RxDoctor Payments Data

Michelle Montalbano, MD

Allergy & Immunology · Silverdale, WANPI 1437104544

Payments from drug & device makers

What this record shows

The money is spread across several categories — speaking fees (58.7%), food and beverage and education — rather than concentrated in one kind of arrangement. AstraZeneca accounts for 68.2% of it on its own, with 47 other manufacturers making up the rest. Reporting peaked in 2019 at $10,273 and has fallen 76.8% since, to $2,378 in 2025.

$21,090in general payments, 2019–2025

Across 472 payments — averaging $44.68 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • AstraZeneca$14K
  • Sanofi$1K
  • GSK$824
  • Regeneron Healthcare Solutions, Inc.$686
  • Novartis$350
  • Sanofi-aventis U.S. LLC$308
  • plus $3K from 42 others

What the payments were for

  • Speaking & faculty fees$12,37559%
  • Travel & lodging$70%
  • Food & beverage$8,40240%
  • Education$3071%

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

$21,090 in reported general payments places this provider in the 85th percentile of 81 allergy & immunology providers in Washington.

See all allergy & immunology providers in Washington

Medicare billing

Part B allowed, 2024
$40,462
Medicare patients
57
Services billed
1,996

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
XolairOmalizumab29$102,749
Trelegy ElliptaFluticasone/Umeclidin/Vilanter43$31,127
Spiriva RespimatTiotropium Bromide51$29,803
SymbicortBudesonide/Formoterol Fumarate45$12,413
Epinephrine44$11,812
XhanceFluticasone Propionate12$7,808
Cromolyn Sodium14$5,965
Azelastine Hcl52$1,987
Ipratropium Bromide49$1,615
Montelukast Sodium140$1,606
Roflumilast22$1,441
Albuterol Sulfate HfaAlbuterol Sulfate45$1,291
Mometasone Furoate11$1,092
Wixela InhubFluticasone Propion/Salmeterol14$849
Fluticasone Propionate41$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$824$31,12743 claims
Boehringer IngelheimSpiriva Respimat$13$29,80351 claims
AstraZenecaSymbicort$14,386$12,41345 claims
Optinose US, Inc.Xhance$181$7,80812 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 85th percentile of 81 allergy & immunology providers in Washington.

Other allergy & immunology in Silverdale

See the full list for Washington

Where these figures come from

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