RxDoctor Payments Data

Rand Dankner, MD

Allergy & Immunology · Chesterfield, MONPI 1649263146

Payments from drug & device makers

What this record shows

This record is dominated by speaking fees: $5,900 of the $8,591 with a category attached, or 68.7%. Optinose US, Inc. accounts for 84.1% of it on its own, with 17 other manufacturers making up the rest. Reporting peaked in 2019 at $5,624 and has fallen 94.6% since, to $305 in 2025.

$8,591in general payments, 2019–2025

Across 91 payments — averaging $94.40 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Optinose US, Inc.$7K
  • Takeda Pharmaceuticals U.S.A., Inc.$322
  • Pfizer$273
  • CSL Behring$165
  • Genentech USA, Inc.$125
  • AstraZeneca$119
  • plus $366 from 12 others

What the payments were for

  • Speaking & faculty fees$5,90069%
  • Travel & lodging$7789%
  • Food & beverage$1,61919%
  • Education$2943%

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

$8,591 in reported general payments places this provider in the 70th percentile of 61 allergy & immunology providers in Missouri.

See all allergy & immunology providers in Missouri

Medicare billing

Part B allowed, 2024
$122,018
Medicare patients
386
Services billed
6,805

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
Trelegy ElliptaFluticasone/Umeclidin/Vilanter208$216,805
CuvitruImmun Glob G(Igg)/Gly/Iga Ov5013$97,862
Breo ElliptaFluticasone/Vilanterol73$39,330
SymbicortBudesonide/Formoterol Fumarate51$17,995
Breztri AerosphereBudesonide/Glycopyr/Formoterol20$15,410
Fluticasone-SalmeterolFluticasone Propion/Salmeterol86$9,905
Azelastine Hcl194$6,689
BreynaBudesonide/Formoterol Fumarate24$5,932
Advair HfaFluticasone Propion/Salmeterol12$4,877
Wixela InhubFluticasone Propion/Salmeterol43$4,415
Ipratropium Bromide153$4,149
Albuterol Sulfate HfaAlbuterol Sulfate155$3,450
Arnuity ElliptaFluticasone Furoate17$3,287
Budesonide-Formoterol FumarateBudesonide/Formoterol Fumarate15$3,063
Epinephrine21$2,499

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
GSKTrelegy Ellipta, Breo Ellipta, Arnuity Ellipta$88$259,421298 claims
Takeda Pharmaceuticals U.S.A., Inc.Cuvitru$322$97,86213 claims
AstraZenecaSymbicort, Breztri Aerosphere$119$33,40671 claims
PfizerPaxlovid$273$011 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 70th percentile of 61 allergy & immunology providers in Missouri.

Other allergy & immunology in Chesterfield

See the full list for Missouri

Where these figures come from

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