Patrick Flume, MD
Pulmonary Disease · Charleston, SCNPI 1013011899
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (49.2%), speaking fees and travel and lodging — rather than concentrated in one kind of arrangement. 16 manufacturers reported payments, led by Vertex at 48.1% of the total. Among pulmonary disease clinicians in SC 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.
Across 277 payments — averaging $1509.17 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Vertex$201K
- Insmed, Inc.$145K
- Boehringer Ingelheim International GmbH$17K
- Advanced Respiratory, Inc$13K
- Paratek Pharmaceuticals, Inc.$13K
- Merck$7K
- plus $21K from 10 others
Across 1,114 payments — averaging $3797.99 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.
- Janssen Research & Development, LLC$1M
- Insmed, Inc.$947K
- Vertex$682K
- Novavax Inc$424K
- Boehringer Ingelheim$418K
- AstraZeneca$181K
- plus $573K from 10 others
What the payments were for
- Consulting fees$205,52849%
- Speaking & faculty fees$119,26329%
- Grants$25,0006%
- Travel & lodging$61,93415%
- Food & beverage$6,1421%
- Education$1730%
General payments by program year
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.
| Company | Payments | Total |
|---|---|---|
| Vertex | 113 | $201,058 |
| Insmed, Inc. | 102 | $145,090 |
| Boehringer Ingelheim International GmbH | 12 | $17,367 |
| Advanced Respiratory, Inc | 14 | $13,475 |
| Paratek Pharmaceuticals, Inc. | 10 | $13,214 |
| Merck | 10 | $6,594 |
| Kala Pharmaceuticals, Inc. | 2 | $6,392 |
| Zambon USA Ltd. | 1 | $4,000 |
| Mannkind Corporation | 3 | $3,198 |
| Nabriva Therapeutics, PLC | 1 | $2,203 |
| PARI Respiratory Equipment, Inc. | 2 | $1,628 |
| AbbVie | 2 | $1,595 |
| Cipla USA Inc. | 2 | $1,100 |
| Janssen Research & Development, LLC | 1 | $800 |
| Janssen Global Services, LLC | 1 | $278 |
| Chiesi USA, Inc. | 1 | $47 |
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.
- Arikayce$38,136
- The Vest System 205 Acute Care$13,287
- The Monarch Airway Clearance System$13,287
- The Vest System Model 105 Home Care$13,287
- NUZYRA$12,946
- KALYDECO$7,350
- OFEV$7,275
- TRIKAFTA$2,888
- KITABIS PAK$1,628
- ZERBAXA$850
- 4$600
- AFREZZA$273
How this compares
$418,040 in reported general payments places this provider in the 95th percentile of 192 pulmonary disease providers in South Carolina.
Medicare billing
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
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| TrikaftaElexacaftor/Tezacaftor/Ivacaft | 93 | $2,447,621 |
| NuzyraOmadacycline Tosylate | 45 | $769,621 |
| CreonLipase/Protease/Amylase | 56 | $340,654 |
| ArikayceAmikacin Liposomal/Neb.Accessr | 15 | $197,712 |
| Tobi PodhalerTobramycin | 11 | $106,558 |
| NucalaMepolizumab | 13 | $32,988 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 42 | $29,777 |
| SymbicortBudesonide/Formoterol Fumarate | 35 | $10,121 |
| Spiriva RespimatTiotropium Bromide | 22 | $9,544 |
| Breo ElliptaFluticasone/Vilanterol | 17 | $7,859 |
| Amikacin Sulfate | 43 | $5,393 |
| Advair HfaFluticasone Propion/Salmeterol | 11 | $4,573 |
| Azithromycin | 128 | $4,303 |
| Ethambutol Hcl | 63 | $3,756 |
| Fluticasone-SalmeterolFluticasone Propion/Salmeterol | 11 | $2,933 |
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.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| VertexTrikafta | $201,058 | $2,447,62193 claims |
| Paratek Pharmaceuticals, Inc.Nuzyra | $13,214 | $769,62145 claims |
| AbbVieCreon | $1,595 | $340,65456 claims |
| Insmed, Inc.Arikayce | $145,090 | $197,71215 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 192 pulmonary disease providers in South Carolina.
Other pulmonary disease in Charleston
- Gerard SilvestriCharleston$254K
- Denise Gabrielle SeseCharleston$51K
- Timothy WhelanCharleston$41K
- Marc JudsonCharleston$28K
- John HugginsCharleston$18K
- John CoxCharleston$16K
- Adam FoxCharleston$13K
- Michael SpandorferCharleston$12K
- Rachana KrishnaCharleston$9K
- Abhijit RavalAnderson$2M
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.