RxDoctor Payments Data

Mohammad Ismail, MD

Nephrology · Paramount, CANPI 1730105784

Payments from drug & device makers

What this record shows

This record is dominated by food and beverage: $3,324 of the $5,509 with a category attached, or 60.3%. 15 manufacturers reported payments, led by Amgen at 45.0% of the total. Reporting peaked in 2020 at $2,271 and has fallen 88.2% since, to $267 in 2025.

$5,509in general payments, 2019–2025

Across 77 payments — averaging $71.54 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Amgen$2K
  • AstraZeneca$664
  • Bayer$407
  • Otsuka America Pharmaceutical, Inc.$364
  • Aurinia Pharma U.S., Inc.$345
  • Sanofi-aventis U.S. LLC$296
  • plus $953 from 9 others
$635,956in research payments, 2019–2025

Across 60 payments — averaging $10,599 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.

  • CSL Behring$585K
  • Merck$41K
  • GSK$7K
  • AbbVie$2K

What the payments were for

  • Speaking & faculty fees$2,16039%
  • Food & beverage$3,32460%
  • Education$250%

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

$5,509 in reported general payments places this provider in the 80th percentile of 1,341 nephrology providers in California.

See all nephrology providers in California

Medicare billing

Part B allowed, 2024
$354,157
Medicare patients
322
Services billed
3,161

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
VelphoroSucroferric Oxyhydroxide44$167,870
FarxigaDapagliflozin Propanediol137$100,564
Sevelamer Carbonate132$31,851
TradjentaLinagliptin13$17,458
TrulicityDulaglutide15$16,657
DapagliflozinDapagliflozin Propanediol19$12,623
LokelmaSodium Zirconium Cyclosilicate19$12,440
JardianceEmpagliflozin12$10,172
Cinacalcet Hcl26$8,469
Clonidine23$5,280
Midodrine Hcl38$3,413
Nifedipine ErNifedipine75$2,219
Arnuity ElliptaFluticasone Furoate11$2,159
Calcium Acetate32$1,843
Albuterol Sulfate HfaAlbuterol Sulfate40$1,408

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
Fresenius USA Marketing, Inc.Velphoro$91$167,87044 claims
AstraZenecaFarxiga, Lokelma$664$113,004156 claims
GSKArnuity Ellipta$135$2,15911 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 80th percentile of 1,341 nephrology providers in California.

Other nephrology in Paramount

See the full list for California

Where these figures come from

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