RxDoctor Payments Data

Paul Blake Obrien, MD

Emergency Medicine · Prince Frederick, MDNPI 1821007220

Payments from drug & device makers

What this record shows

This record is dominated by speaking fees: $14,400 of the $16,961 with a category attached, or 84.9%. Penumbra, Inc. accounts for 97.4% of it on its own, with 5 other manufacturers making up the rest. 2025 is the largest year on record at $6,378, more than ten times the $137 reported in 2019. Among emergency medicine clinicians in MD 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.

$16,961in general payments, 2019–2025

Across 25 payments — averaging $678.42 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Penumbra, Inc.$17K
  • AstraZeneca$242
  • Chiesi USA, Inc.$113
  • Mindray DS USA, Inc.$42
  • Johnson & Johnson$26
  • CSL Behring$20

What the payments were for

  • Speaking & faculty fees$14,40085%
  • Travel & lodging$1,1837%
  • Food & beverage$1,3588%
  • Education$200%

General payments by program year

19
20
21
22
23
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.

CompanyPaymentsTotal
Penumbra, Inc.17$16,517
AstraZeneca2$242
Chiesi USA, Inc.1$113
Mindray DS USA, Inc.2$42
Johnson & Johnson2$26
CSL Behring1$20

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

$16,961 in reported general payments places this provider in the 95th percentile of 925 emergency medicine providers in Maryland.

See all emergency medicine providers in Maryland

Medicare billing

Part B allowed, 2024
$120,115
Medicare patients
626
Services billed
922

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
Albuterol Sulfate HfaAlbuterol Sulfate36$793
Doxycycline Hyclate79$732
Esomeprazole Magnesium16$591
Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav34$462
Cyclobenzaprine Hcl109$352
Prednisone222$349
Cephalexin32$272
Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen74$262
Ondansetron Hcl62$220
Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim35$183
Hydralazine Hcl19$60
Chlorhexidine Gluconate15$52
Amlodipine Besylate14$36
Promethazine Hcl18$35
Famotidine16$25

Paid to pharmacies, not to this prescriber.

Other emergency medicine in Prince Frederick

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Where these figures come from

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