RxDoctor Payments Data

Neil Mushlin, DO

Pulmonary Disease · Lansdale, PANPI 1639387418

Payments from drug & device makers

What this record shows

This record is dominated by speaking fees: $247,758 of the $360,127 with a category attached, or 68.8%. It is spread thinly across 52 manufacturers, the largest accounting for just 19.3%. Reporting peaked in 2021 at $108,375 and has fallen 68.7% since, to $33,952 in 2025. Among pulmonary disease clinicians in PA with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.

$360,127in general payments, 2019–2025

Across 2,900 payments — averaging $124.18 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Advanced Respiratory, Inc$69K
  • Jazz Pharmaceuticals Inc.$48K
  • AstraZeneca$45K
  • Baxter Healthcare$44K
  • Mallinckrodt Hospital Products Inc.$33K
  • Genentech USA, Inc.$27K
  • plus $94K from 46 others

What the payments were for

  • Consulting fees$55,12615%
  • Speaking & faculty fees$247,75869%
  • Travel & lodging$220%
  • Food & beverage$56,28616%
  • Education$9350%

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

$360,127 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
$861,062
Medicare patients
1,774
Services billed
12,026

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
XywavSodium,calcium,mag,pot Oxybate40$730,820
WakixPitolisant Hcl49$457,716
OfevNintedanib Esylate37$314,123
Trelegy ElliptaFluticasone/Umeclidin/Vilanter184$202,901
LumryzSodium Oxybate12$173,382
Prolastin CAlpha-1-Proteinase Inhibitor19$167,288
Breztri AerosphereBudesonide/Glycopyr/Formoterol164$149,691
Pirfenidone37$126,022
FasenraBenralizumab12$69,224
XolairOmalizumab19$64,333
SunosiSolriamfetol Hcl43$41,904
Spiriva RespimatTiotropium Bromide42$41,340
Breo ElliptaFluticasone/Vilanterol50$28,821
Anoro ElliptaUmeclidinium Brm/Vilanterol Tr54$28,741
Stiolto RespimatTiotropium Br/Olodaterol Hcl17$13,579

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
Harmony Biosciences LLCWakix$25,509$457,71649 claims
Boehringer IngelheimOfev, Spiriva Respimat, Stiolto Respimat$2,071$369,04296 claims
GSKTrelegy Ellipta, Breo Ellipta, Anoro Ellipta$5,995$260,463288 claims
AstraZenecaBreztri Aerosphere, Fasenra, Symbicort$45,367$225,053190 claims
Avadel CNS Pharmaceuticals, LLCLumryz$1,041$173,38212 claims
Grifols USA, LLCProlastin C$11,948$167,28819 claims
Genentech, Inc.Xolair$54$64,33319 claims
Axsome Therapeutics, Inc.Sunosi$2,290$41,90443 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 Lansdale

See the full list for Pennsylvania

Where these figures come from

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