Michael Rocco, MD
Nephrology · Winston Salem, NCNPI 1437134525
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $16,835 of the $20,900 with a category attached, or 80.6%. Baxter Healthcare accounts for 69.3% of it on its own, with 3 other manufacturers making up the rest. Among nephrology clinicians in NC with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 40 payments — averaging $522.49 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Baxter Healthcare$14K
- Bayer$5K
- Boehringer Ingelheim$923
- Boehringer Ingelheim International GmbH$433
Across 143 payments — averaging $4468.67 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.
- Boehringer Ingelheim International GmbH$279K
- Boehringer Ingelheim Pharma GmbH & Co.kg$195K
- Bayer$117K
- GSK$26K
- Astrazeneca UK Limited$22K
What the payments were for
- Consulting fees$16,83581%
- Travel & lodging$3,36116%
- Food & beverage$7033%
General payments by program year
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.
| Company | Payments | Total |
|---|---|---|
| Baxter Healthcare | 18 | $14,474 |
| Bayer | 15 | $5,070 |
| Boehringer Ingelheim | 2 | $923 |
| Boehringer Ingelheim International GmbH | 5 | $433 |
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.
- Renal - Theranova$7,650
- Renal - HD$6,473
- Non-Covered$4,723
- JARDIANCE$1,118
How this compares
$20,900 in reported general payments places this provider in the 90th percentile of 366 nephrology providers in North Carolina.
Medicare billing
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
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Lanthanum Carbonate | 11 | $21,072 |
| JardianceEmpagliflozin | 23 | $17,560 |
| Sevelamer Carbonate | 55 | $6,705 |
| LokelmaSodium Zirconium Cyclosilicate | 15 | $5,838 |
| Calcium Acetate | 21 | $2,820 |
| Labetalol Hcl | 14 | $922 |
| Losartan Potassium | 67 | $728 |
| Hydralazine Hcl | 60 | $599 |
| Potassium Chloride | 14 | $590 |
| Amlodipine Besylate | 91 | $507 |
| Acyclovir | 14 | $434 |
| Torsemide | 12 | $328 |
| Lisinopril | 41 | $267 |
| Prednisone | 42 | $259 |
| Furosemide | 40 | $219 |
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.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| Boehringer IngelheimJardiance | $923 | $17,56023 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 90th percentile of 366 nephrology providers in North Carolina.
Other nephrology in Winston Salem
- Barry FreedmanWinston Salem$67K
- Anthony BleyerWinston Salem$20K
- Taewoo LeeWinston Salem$14K
- Nicholas McLeanWinston Salem$14K
- Andrew SpanglerWinston Salem$9K
- Christopher MarshallWinston Salem$9K
- Scott SatkoWinston Salem$9K
- Alexander HadleyWinston Salem$9K
- Jim EllisonWinston Salem$8K
- Gregory GreenwoodWinston-Salem$947K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.