Randall Lanier
Pulmonary Disease · Bowling Green, KYNPI 1922000165
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 96.8% of the total across 118 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 17 manufacturers reported payments, led by AstraZeneca at 24.2% of the total. That places this record below the midpoint for pulmonary disease clinicians in KY, where the typical reported total is $4,124.
Across 118 payments — averaging $15.62 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$446
- Boehringer Ingelheim$283
- GSK$182
- Genentech USA, Inc.$144
- Regeneron Healthcare Solutions, Inc.$128
- Akebia Therapeutics Inc$124
- plus $536 from 11 others
What the payments were for
- Food & beverage$1,78497%
- Education$593%
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 |
|---|---|---|
| AstraZeneca | 17 | $446 |
| Boehringer Ingelheim | 21 | $283 |
| GSK | 19 | $182 |
| Genentech USA, Inc. | 11 | $144 |
| Regeneron Healthcare Solutions, Inc. | 8 | $128 |
| Akebia Therapeutics Inc | 1 | $124 |
| Actelion Pharmaceuticals US, Inc. | 10 | $117 |
| Grifols USA, LLC | 8 | $104 |
| Sunovion Pharmaceuticals Inc. | 6 | $79 |
| Circassia Inc. | 4 | $60 |
| Mylan Specialty L.p. | 4 | $50 |
| Sanofi | 3 | $44 |
| Merck | 2 | $25 |
| Novartis | 1 | $21 |
| Mayne Pharma Commercial LLC | 1 | $13 |
| Johnson & Johnson | 1 | $12 |
| AbbVie | 1 | $11 |
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
$1,844 in reported general payments places this provider in the 30th percentile of 226 pulmonary disease providers in Kentucky.
Other pulmonary disease in Bowling Green
- James HansbroughBowling Green$12K
- John McConnellLouisville$864K
- Erica GregonisRichmond$390K
- Firas KouraGeorgetown$350K
- Harold HallerLouisville$340K
- Steven KoenigMorehead$242K
- Samantha BaahLouisville$226K
- Sandra SchuldheiszSomerset$225K
- Karim El-KershLouisville$180K
- Dennis DohertyLexington$103K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.