RxDoctor Payments Data

Patricia Ragone

Advanced Practice Midwife · Upper Darby, PANPI 1770620189

Payments from drug & device makers

What this record shows

Almost everything reported here is food and beverage — 100.0% of the total across 69 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 19 manufacturers, the largest accounting for just 19.8% — the pattern of someone who eats at a lot of different presentations. Among advanced practice midwife 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.

$1,200in general payments, 2019–2025

Across 69 payments — averaging $17.39 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Astellas Pharma US Inc$238
  • Exeltis, USA Inc.$153
  • Pfizer$104
  • Shield Therapeutics Inc$100
  • Mylan Pharmaceuticals Inc.$79
  • Organon$74
  • plus $452 from 13 others

What the payments were for

  • Food & beverage$1,200100%

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

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

$1,200 in reported general payments places this provider in the 95th percentile of 254 advanced practice midwife providers in Pennsylvania.

See all advanced practice midwife providers in Pennsylvania

Medicare billing

Part B allowed, 2024
$3,975
Medicare patients
45
Services billed
68

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
Estradiol18$1,133
ValacyclovirValacyclovir Hcl24$714
Junel FeNorethindrone-E.Estradiol-Iron19$199
Fluconazole24$58

Paid to pharmacies, not to this prescriber.

Other advanced practice midwife in Upper Darby

See the full list for Pennsylvania

Where these figures come from

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