RxDoctor Payments Data

Michael Krueger, DO

Cardiovascular Disease · Fresno, CANPI 1396714937

Payments from drug & device makers

$10,952in general payments, 2019–2025

Across 264 payments — averaging $41.49 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Impulse Dynamics (USA) Inc.$5K
  • Abbott$2K
  • Amgen$1K
  • Novartis$678
  • Pfizer$254
  • AstraZeneca$225
  • plus $2K from 26 others

What the payments were for

  • Travel & lodging$89015%
  • Food & beverage$5,13485%
  • Education$100%

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
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

$10,952 in reported general payments places this provider in the 75th percentile of 2,184 cardiovascular disease providers in California.

See all cardiovascular disease providers in California

Medicare billing

Part B allowed, 2024
$2,983,684
Medicare patients
1,958
Services billed
20,261

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
EntrestoSacubitril/Valsartan533$778,793
EliquisApixaban402$488,455
BrilintaTicagrelor315$239,940
XareltoRivaroxaban178$229,268
Repatha SureclickEvolocumab87$96,984
JardianceEmpagliflozin11$18,260
VascepaIcosapent Ethyl24$15,503
EdarbiAzilsartan Medoxomil36$14,964
InpefaSotagliflozin15$13,220
FarxigaDapagliflozin Propanediol11$12,336
Ranolazine ErRanolazine86$9,604
Losartan Potassium866$9,367
Carvedilol912$8,438
Metoprolol Succinate501$8,002
ClopidogrelClopidogrel Bisulfate455$6,298

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
NovartisEntresto$678$778,793533 claims
PfizerEliquis$254$488,455402 claims
AstraZenecaBrilinta, Farxiga$225$252,276326 claims
Johnson & JohnsonXarelto$126$229,268178 claims
Boehringer IngelheimJardiance$62$18,26011 claims
Arbor Pharmaceuticals, Inc.Edarbi$53$14,96436 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 2,184 cardiovascular disease providers in California.

Other cardiovascular disease in Fresno

See the full list for California

Where these figures come from

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