RxDoctor Payments Data

Nicholas Phreaner, MD

Cardiovascular Disease · San Diego, CANPI 1023373040

Payments from drug & device makers

What this record shows

The money is spread across several categories — food and beverage (58.0%), consulting fees and education — rather than concentrated in one kind of arrangement. 12 manufacturers reported payments, led by AstraZeneca at 44.3% of the total. Reporting peaked in 2024 at $1,339 and has fallen 89.1% since, to $146 in 2025. That places this record below the midpoint for cardiovascular disease clinicians in CA, where the typical reported total is $2,142.

$2,344in general payments, 2019–2025

Across 42 payments — averaging $55.82 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • AstraZeneca$1K
  • ZOLL Services LLC (a/k/a ZOLL Lifecor Corp)$364
  • Abbott$311
  • Kestra Medical Technology Services, Inc.$223
  • Chiesi USA, Inc.$129
  • Abiomed$75
  • plus $203 from 6 others
$11,697in research payments, 2019–2025

Across 7 payments — averaging $1671.00 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.

  • Butterfly Network, Inc.$7K
  • Medtronic$5K

What the payments were for

  • Consulting fees$91539%
  • Food & beverage$1,36158%
  • Education$693%

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
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

$2,344 in reported general payments places this provider in the 50th percentile of 2,184 cardiovascular disease providers in California.

See all cardiovascular disease providers in California →

Medicare billing

Part B allowed, 2024
$230,282
Medicare patients
1,065
Services billed
2,134

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
EliquisApixaban278$348,481
Repatha SureclickEvolocumab147$118,293
JardianceEmpagliflozin86$105,537
EntrestoSacubitril/Valsartan59$79,101
XareltoRivaroxaban47$54,939
Praluent PenAlirocumab32$17,097
Repatha PushtronexEvolocumab14$9,477
Ezetimibe185$7,134
Metoprolol Succinate394$6,146
Rosuvastatin Calcium323$5,586
Atorvastatin Calcium343$3,721
Diltiazem 24hr Er (Cd)Diltiazem Hcl47$2,370
Spironolactone177$1,882
Amlodipine Besylate262$1,726
Flecainide Acetate44$1,693

Paid to pharmacies, not to this prescriber.

Other cardiovascular disease in San Diego

See the full list for California →

Where these figures come from

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