RxDoctor Payments Data

Natalie Maclean, MD

Rheumatology · Encinitas, CANPI 1316429244

Payments from drug & device makers

$23,342in general payments, 2019–2025

Across 462 payments — averaging $50.52 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Regeneron$5K
  • Genentech USA, Inc.$4K
  • Amgen$4K
  • Sanofi$3K
  • Pfizer$2K
  • Novartis$1K
  • plus $4K from 17 others

What the payments were for

  • Consulting fees$9,36640%
  • Speaking & faculty fees$2,75012%
  • Travel & lodging$8264%
  • Food & beverage$10,26344%
  • Education$1371%

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

$23,342 in reported general payments places this provider in the 75th percentile of 808 rheumatology providers in California.

See all rheumatology providers in California

Medicare billing

Part B allowed, 2024
$2,750,376
Medicare patients
492
Services billed
261,932

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
OtezlaApremilast51$242,864
XeljanzTofacitinib Citrate26$141,086
Celecoxib14$4,484
MethotrexateMethotrexate Sodium85$3,857
Hydroxychloroquine Sulfate60$3,148
Leucovorin Calcium64$2,510
Prednisone121$1,567
Sulfasalazine23$963
Leflunomide15$718
Gabapentin26$255
Methylprednisolone17$158
Alendronate Sodium19$108
Allopurinol12$86

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
AmgenOtezla$3,738$242,86451 claims
PfizerXeljanz$2,398$141,08626 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 75th percentile of 808 rheumatology providers in California.

Other rheumatology in Encinitas

See the full list for California

Where these figures come from

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