RxDoctor Payments Data

Robert Caulkins, DO

Family Medicine · Bremerton, WANPI 1992744031

Payments from drug & device makers

$13,638in general payments, 2019–2025

Across 622 payments — averaging $21.93 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Lilly USA, LLC$2K
  • AbbVie$1K
  • Amgen$1K
  • AstraZeneca$1K
  • Pfizer$970
  • Novo Nordisk$949
  • plus $7K from 54 others

What the payments were for

  • Food & beverage$13,50099%
  • Education$1371%

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.

CompanyPaymentsTotal
Lilly USA, LLC69$1,548
AbbVie(2 entities)77$1,461
Amgen41$1,022
AstraZeneca51$1,002
Pfizer54$970
Novo Nordisk46$949
Boehringer Ingelheim33$838
GSK28$629
Sanofi-aventis U.S. LLC20$530
Abbott14$288
Biohaven Pharmaceuticals, Inc.7$273
Astellas Pharma US Inc8$222
Amarin Pharma, Inc.12$221
Salix Pharmaceuticals, A Division Of Bausch Health US, LLC11$219
Bayer9$211
Idorsia Pharmaceuticals US Inc9$191
Novartis5$172
Kowa Pharmaceuticals America, Inc.7$164
Corcept Therapeutics3$143
ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.)5$141
Biohaven Pharmaceutical Holding Company Ltd.6$140
Teva Pharmaceuticals USA, Inc.5$139
Merck8$139
Takeda Pharmaceuticals U.S.A., Inc.7$130
Otsuka America Pharmaceutical, Inc.5$110
Lifescan, Inc.4$102
Supernus Pharmaceuticals, Inc.5$97
Dexcom, Inc.4$96
Lundbeck LLC4$88
Seqirus USA Inc4$88
Antares Pharma, Inc.2$86
Ironshore Pharmaceuticals Inc.4$74
Mylan Specialty L.p.3$72
Phathom Pharmaceuticals, Inc.3$56
Mayne Pharma Commercial LLC2$55
Sumitomo Pharma America, Inc.2$55
Esperion Therapeutics, Inc.3$53
Azurity Pharmaceuticals, Inc.2$47
E.r. Squibb & Sons, L.L.C.2$47
Electromed, Inc.1$46
Jazz Pharmaceuticals Inc.2$45
Viatris Specialty LLC2$45
Xeris Pharmaceuticals, Inc.2$43
Hologic Sales And Service, LLC2$39
Genentech USA, Inc.2$39
Sanofi Pasteur Inc.2$39
Eisai Inc.2$37
Strongbridge US Inc.2$35
Johnson & Johnson2$34
Boston Scientific1$33
Myovant Sciences Inc.2$26
Neurocrine Biosciences, Inc.1$25
Exact Sciences1$25
Corium, LLC1$24
Avanir Pharmaceuticals, Inc.1$21
Tris Pharma Inc1$21
Inspire Medical Systems, Inc.1$20
Bardy Diagnostics, Inc.1$20
Alfasigma USA, Inc.1$20
Bausch Health US, LLC1$19

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

$13,638 in reported general payments places this provider in the 95th percentile of 2,275 family medicine providers in Washington.

See all family medicine providers in Washington

Medicare billing

Part B allowed, 2024
$107,269
Medicare patients
391
Services billed
1,354

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
OzempicSemaglutide94$90,751
JardianceEmpagliflozin89$69,481
MounjaroTirzepatide40$46,594
EliquisApixaban61$36,646
XareltoRivaroxaban28$30,647
TrulicityDulaglutide16$23,249
FarxigaDapagliflozin Propanediol15$18,698
Trelegy ElliptaFluticasone/Umeclidin/Vilanter21$18,619
Tresiba Flextouch U-100Insulin Degludec22$10,677
Basaglar Kwikpen U-100Insulin Glargine,hum.Rec.Anlog18$9,355
EntrestoSacubitril/Valsartan11$9,094
MyrbetriqMirabegron13$8,749
LantusInsulin Glargine,hum.Rec.Anlog22$7,138
Fluoxetine Hcl94$3,508
Atorvastatin Calcium303$3,293

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
Novo NordiskOzempic$949$90,75194 claims
Lilly USA, LLCMounjaro, Trulicity, Olanzapine$1,548$70,87469 claims
Boehringer IngelheimJardiance$838$69,48189 claims
PfizerEliquis, Dilantin$970$39,12774 claims
Johnson & JohnsonXarelto$34$30,64728 claims
AstraZenecaFarxiga$1,002$18,69815 claims
GSKTrelegy Ellipta$629$18,61921 claims
NovartisEntresto$172$9,09411 claims
Astellas Pharma US IncMyrbetriq$222$8,74913 claims
Sanofi-aventis U.S. LLCLantus$530$7,13822 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 2,275 family medicine providers in Washington.

Other family medicine in Bremerton

See the full list for Washington

Where these figures come from

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