RxDoctor Payments Data

Robert Fisher, MD

Epilepsy · Stanford, CANPI 1669425740

Payments from drug & device makers

What this record shows

This record is dominated by speaking fees: $29,475 of the $41,101 with a category attached, or 71.7%. Medtronic accounts for 85.3% of it on its own, with 3 other manufacturers making up the rest. Reporting peaked in 2020 at $19,474 and has fallen 99.5% since, to $91 in 2023. Among epilepsy clinicians in CA with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.

$41,101in general payments, 2019–2025

Across 48 payments — averaging $856.28 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Medtronic$35K
  • Cochlear Americas$5K
  • Biogen$1K
  • Boston Scientific$91
$421,616in research payments, 2019–2025

Across 18 payments — averaging $23,423 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.

  • Insightec,ltd$377K
  • Eisai Inc.$45K

What the payments were for

  • Consulting fees$7,74119%
  • Speaking & faculty fees$29,47572%
  • Travel & lodging$2,7167%
  • Food & beverage$1,1693%

General payments by program year

19
20
21
22
23

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
Medtronic(2 entities)45$35,069
Cochlear Americas1$4,600
Biogen1$1,341
Boston Scientific1$91

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

$41,101 in reported general payments places this provider in the 90th percentile of 46 epilepsy providers in California.

See all epilepsy providers in California

Medicare billing

Part B allowed, 2024
$39,909
Medicare patients
155
Services billed
221

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
BriviactBrivaracetam28$31,353
Rufinamide12$29,744
OnfiClobazam22$25,702
FycompaPerampanel14$18,587
XcopriCenobamate13$14,020
Lacosamide39$5,290
DilantinPhenytoin Sodium Extended14$3,531
Clobazam24$3,477
ValacyclovirValacyclovir Hcl12$1,424
Lamotrigine11$897
Phenytoin Sodium Extended22$807
Lamotrigine ErLamotrigine12$628
Gabapentin18$584
Levetiracetam13$531
Clonazepam32$472

Paid to pharmacies, not to this prescriber.

Other epilepsy in Stanford

See the full list for California

Where these figures come from

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