RxDoctor Payments Data

Maisa Nazzal, MD

Nephrology · Saint Louis, MONPI 1295991073

Payments from drug & device makers

$1,023in general payments, 2019–2025

Across 55 payments — averaging $18.61 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • OPKO Pharmaceuticals, LLC$226
  • Amgen$163
  • Otsuka America Pharmaceutical, Inc.$152
  • AstraZeneca$98
  • Akebia Therapeutics Inc$92
  • Fresenius USA Marketing, Inc.$91
  • plus $201 from 7 others

What the payments were for

  • Food & beverage$88987%
  • Education$13513%

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
22
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

$1,023 in reported general payments places this provider in the 50th percentile of 253 nephrology providers in Missouri.

See all nephrology providers in Missouri

Medicare billing

Part B allowed, 2024
$94,584
Medicare patients
152
Services billed
773

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
FarxigaDapagliflozin Propanediol116$90,541
JardianceEmpagliflozin79$76,252
EntrestoSacubitril/Valsartan26$28,590
EliquisApixaban14$10,267
Bumetanide114$6,976
Sevelamer Carbonate31$1,982
Calcitriol74$1,357
Potassium Chloride75$1,140
Furosemide179$934
Hydralazine Hcl54$780
Nifedipine ErNifedipine16$773
Midodrine Hcl15$717
Metoprolol Succinate74$714
Losartan Potassium112$701
Fluticasone-SalmeterolFluticasone Propion/Salmeterol12$662

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
AstraZenecaFarxiga$98$90,541116 claims
Boehringer IngelheimJardiance$22$76,25279 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 253 nephrology providers in Missouri.

Other nephrology in Saint Louis

See the full list for Missouri

Where these figures come from

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