RxDoctor Payments Data

Marc Chalaby, MD

Pulmonary Disease · San Antonio, TXNPI 1487648291

Payments from drug & device makers

$30,956in general payments, 2019–2025

Across 554 payments — averaging $55.88 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Bayer$11K
  • Actelion Pharmaceuticals US, Inc.$6K
  • Genentech USA, Inc.$3K
  • AstraZeneca$2K
  • GSK$2K
  • Boehringer Ingelheim$1K
  • plus $6K from 38 others

What the payments were for

  • Consulting fees$3,28311%
  • Speaking & faculty fees$12,83741%
  • Travel & lodging$6182%
  • Food & beverage$13,84745%
  • Education$3721%

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

$30,956 in reported general payments places this provider in the 80th percentile of 904 pulmonary disease providers in Texas.

See all pulmonary disease providers in Texas

Medicare billing

Part B allowed, 2024
$260,092
Medicare patients
525
Services billed
2,701

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
AdempasRiociguat60$805,688
OfevNintedanib Esylate58$792,948
UptraviSelexipag21$476,702
OpsumitMacitentan26$378,979
Orenitram ErTreprostinil Diolamine29$134,775
Trelegy ElliptaFluticasone/Umeclidin/Vilanter67$69,297
Dupixent PenDupilumab18$67,878
NucalaMepolizumab18$64,375
Breztri AerosphereBudesonide/Glycopyr/Formoterol52$36,182
Ambrisentan25$31,095
Spiriva RespimatTiotropium Bromide39$26,984
Stiolto RespimatTiotropium Br/Olodaterol Hcl28$18,183
EliquisApixaban26$16,816
Breo ElliptaFluticasone/Vilanterol41$16,676
SymbicortBudesonide/Formoterol Fumarate62$15,728

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
Actelion Pharmaceuticals US, Inc.Uptravi, Opsumit$5,997$855,68147 claims
Boehringer IngelheimOfev, Spiriva Respimat, Stiolto Respimat$1,141$838,115125 claims
BayerAdempas$10,552$805,68860 claims
GSKTrelegy Ellipta, Nucala, Breo Ellipta, Arnuity Ellipta$1,709$152,871138 claims
AstraZenecaBreztri Aerosphere, Symbicort$1,798$51,910114 claims
PfizerEliquis$34$16,81626 claims
MerckDulera$481$3,40111 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 80th percentile of 904 pulmonary disease providers in Texas.

Other pulmonary disease in San Antonio

See the full list for Texas

Where these figures come from

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