RxDoctor Payments Data

Rahul Rishi, MD

Nephrology · Castro Valley, CANPI 1740243930

Payments from drug & device makers

$1,767in general payments, 2019–2025

Across 81 payments — averaging $21.82 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Fresenius USA Marketing, Inc.$641
  • AstraZeneca$238
  • GSK$173
  • Mallinckrodt Hospital Products Inc.$122
  • Genentech USA, Inc.$115
  • Bayer$94
  • plus $383 from 9 others

What the payments were for

  • Food & beverage$1,68295%
  • Education$855%

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

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

$1,767 in reported general payments places this provider in the 55th percentile of 1,341 nephrology providers in California.

See all nephrology providers in California

Medicare billing

Part B allowed, 2024
$454,371
Medicare patients
652
Services billed
3,211

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
FarxigaDapagliflozin Propanediol156$124,673
LokelmaSodium Zirconium Cyclosilicate96$61,771
JardianceEmpagliflozin65$45,592
VelphoroSucroferric Oxyhydroxide12$22,247
VeltassaPatiromer Calcium Sorbitex19$18,991
Sevelamer Carbonate114$16,307
ProsolParenteral Amino Acid 20% No.166$9,371
SpsSodium Polystyrene Sulfon/Sorb15$7,642
Calcium Acetate19$2,265
Losartan Potassium132$1,818
Midodrine Hcl35$1,776
Hydralazine Hcl90$1,441
Calcitriol208$1,238
Cinacalcet Hcl17$988
Metoprolol Succinate38$933

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
AstraZenecaFarxiga, Lokelma$238$186,445252 claims
Boehringer IngelheimJardiance$42$45,59265 claims
Fresenius USA Marketing, Inc.Velphoro$641$22,24712 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 55th percentile of 1,341 nephrology providers in California.

Other nephrology in Castro Valley

See the full list for California

Where these figures come from

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