Michael Strachan, MD
Rheumatology · Richmond, VANPI 1982655445
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $96,900 of the $158,189 with a category attached, or 61.3%. 47 manufacturers reported payments, led by Amgen at 50.8% of the total. Reporting peaked in 2019 at $96,562 and has fallen 97.1% since, to $2,837 in 2025. Among rheumatology clinicians in VA with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 1,096 payments — averaging $144.33 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Amgen$80K
- United Rheumatology$29K
- AbbVie$18K
- Lilly USA, LLC$11K
- Janssen Scientific Affairs, LLC$8K
- Johnson & Johnson$2K
- plus $10K from 41 others
What the payments were for
- Consulting fees$32,80021%
- Speaking & faculty fees$96,90061%
- Travel & lodging$7,7885%
- Food & beverage$20,19213%
- Education$5080%
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.
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.
- Prolia$49,304
- EVENITY$27,076
- OLUMIANT$8,775
- SIMPONI ARIA$7,655
- Rinvoq$7,154
- STELARA$6,155
- Humira$2,925
- PURIFIED CORTROPHIN GEL$776
- Enbrel$227
- ULTOMIRIS$107
How this compares
$158,189 in reported general payments places this provider in the 95th percentile of 159 rheumatology providers in Virginia.
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 |
|---|---|---|
| Humira(Cf) PenAdalimumab | 36 | $304,526 |
| EnbrelEtanercept | 16 | $183,986 |
| Humira PenAdalimumab | 16 | $166,807 |
| Xeljanz XrTofacitinib Citrate | 26 | $157,124 |
| KevzaraSarilumab | 13 | $54,559 |
| Diclofenac Sodium | 112 | $19,123 |
| MethotrexateMethotrexate Sodium | 779 | $17,275 |
| Hydroxychloroquine Sulfate | 357 | $11,770 |
| Leflunomide | 170 | $11,348 |
| Cyclosporine | 14 | $9,716 |
| Leucovorin Calcium | 143 | $8,038 |
| EliquisApixaban | 13 | $7,277 |
| Azathioprine | 155 | $7,204 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 254 | $5,016 |
| Buprenorphine | 24 | $4,701 |
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 |
|---|---|---|
| AmgenEnbrel | $80,415 | $183,98616 claims |
| SanofiKevzara | $197 | $54,55913 claims |
| PfizerEliquis | $1,545 | $7,27713 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 95th percentile of 159 rheumatology providers in Virginia.
Other rheumatology in Richmond
- Karim MasriRichmond$147K
- Tammy SpringRichmond$17K
- Mihail MoroianuRichmond$13K
- Bhakti JoshiRichmond$12K
- Peter CoutlakisRichmond$12K
- Avnit AhujaRichmond$12K
- Steven MaestrelloRichmond$9K
- Peter LipskyCharlottesville$1.3M
- Kristi MizelleNewport News$1.1M
- Phillip KempfArlington$321K
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.