RxDoctor Payments Data

Nanette Fonte, MD

Nephrology · Lancaster, CANPI 1962732974

Payments from drug & device makers

$3,150in general payments, 2019–2025

Across 140 payments — averaging $22.50 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • AstraZeneca$833
  • Akebia Therapeutics Inc$396
  • Amgen$346
  • Bayer$227
  • GSK$191
  • Fresenius USA Marketing, Inc.$176
  • plus $980 from 13 others

What the payments were for

  • Food & beverage$3,10098%
  • Education$502%

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.

How this compares

$3,150 in reported general payments places this provider in the 65th percentile of 1,341 nephrology providers in California.

See all nephrology providers in California

Medicare billing

Part B allowed, 2024
$158,077
Medicare patients
246
Services billed
1,152

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
JynarqueTolvaptan12$228,169
LokelmaSodium Zirconium Cyclosilicate39$34,348
AuryxiaFerric Citrate17$32,651
VeltassaPatiromer Calcium Sorbitex24$25,159
Sevelamer Carbonate94$23,263
Calcium Acetate123$19,910
ProsolParenteral Amino Acid 20% No.1105$16,905
FarxigaDapagliflozin Propanediol19$15,438
Lanthanum Carbonate12$11,275
Sevelamer Hcl12$9,495
LinzessLinaclotide12$8,007
ClinisolParenteral Amino Acid 15% No.539$6,972
ClinolipidFat Emulsion/Olive/Soy/Phospho14$4,463
Nifedipine ErNifedipine47$2,698
Calcitriol49$1,169

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
Otsuka America Pharmaceutical, Inc.Jynarque$128$228,16912 claims
AstraZenecaLokelma, Farxiga$833$49,78658 claims
Akebia Therapeutics IncAuryxia$396$32,65117 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 65th percentile of 1,341 nephrology providers in California.

Other nephrology in Lancaster

See the full list for California

Where these figures come from

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