RxDoctor Payments Data

Ravinder Agarwal, MD

Allergy & Immunology · West Des Moines, IANPI 1477538007

Payments from drug & device makers

What this record shows

This record is dominated by food and beverage: $1,675 of the $1,893 with a category attached, or 88.5%. 20 manufacturers reported payments, led by AstraZeneca at 26.3% of the total.

$1,893in general payments, 2019–2025

Across 101 payments — averaging $18.74 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • AstraZeneca$497
  • GSK$252
  • Takeda Pharmaceuticals U.S.A., Inc.$217
  • Sanofi-aventis U.S. LLC$157
  • Novartis$115
  • Sanofi$101
  • plus $554 from 14 others

What the payments were for

  • Food & beverage$1,67588%
  • Education$21812%

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.

How this compares

$1,893 in reported general payments places this provider in the 65th percentile of 32 allergy & immunology providers in Iowa.

See all allergy & immunology providers in Iowa

Medicare billing

Part B allowed, 2024
$45,393
Medicare patients
139
Services billed
4,141

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
HizentraImmun Glob G(Igg)/Pro/Iga 0-5011$77,369
Spiriva RespimatTiotropium Bromide18$15,672
Breo ElliptaFluticasone/Vilanterol31$12,100
Arnuity ElliptaFluticasone Furoate44$11,289
Trelegy ElliptaFluticasone/Umeclidin/Vilanter14$9,288
DuleraMometasone/Formoterol21$7,441
Fluticasone-SalmeterolFluticasone Propion/Salmeterol18$3,417
SymbicortBudesonide/Formoterol Fumarate11$3,023
Ipratropium Bromide73$1,835
Albuterol Sulfate HfaAlbuterol Sulfate25$526
Fluticasone Propionate28$467
Hydroxyzine Hcl23$377
Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav26$271
Triamcinolone Acetonide28$227
Montelukast Sodium41$215

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
CSL BehringHizentra$85$77,36911 claims
GSKBreo Ellipta, Arnuity Ellipta, Trelegy Ellipta$252$32,67789 claims
AstraZenecaSymbicort$497$3,02311 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 65th percentile of 32 allergy & immunology providers in Iowa.

Other allergy & immunology in West Des Moines

See the full list for Iowa

Where these figures come from

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