RxDoctor Payments Data

Norman Fiorica, MD

Pulmonary Disease · Lewiston, NYNPI 1043312093

Payments from drug & device makers

$51,886in general payments, 2019–2025

Across 839 payments — averaging $61.84 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • AstraZeneca$38K
  • GSK$4K
  • Boehringer Ingelheim$1K
  • Sanofi$1K
  • Actelion Pharmaceuticals US, Inc.$1K
  • Grifols USA, LLC$660
  • plus $6K from 37 others

What the payments were for

  • Consulting fees$1,5173%
  • Speaking & faculty fees$29,95058%
  • Travel & lodging$1640%
  • Food & beverage$19,53438%
  • Education$7201%

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

$51,886 in reported general payments places this provider in the 90th percentile of 1,115 pulmonary disease providers in New York.

See all pulmonary disease providers in New York

Medicare billing

Part B allowed, 2024
$74,386
Medicare patients
294
Services billed
961

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
Trelegy ElliptaFluticasone/Umeclidin/Vilanter543$431,721
TrikaftaElexacaftor/Tezacaftor/Ivacaft15$371,326
Breztri AerosphereBudesonide/Glycopyr/Formoterol402$292,851
Prolastin CAlpha-1-Proteinase Inhibitor11$139,160
Spiriva RespimatTiotropium Bromide188$119,963
Fasenra PenBenralizumab16$102,680
Stiolto RespimatTiotropium Br/Olodaterol Hcl126$66,449
SymbicortBudesonide/Formoterol Fumarate184$56,686
Breo ElliptaFluticasone/Vilanterol117$56,242
Combivent RespimatIpratropium/Albuterol Sulfate94$54,284
Fluticasone-SalmeterolFluticasone Propion/Salmeterol294$52,061
Advair HfaFluticasone Propion/Salmeterol116$48,456
NucalaMepolizumab13$46,926
Budesonide-Formoterol FumarateBudesonide/Formoterol Fumarate103$37,005
Tadalafil12$34,466

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
GSKTrelegy Ellipta, Breo Ellipta, Nucala, Incruse Ellipta, Anoro Ellipta$3,845$597,383835 claims
AstraZenecaBreztri Aerosphere, Symbicort, Pulmicort Flexhaler$37,632$355,791610 claims
Boehringer IngelheimSpiriva Respimat, Stiolto Respimat, Combivent Respimat$1,384$240,696408 claims
Grifols USA, LLCProlastin C$660$139,16011 claims
PfizerEliquis$209$20,95535 claims
Teva Pharmaceuticals USA, Inc.Qvar Redihaler$53$8,01424 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 90th percentile of 1,115 pulmonary disease providers in New York.

Other pulmonary disease in Lewiston

See the full list for New York

Where these figures come from

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