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.
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
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 |
|---|---|---|
| Penumbra, Inc. | 17 | $16,517 |
| AstraZeneca | 2 | $242 |
| Chiesi USA, Inc. | 1 | $113 |
| Mindray DS USA, Inc. | 2 | $42 |
| Johnson & Johnson | 2 | $26 |
| CSL Behring | 1 | $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.
- Indigo System$16,325
- LOKELMA$242
- CLEVIPREX 50MG/100ML$113
How this compares
$16,961 in reported general payments places this provider in the 95th percentile of 925 emergency medicine providers in Maryland.
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 |
|---|---|---|
| Albuterol Sulfate HfaAlbuterol Sulfate | 36 | $793 |
| Doxycycline Hyclate | 79 | $732 |
| Esomeprazole Magnesium | 16 | $591 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 34 | $462 |
| Cyclobenzaprine Hcl | 109 | $352 |
| Prednisone | 222 | $349 |
| Cephalexin | 32 | $272 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 74 | $262 |
| Ondansetron Hcl | 62 | $220 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 35 | $183 |
| Hydralazine Hcl | 19 | $60 |
| Chlorhexidine Gluconate | 15 | $52 |
| Amlodipine Besylate | 14 | $36 |
| Promethazine Hcl | 18 | $35 |
| Famotidine | 16 | $25 |
Paid to pharmacies, not to this prescriber.
Other emergency medicine in Prince Frederick
- Leana WenBaltimore$2.2M
- Matthew LevyBaltimore$135K
- Puneet ChopraLaurel$98K
- Ron ElfenbeinBaltimore$60K
- Asa MargolisBaltimore$21K
- Benjamin BarlowGaithersburg$19K
- David ReitmanBethesda$16K
- Binoy MistryBaltimore$15K
- Peter PetropoulosWestminster$14K
- Elizabeth KimmittTimonium$12K
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.