RxDoctor Payments Data

Mark Boiskin, MD

Nephrology · la Jolla, CANPI 1437154143

Payments from drug & device makers

What this record shows

The money is spread across several categories — travel and lodging (49.5%), food and beverage and education — rather than concentrated in one kind of arrangement. 19 manufacturers reported payments, led by CSL Behring at 39.1% of the total. Reporting peaked in 2024 at $1,746 and has fallen 85.7% since, to $249 in 2025.

$4,469in general payments, 2019–2025

Across 84 payments — averaging $53.20 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • CSL Behring$2K
  • Merck$909
  • AstraZeneca$394
  • Otsuka America Pharmaceutical, Inc.$357
  • Vifor Pharma, Inc.$253
  • Nxstage Medical, Inc.$169
  • plus $642 from 13 others
$891,797in research payments, 2019–2025

Across 1,065 payments — averaging $837.37 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.

  • Akebia Therapeutics Inc$415K
  • CSL Behring$342K
  • AstraZeneca$67K
  • Alnylam Pharmaceuticals Inc.$38K
  • Bayer$12K
  • Ardelyx, Inc.$10K
  • plus $8K from 1 others

What the payments were for

  • Travel & lodging$2,21249%
  • Food & beverage$1,93843%
  • Education$3207%

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

$4,469 in reported general payments places this provider in the 75th percentile of 1,341 nephrology providers in California.

See all nephrology providers in California

Medicare billing

Part B allowed, 2024
$243,235
Medicare patients
551
Services billed
2,678

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 Propanediol289$241,417
JardianceEmpagliflozin131$113,330
VeltassaPatiromer Calcium Sorbitex89$91,696
LokelmaSodium Zirconium Cyclosilicate112$65,808
OzempicSemaglutide71$65,587
KerendiaFinerenone57$61,882
VelphoroSucroferric Oxyhydroxide19$36,058
JanuviaSitagliptin Phosphate35$26,963
InvokanaCanagliflozin17$20,839
Sevelamer Carbonate75$17,775
SpsSodium Polystyrene Sulfon/Sorb27$15,905
MounjaroTirzepatide14$13,815
DapagliflozinDapagliflozin Propanediol17$6,229
Potassium Citrate ErPotassium Citrate42$3,120
Paricalcitol19$3,019

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, Lokelma$394$307,225401 claims
BayerKerendia$56$61,88257 claims
Fresenius USA Marketing, Inc.Velphoro$16$36,05819 claims
MerckJanuvia$909$26,96335 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 75th percentile of 1,341 nephrology providers in California.

Other nephrology in la Jolla

See the full list for California

Where these figures come from

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