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Michael Zlupko

Pulmonary Disease · Altoona, PANPI 1114121647

Payments from drug & device makers

$592,359in general payments, 2019–2025

Across 1,242 payments — averaging $476.94 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • GSK$341K
  • Boehringer Ingelheim$102K
  • Grifols USA, LLC$56K
  • Insmed, Inc.$45K
  • Regeneron Healthcare Solutions, Inc.$36K
  • AstraZeneca$2K
  • plus $10K from 43 others

What the payments were for

  • Consulting fees$66,33714%
  • Speaking & faculty fees$340,45673%
  • Travel & lodging$38,4918%
  • Food & beverage$22,2655%
  • Education$3100%

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

$592,359 in reported general payments places this provider in the 95th percentile of 703 pulmonary disease providers in Pennsylvania.

See all pulmonary disease providers in Pennsylvania

Medicare billing

Part B allowed, 2024
$233,017
Medicare patients
522
Services billed
3,006

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
Trelegy ElliptaFluticasone/Umeclidin/Vilanter796$593,067
Prolastin CAlpha-1-Proteinase Inhibitor26$280,893
OfevNintedanib Esylate20$260,663
NucalaMepolizumab35$155,416
Breo ElliptaFluticasone/Vilanterol223$122,006
Ambrisentan17$88,744
XolairOmalizumab25$75,399
Spiriva RespimatTiotropium Bromide93$66,217
TezspireTezepelumab-Ekko13$61,529
Anoro ElliptaUmeclidinium Brm/Vilanterol Tr110$55,135
Stiolto RespimatTiotropium Br/Olodaterol Hcl55$36,195
Fluticasone-SalmeterolFluticasone Propion/Salmeterol155$31,489
Breztri AerosphereBudesonide/Glycopyr/Formoterol34$28,355
EliquisApixaban19$15,095
Budesonide-Formoterol FumarateBudesonide/Formoterol Fumarate64$14,841

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
GSKTrelegy Ellipta, Nucala, Breo Ellipta, Anoro Ellipta, Incruse Ellipta$341,159$934,4631,199 claims
Boehringer IngelheimOfev, Spiriva Respimat, Stiolto Respimat$102,482$363,075168 claims
Grifols USA, LLCProlastin C$55,941$280,89326 claims
AstraZenecaTezspire, Breztri Aerosphere, Symbicort, Daliresp$2,361$109,10992 claims
PfizerEliquis$398$15,09519 claims
MerckDulera$66$10,22430 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 703 pulmonary disease providers in Pennsylvania.

Other pulmonary disease in Altoona

See the full list for Pennsylvania

Where these figures come from

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