RxDoctor Payments Data

Rahul Kale, MD

Pulmonary Disease · San Juan Capistrano, CANPI 1447330915

Payments from drug & device makers

$4,648in general payments, 2019–2025

Across 209 payments — averaging $22.24 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • GSK$785
  • Actelion Pharmaceuticals US, Inc.$355
  • Sanofi$279
  • Genentech USA, Inc.$252
  • Boehringer Ingelheim$249
  • AstraZeneca$238
  • plus $2K from 35 others

What the payments were for

  • Food & beverage$4,48396%
  • Education$1654%

Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.

General payments by program year

19
20
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.

How this compares

$4,648 in reported general payments places this provider in the 65th percentile of 1,261 pulmonary disease providers in California.

See all pulmonary disease providers in California

Medicare billing

Part B allowed, 2024
$451,177
Medicare patients
367
Services billed
3,006

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
Breo ElliptaFluticasone/Vilanterol28$25,835
Trelegy ElliptaFluticasone/Umeclidin/Vilanter15$16,435
XareltoRivaroxaban46$14,734
Anoro ElliptaUmeclidinium Brm/Vilanterol Tr12$12,259
EliquisApixaban21$10,668
Fluticasone-VilanterolFluticasone/Vilanterol15$6,646
JanuviaSitagliptin Phosphate15$3,746
Wixela InhubFluticasone Propion/Salmeterol15$2,965
Ipratropium-AlbuterolIpratropium/Albuterol Sulfate84$1,854
Enoxaparin Sodium20$1,790
Budesonide14$1,738
Sodium Chloride0.9 % Sodium Chloride73$1,514
Acetylcysteine14$1,016
Lantus SolostarInsulin Glargine,hum.Rec.Anlog30$973
Humulin RInsulin Regular, Human21$878

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
GSKBreo Ellipta, Trelegy Ellipta, Anoro Ellipta$785$54,52955 claims
Johnson & JohnsonXarelto$33$14,73446 claims
MerckJanuvia$14$3,74615 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 65th percentile of 1,261 pulmonary disease providers in California.

Other pulmonary disease in San Juan Capistrano

See the full list for California

Where these figures come from

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