RxDoctor Payments Data

Rajan Goyal, MD

Pulmonary Disease · Bakersfield, CANPI 1063695658

Payments from drug & device makers

$215,810in general payments, 2019–2025

Across 625 payments — averaging $345.30 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Galvanize Therapeutics, Inc$204K
  • GSK$3K
  • AstraZeneca$2K
  • Boehringer Ingelheim$1K
  • Astellas Pharma US Inc$929
  • Actelion Pharmaceuticals US, Inc.$816
  • plus $5K from 40 others

What the payments were for

  • Food & beverage$11,29892%
  • Education$9398%

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
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

$215,810 in reported general payments places this provider in the 90th percentile of 1,261 pulmonary disease providers in California.

See all pulmonary disease providers in California

Medicare billing

Part B allowed, 2024
$652,707
Medicare patients
999
Services billed
5,575

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
OfevNintedanib Esylate64$746,817
Trelegy ElliptaFluticasone/Umeclidin/Vilanter726$490,098
Breo ElliptaFluticasone/Vilanterol277$107,730
Breztri AerosphereBudesonide/Glycopyr/Formoterol131$85,921
Ambrisentan13$52,345
Anoro ElliptaUmeclidinium Brm/Vilanterol Tr93$48,240
Spiriva RespimatTiotropium Bromide39$26,158
Albuterol Sulfate HfaAlbuterol Sulfate778$21,734
Stiolto RespimatTiotropium Br/Olodaterol Hcl26$17,434
XareltoRivaroxaban12$12,316
Fluconazole100$10,919
Voriconazole15$10,332
Azelastine Hcl436$10,044
Varenicline Tartrate58$9,262
EliquisApixaban13$7,518

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
Boehringer IngelheimOfev, Spiriva Respimat, Stiolto Respimat$1,148$790,410129 claims
GSKTrelegy Ellipta, Breo Ellipta, Anoro Ellipta, Incruse Ellipta, Arnuity Ellipta$2,638$652,3721,120 claims
AstraZenecaBreztri Aerosphere$1,667$85,921131 claims
Johnson & JohnsonXarelto$157$12,31612 claims
PfizerEliquis$176$7,51813 claims
MerckDulera$188$4,03213 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 90th percentile of 1,261 pulmonary disease providers in California.

Other pulmonary disease in Bakersfield

See the full list for California

Where these figures come from

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