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Richard Demera, MD

Allergy & Immunology · Fresno, CANPI 1407816630

Payments from drug & device makers

$240,520in general payments, 2019–2025

Across 1,006 payments — averaging $239.09 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Novartis$101K
  • Regeneron Healthcare Solutions, Inc.$86K
  • GSK$39K
  • Genentech USA, Inc.$5K
  • AstraZeneca$3K
  • Sanofi$974
  • plus $5K from 33 others

What the payments were for

  • Consulting fees$2,4442%
  • Speaking & faculty fees$111,60980%
  • Travel & lodging$6,7195%
  • Food & beverage$18,80313%
  • Education$1740%

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

$240,520 in reported general payments places this provider in the 90th percentile of 426 allergy & immunology providers in California.

See all allergy & immunology providers in California

Medicare billing

Part B allowed, 2024
$1,780,288
Medicare patients
1,561
Services billed
49,788

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
Dupixent SyringeDupilumab51$205,833
Trelegy ElliptaFluticasone/Umeclidin/Vilanter196$164,815
HizentraImmun Glob G(Igg)/Pro/Iga 0-5024$155,029
XolairOmalizumab43$131,413
Dupixent PenDupilumab28$105,692
Breztri AerosphereBudesonide/Glycopyr/Formoterol94$70,727
Breo ElliptaFluticasone/Vilanterol90$55,474
Dexlansoprazole DrDexlansoprazole74$34,417
XhanceFluticasone Propionate26$20,448
Spiriva RespimatTiotropium Bromide19$13,802
Wixela InhubFluticasone Propion/Salmeterol92$12,142
Ipratropium Bromide321$10,156
DuleraMometasone/Formoterol14$9,152
SymbicortBudesonide/Formoterol Fumarate17$7,806
Qvar RedihalerBeclomethasone Dipropionate18$7,240

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$38,860$222,850298 claims
CSL BehringHizentra$251$155,02924 claims
AstraZenecaBreztri Aerosphere, Symbicort$3,248$78,533111 claims
Optinose US, Inc.Xhance$472$20,44826 claims
Boehringer IngelheimSpiriva Respimat$88$13,80219 claims
MerckDulera$12$9,15214 claims
Teva Pharmaceuticals USA, Inc.Qvar Redihaler$289$7,24018 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 90th percentile of 426 allergy & immunology providers in California.

Other allergy & immunology in Fresno

See the full list for California

Where these figures come from

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