Rachel Irby, MD
Infectious Disease · Largo, FLNPI 1275728586
Payments from drug & device makers
Across 46 payments — averaging $105.73 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Melinta Therapeutics, LLC$3K
- Shionogi Inc$447
- AbbVie$271
- Astellas Pharma US Inc$138
- La Jolla Pharmaceutical Company$128
- Insmed, Inc.$125
- plus $316 from 5 others
What the payments were for
- Consulting fees$2,92060%
- Food & beverage$1,94340%
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 |
|---|---|---|
| Melinta Therapeutics, LLC | 22 | $3,439 |
| Shionogi Inc | 4 | $447 |
| AbbVie | 5 | $271 |
| Astellas Pharma US Inc | 6 | $138 |
| La Jolla Pharmaceutical Company | 1 | $128 |
| Insmed, Inc. | 1 | $125 |
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $122 |
| Tetraphase Pharmaceuticals, Inc. | 1 | $98 |
| Gilead | 2 | $45 |
| Merck | 2 | $29 |
| Abbott | 1 | $23 |
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
$4,863 in reported general payments places this provider in the 70th percentile of 669 infectious disease providers in Florida.
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 |
|---|---|---|
| Daptomycin | 63 | $35,377 |
| ErtapenemErtapenem Sodium | 15 | $10,167 |
| Meropenem | 19 | $4,739 |
| CeftriaxoneCeftriaxone Sodium | 49 | $3,702 |
| Fluconazole | 28 | $1,209 |
| Cefepime Hcl | 15 | $1,117 |
| Vancomycin Hcl | 11 | $1,104 |
| Ivermectin | 12 | $860 |
| Cephalexin | 39 | $849 |
| Doxycycline Hyclate | 18 | $700 |
| Amoxicillin | 17 | $318 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 21 | $185 |
| Isoniazid | 13 | $100 |
Paid to pharmacies, not to this prescriber.
Other infectious disease in Largo
- Moti RamgopalFort Pierce$13.5M
- Larry BushAtlantis$9.3M
- Olayemi OsiyemiWest Palm Beach$8.8M
- Charlotte-Paige RolleOrlando$6M
- Edwin DejesusOrlando$5.9M
- Dushyantha JayaweeraMiami$5.1M
- Federico HinestrosaOrlando$5.1M
- Godson OguchiOrange City$5M
- Ammara MushtaqGainesville$2.7M
- Efrain GarciaMiami$2.5M
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.