Richard Handler
Nephrology · Vero Beach, FLNPI 1932158235
Payments from drug & device makers
Across 123 payments — averaging $22.71 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$496
- Amgen$360
- Otsuka America Pharmaceutical, Inc.$210
- Bayer$210
- Vifor Pharma, Inc.$146
- Novartis$143
- plus $1K from 21 others
What the payments were for
- Food & beverage$2,64995%
- Education$1445%
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 | 23 | $496 |
| Amgen(2 entities) | 18 | $360 |
| Otsuka America Pharmaceutical, Inc. | 9 | $210 |
| Bayer | 11 | $210 |
| Vifor Pharma, Inc. | 7 | $146 |
| Novartis | 2 | $143 |
| Medtronic | 1 | $125 |
| Novo Nordisk | 7 | $119 |
| OPKO Pharmaceuticals, LLC | 6 | $115 |
| Alnylam Pharmaceuticals Inc. | 4 | $99 |
| Resmed Corp | 1 | $76 |
| Mallinckrodt Enterprises LLC | 3 | $72 |
| Lilly USA, LLC | 4 | $72 |
| Calliditas Therapeutics US Inc. | 3 | $70 |
| ANI Pharmaceuticals, Inc. | 4 | $64 |
| Fresenius USA Marketing, Inc. | 3 | $57 |
| Amicus Therapeutics, Inc. | 2 | $46 |
| Baxter Healthcare | 1 | $44 |
| Mallinckrodt Hospital Products Inc. | 2 | $43 |
| GSK | 2 | $39 |
| Sanofi | 2 | $38 |
| Johnson & Johnson | 2 | $30 |
| Akebia Therapeutics Inc | 2 | $29 |
| Daiichi Sankyo Inc. | 1 | $25 |
| Shire North American Group Inc | 1 | $23 |
| Aurinia Pharma U.S., Inc. | 1 | $22 |
| Genentech USA, Inc. | 1 | $21 |
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
$2,794 in reported general payments places this provider in the 60th percentile of 756 nephrology providers in Florida.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| OzempicSemaglutide | 15 | $22,413 |
| FarxigaDapagliflozin Propanediol | 30 | $20,090 |
| JardianceEmpagliflozin | 14 | $17,545 |
| KerendiaFinerenone | 11 | $15,667 |
| Valsartan | 25 | $756 |
| Valsartan-HydrochlorothiazideValsartan/Hydrochlorothiazide | 15 | $398 |
| Allopurinol | 25 | $325 |
| Losartan Potassium | 21 | $258 |
| Omeprazole | 17 | $246 |
| Levothyroxine Sodium | 20 | $222 |
| Atorvastatin Calcium | 27 | $209 |
| Glimepiride | 18 | $148 |
| Indapamide | 12 | $147 |
| Amlodipine Besylate | 14 | $111 |
| Glipizide | 11 | $78 |
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 |
|---|---|---|
| Novo NordiskOzempic | $119 | $22,41315 claims |
| AstraZenecaFarxiga | $496 | $20,09030 claims |
| BayerKerendia | $210 | $15,66711 claims |
| ANI Pharmaceuticals, Inc.Valsartan | $64 | $75625 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 60th percentile of 756 nephrology providers in Florida.
Other nephrology in Vero Beach
- Thomas MarburyOrlando$41.1M
- Julio VijilHollywood$16.1M
- Steven ZeigHollywood$14.3M
- Oscar GalvezMiami$14.2M
- Jesus NavarroTampa$13.3M
- Arvind MadanOrlando$9.7M
- David HalpertAtlantis$4.2M
- Wayne KotzkerFort Lauderdale$3.4M
- Edouard MartinLauderdale Lakes$2.7M
- Jorge PosadaCoral Gables$2.5M
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.