RxDoctor Payments Data

Robert Gousse, MD

Sports Medicine · Fresno, CANPI 1952667792

Payments from drug & device makers

$52,496in general payments, 2019–2025

Across 120 payments — averaging $437.46 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Lazurite Inc.$50K
  • AbbVie$481
  • AstraZeneca$361
  • Lilly USA, LLC$243
  • Novo Nordisk$207
  • Amgen$164
  • plus $1K from 19 others

What the payments were for

  • Food & beverage$2,496100%

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
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.

How this compares

$52,496 in reported general payments places this provider in the 85th percentile of 662 sports medicine providers in California.

See all sports medicine providers in California

Medicare billing

Part B allowed, 2024
$239,510
Medicare patients
421
Services billed
18,895

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
OzempicSemaglutide134$147,521
JardianceEmpagliflozin21$26,066
EliquisApixaban27$23,156
MounjaroTirzepatide21$22,856
WegovySemaglutide11$20,318
XareltoRivaroxaban13$17,123
Repatha SureclickEvolocumab16$16,543
FarxigaDapagliflozin Propanediol12$13,094
Trelegy ElliptaFluticasone/Umeclidin/Vilanter11$8,174
Atrovent HfaIpratropium Bromide16$7,332
AbilifyAripiprazole11$6,320
Rosuvastatin Calcium239$4,821
Levothyroxine Sodium190$3,235
CombipatchEstradiol/Norethindrone Acet12$2,826
Icosapent Ethyl15$2,616

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, Wegovy$207$167,838145 claims
Boehringer IngelheimJardiance$45$26,06621 claims
PfizerEliquis$163$23,15627 claims
Lilly USA, LLCMounjaro$243$22,85621 claims
AstraZenecaFarxiga$361$13,09412 claims
AbbVieSynthroid$481$2,24345 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 85th percentile of 662 sports medicine providers in California.

Other sports medicine in Fresno

See the full list for California

Where these figures come from

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