245 in reported general payments places this provider in the 95th percentile of 71 gynecology providers in Virginia.

See all gynecology providers in Virginia

Medicare billing

Part B allowed, 2024
$96,293
Medicare patients
365
Services billed
907

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
Estradiol83$6,055
PremarinEstrogens, Conjugated14$3,097
Nystatin-TriamcinoloneNystatin/Triamcinolone Acet36$842
Estradiol (Once Weekly)Estradiol14$706
ValacyclovirValacyclovir Hcl19$637
ProgesteroneProgesterone, Micronized12$414
Nitrofurantoin Mono-MacroNitrofurantoin Monohyd/M-Cryst16$191
Fluconazole42$189
Nystatin13$153

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
PfizerPremarin$415$3,09714 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 71 gynecology providers in Virginia.

Other gynecology in Midlothian

See the full list for Virginia

Where these figures come from

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