Richard Demera, MD
Allergy & Immunology · Fresno, CANPI 1407816630
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $111,609 of the $139,748 with a category attached, or 79.9%. Regeneron Healthcare Solutions, Inc. accounts for 61.5% of it on its own, with 38 other manufacturers making up the rest. 2025 is the largest year on record at $41,246, more than ten times the $2,169 reported in 2019. Among allergy & immunology clinicians in CA with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 1,000 payments — averaging $139.75 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Regeneron Healthcare Solutions, Inc.$86K
- GSK$39K
- Genentech USA, Inc.$5K
- AstraZeneca$3K
- Sanofi$974
- Octapharma USA, Inc.$760
- plus $5K from 33 others
Across 6 payments — averaging $16,795 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.
- Novartis$101K
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
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
$139,748 in reported general payments places this provider in the 95th percentile of 426 allergy & immunology providers in California.
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 |
|---|---|---|
| Dupixent SyringeDupilumab | 51 | $205,833 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 196 | $164,815 |
| HizentraImmun Glob G(Igg)/Pro/Iga 0-50 | 24 | $155,029 |
| XolairOmalizumab | 43 | $131,413 |
| Dupixent PenDupilumab | 28 | $105,692 |
| Breztri AerosphereBudesonide/Glycopyr/Formoterol | 94 | $70,727 |
| Breo ElliptaFluticasone/Vilanterol | 90 | $55,474 |
| Dexlansoprazole DrDexlansoprazole | 74 | $34,417 |
| XhanceFluticasone Propionate | 26 | $20,448 |
| Spiriva RespimatTiotropium Bromide | 19 | $13,802 |
| Wixela InhubFluticasone Propion/Salmeterol | 92 | $12,142 |
| Ipratropium Bromide | 321 | $10,156 |
| DuleraMometasone/Formoterol | 14 | $9,152 |
| SymbicortBudesonide/Formoterol Fumarate | 17 | $7,806 |
| Qvar RedihalerBeclomethasone Dipropionate | 18 | $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.
| Company | Paid to this provider | Part 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 95th percentile of 426 allergy & immunology providers in California.
Other allergy & immunology in Fresno
- Raffi TachdjianSanta Monica$3.7M
- Bob GengSan Diego$3.3M
- Vinay MehtaLaguna Niguel$1.3M
- Andrew WhiteSan Diego$752K
- Marc RiedlSan Diego$725K
- Katharine WoessnerSan Diego$581K
- Brian Modenala Jolla$453K
- Heena Shah PatelUpland$428K
- Jacob OffenbergerGranada Hills$419K
- Myron LiebhaberSanta Barbara$354K
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.