RxDoctor Payments Data

Rekha John, MD

Nephrology · Kinston, NCNPI 1619979846

Payments from drug & device makers

What this record shows

The money is spread across several categories — travel and lodging (52.2%), food and beverage and education — rather than concentrated in one kind of arrangement. 20 manufacturers reported payments, led by CSL Behring at 58.7% of the total. Reporting peaked in 2024 at $2,789 and has fallen 86.1% since, to $389 in 2025.

$4,319in general payments, 2019–2025

Across 79 payments — averaging $54.67 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • CSL Behring$3K
  • AstraZeneca$570
  • Otsuka America Pharmaceutical, Inc.$161
  • Vifor Pharma, Inc.$116
  • Novartis$116
  • Calliditas Therapeutics US Inc.$103
  • plus $716 from 14 others
$2,341,581in research payments, 2019–2025

Across 1,040 payments — averaging $2251.52 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.

  • AstraZeneca$859K
  • Akebia Therapeutics Inc$652K
  • Vertex$405K
  • Bayer$167K
  • Otsuka Pharmaceutical Development & Commercialization, Inc.$127K
  • Ardelyx, Inc.$86K
  • plus $44K from 3 others

What the payments were for

  • Travel & lodging$2,25452%
  • Food & beverage$2,05948%
  • Education$60%

General payments by program year

19
20
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

$4,319 in reported general payments places this provider in the 75th percentile of 366 nephrology providers in North Carolina.

See all nephrology providers in North Carolina

Medicare billing

Part B allowed, 2024
$149,249
Medicare patients
343
Services billed
5,515

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
FarxigaDapagliflozin Propanediol106$64,961
AuryxiaFerric Citrate11$28,827
JardianceEmpagliflozin34$19,692
VeltassaPatiromer Calcium Sorbitex19$10,355
Sevelamer Carbonate53$6,823
Clonidine31$2,791
Calcium Acetate36$1,694
Calcitriol142$1,542
Nifedipine ErNifedipine27$1,256
Losartan Potassium119$796
Bumetanide31$714
Atorvastatin Calcium24$602
Potassium Chloride41$593
Lisinopril82$363
Metoprolol Succinate24$335

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
AstraZenecaFarxiga$570$64,961106 claims
Akebia Therapeutics IncAuryxia$63$28,82711 claims
Boehringer IngelheimJardiance$42$19,69234 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 75th percentile of 366 nephrology providers in North Carolina.

Other nephrology in Kinston

See the full list for North Carolina

Where these figures come from

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