RxDoctor Payments Data

Phillip Madonia, MD

Nephrology · Alabaster, ALNPI 1245440585

Payments from drug & device makers

What this record shows

This record is dominated by speaking fees: $146,436 of the $165,289 with a category attached, or 88.6%. 23 manufacturers reported payments, led by Vifor Pharma, Inc. at 30.3% of the total. Among nephrology clinicians in AL 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.

$165,289in general payments, 2019–2025

Across 296 payments — averaging $558.41 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Vifor Pharma, Inc.$50K
  • Bayer$41K
  • Boehringer Ingelheim$29K
  • AstraZeneca$17K
  • Lilly USA, LLC$15K
  • Mallinckrodt Enterprises LLC$10K
  • plus $2K from 17 others
$310,226in research payments, 2019–2025

Across 10 payments — averaging $31,023 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.

  • Vertex$202K
  • Eli Lilly$82K
  • AstraZeneca$26K

What the payments were for

  • Consulting fees$4,2523%
  • Speaking & faculty fees$146,43689%
  • Travel & lodging$7,6965%
  • Food & beverage$6,8864%
  • Education$180%

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

$165,289 in reported general payments places this provider in the 95th percentile of 164 nephrology providers in Alabama.

See all nephrology providers in Alabama

Medicare billing

Part B allowed, 2024
$153,360
Medicare patients
506
Services billed
2,221

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
JynarqueTolvaptan13$246,071
FarxigaDapagliflozin Propanediol156$114,281
VelphoroSucroferric Oxyhydroxide16$24,993
KerendiaFinerenone24$19,409
Buprenorphine-NaloxoneBuprenorphine Hcl/Naloxone Hcl63$14,565
JardianceEmpagliflozin23$13,549
Nifedipine ErNifedipine149$2,883
Losartan Potassium98$933
Tamsulosin Hcl106$836
Calcitriol29$808
Allopurinol24$580
Amlodipine Besylate62$438
Furosemide72$414
Potassium Chloride13$382
Irbesartan12$339

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
Otsuka America Pharmaceutical, Inc.Jynarque$70$246,07113 claims
AstraZenecaFarxiga$17,499$114,281156 claims
Fresenius USA Marketing, Inc.Velphoro$106$24,99316 claims
BayerKerendia$41,336$19,40924 claims
Boehringer IngelheimJardiance$29,428$13,54923 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 164 nephrology providers in Alabama.

Other nephrology in Alabaster

See the full list for Alabama

Where these figures come from

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