RxDoctor Payments Data

Robert Brager, MD

Otolaryngology · Mechanicsville, VANPI 1568460087

Payments from drug & device makers

What this record shows

This record is dominated by food and beverage: $6,099 of the $7,088 with a category attached, or 86.0%. 16 manufacturers reported payments, led by Aerin Medical Inc. at 30.3% of the total. 2025 is the largest year on record at $1,501, 3.1 times the $484 reported in 2019.

$7,088in general payments, 2019–2025

Across 132 payments — averaging $53.70 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Aerin Medical Inc.$2K
  • Medtronic$1K
  • Medical Device Business Services, Inc.$1K
  • GSK$583
  • Sanofi$546
  • Regeneron Healthcare Solutions, Inc.$535
  • plus $860 from 10 others

What the payments were for

  • Travel & lodging$93313%
  • Food & beverage$6,09986%
  • Education$561%

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.

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

$7,088 in reported general payments places this provider in the 85th percentile of 241 otolaryngology providers in Virginia.

See all otolaryngology providers in Virginia

Medicare billing

Part B allowed, 2024
$206,266
Medicare patients
674
Services billed
2,057

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
Ciprofloxacin-DexamethasoneCiprofloxacin Hcl/Dexameth72$7,198
Fluticasone Propionate194$4,189
Mometasone Furoate82$2,690
Ipratropium Bromide79$1,998
Azelastine Hcl57$1,984
Prednisone81$1,328
Cefdinir65$1,316
Montelukast Sodium85$482
Ofloxacin33$462
Methylprednisolone78$450
Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav45$399
Famotidine63$319
Clindamycin Hcl34$314
Cephalexin11$243
Mupirocin34$199

Paid to pharmacies, not to this prescriber.

Other otolaryngology in Mechanicsville

See the full list for Virginia

Where these figures come from

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