Randal West, MD
Gynecologic Oncology · Richmond, VANPI 1861592339
Payments from drug & device makers
Across 227 payments — averaging $33.54 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$2K
- AstraZeneca$1K
- Eisai Inc.$743
- Merck$712
- Astellas Pharma US Inc$544
- GSK$503
- plus $2K from 27 others
What the payments were for
- Travel & lodging$1,69722%
- Food & beverage$5,78776%
- Education$1312%
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
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.
| Company | Payments | Total |
|---|---|---|
| Intuitive Surgical | 7 | $1,969 |
| AstraZeneca | 37 | $1,007 |
| Eisai Inc. | 32 | $743 |
| Merck | 32 | $712 |
| Astellas Pharma US Inc | 23 | $544 |
| GSK | 19 | $503 |
| Seagen Inc. | 8 | $323 |
| Myriad Genetic Laboratories, Inc. | 10 | $290 |
| AbbVie | 10 | $252 |
| Pfizer | 8 | $205 |
| Immunogen, Inc. | 7 | $171 |
| Foundation Medicine, Inc. | 1 | $100 |
| Amneal Pharmaceuticals LLC | 3 | $81 |
| Conmed Corporation | 1 | $67 |
| Myovant Sciences Inc. | 4 | $65 |
| ASD Specialty Healthcare, LLC | 3 | $62 |
| Biohaven Pharmaceuticals, Inc. | 2 | $61 |
| Coherus Oncology, Inc. | 2 | $57 |
| Tempus AI, Inc | 2 | $46 |
| Amgen | 2 | $43 |
| Asensus Surgical, Inc. | 2 | $34 |
| Smith+Nephew | 1 | $30 |
| Johnson & Johnson | 1 | $29 |
| Tersera Therapeutics LLC | 1 | $28 |
| Daiichi Sankyo Inc. | 1 | $26 |
| Biohaven Pharmaceutical Holding Company Ltd. | 1 | $25 |
| Spectrum Pharmaceuticals Inc. | 1 | $23 |
| Accord Healthcare, Inc. | 1 | $23 |
| Sumitomo Pharma America, Inc. | 1 | $22 |
| Rochester Medical Corporation | 1 | $21 |
| Collegium Pharmaceutical, Inc. | 1 | $20 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 1 | $17 |
| Clovis Oncology, Inc. | 1 | $15 |
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.
- Da Vinci Surgical System$1,791
- LYNPARZA$234
- myRisk$136
- TIVDAK$119
- Veozah$111
- FOUNDATIONACT$100
- FOUNDATIONFOCUS$100
- FOUNDATIONONE CDX$100
- FOUNDATIONONE HEME$100
- FOUNDATIONONE$100
How this compares
$7,614 in reported general payments places this provider in the 60th percentile of 47 gynecologic oncology providers in Virginia.
Medicare billing
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
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| LynparzaOlaparib | 45 | $611,401 |
| ZarxioFilgrastim-Sndz | 22 | $50,188 |
| EliquisApixaban | 56 | $43,293 |
| Ondansetron Hcl | 224 | $21,242 |
| VeozahFezolinetant | 22 | $11,926 |
| Estradiol | 93 | $3,446 |
| Dexamethasone | 191 | $3,025 |
| Megestrol Acetate | 31 | $2,523 |
| Clobetasol Propionate | 55 | $1,643 |
| Potassium Chloride | 76 | $1,490 |
| ValacyclovirValacyclovir Hcl | 30 | $1,435 |
| Sodium ChlorideSodium Chloride 0.45 % | 28 | $1,193 |
| Anastrozole | 20 | $967 |
| Oxybutynin Chloride | 42 | $697 |
| Letrozole | 26 | $658 |
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.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| AstraZenecaLynparza | $1,007 | $611,40145 claims |
| PfizerEliquis | $205 | $43,29356 claims |
| Astellas Pharma US IncVeozah | $544 | $11,92622 claims |
| Amneal Pharmaceuticals LLCLevothyroxine Sodium | $81 | $15128 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 60th percentile of 47 gynecologic oncology providers in Virginia.
Other gynecologic oncology in Richmond
- Cecelia BoardmanRichmond$632K
- Chelsea SalyerRichmond$393K
- Sarah TemkinRichmond$136K
- Richard BoothbyRichmond$41K
- Tyler FordRichmond$6K
- Johnny HydeRichmond$6K
- Paola GehrigRichmond$209
- John NashRichmond$125
- Charles JonesRichmond$15
- Linda DuskaCharlottesville$7.4M
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.