RxDoctor Payments Data

Rahul Aggarwal, MD

Internal Medicine · San Francisco, CANPI 1174794309

Payments from drug & device makers

What this record shows

This record is dominated by consulting fees: $96,066 of the $116,497 with a category attached, or 82.5%. 20 manufacturers reported payments, led by Merck at 31.2% of the total. 2025 is the largest year on record at $31,005, 2.7 times the $11,591 reported in 2019. Among internal medicine clinicians in CA 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.

$116,497in general payments, 2019–2025

Across 89 payments — averaging $1308.96 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Merck$36K
  • Genentech, Inc.$15K
  • Novartis$8K
  • Pfizer$8K
  • Janssen Research & Development, LLC$7K
  • AstraZeneca$5K
  • plus $37K from 14 others
$23,866,085in research payments, 2019–2025

Across 206 payments — averaging $115,855 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.

  • Merck$13.4M
  • AstraZeneca$4.2M
  • Janssen Research & Development, LLC$2.3M
  • Amgen$1.8M
  • Novartis$1M
  • Astrazeneca UK Limited$331K
  • plus $804K from 10 others

What the payments were for

  • Consulting fees$96,06682%
  • Speaking & faculty fees$11,72510%
  • Travel & lodging$7,3116%
  • Food & beverage$1,3821%
  • Education$130%

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

$116,497 in reported general payments places this provider in the 95th percentile of 13,581 internal medicine providers in California.

See all internal medicine providers in California

Medicare billing

Part B allowed, 2024
$196,827
Medicare patients
246
Services billed
4,922

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
XtandiEnzalutamide36$475,065
ErleadaApalutamide18$269,687
NubeqaDarolutamide18$217,263
Abiraterone Acetate49$64,463
OrgovyxRelugolix24$64,375
Prednisone51$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
BayerNubeqa$2,855$217,26318 claims
Janssen Scientific Affairs, LLCAbiraterone Acetate$2,038$64,46349 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 13,581 internal medicine providers in California.

Other internal medicine in San Francisco

See the full list for California

Where these figures come from

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