RxDoctor Payments Data

Robert Mangialardi, MD

Pulmonary Disease · Nashville, TNNPI 1477548675

Payments from drug & device makers

$3,953in general payments, 2019–2025

Across 203 payments — averaging $19.47 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • GSK$2K
  • Actelion Pharmaceuticals US, Inc.$654
  • Insmed, Inc.$392
  • Gilead$229
  • Pulmonx Corporation$124
  • AstraZeneca$121
  • plus $686 from 19 others

What the payments were for

  • Food & beverage$3,90999%
  • Education$441%

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.

How this compares

$3,953 in reported general payments places this provider in the 45th percentile of 339 pulmonary disease providers in Tennessee.

See all pulmonary disease providers in Tennessee

Medicare billing

Part B allowed, 2024
$217,647
Medicare patients
625
Services billed
2,932

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
OfevNintedanib Esylate38$485,992
OpsumitMacitentan34$434,260
AdempasRiociguat21$274,365
Trelegy ElliptaFluticasone/Umeclidin/Vilanter205$184,256
Ambrisentan22$92,606
Breo ElliptaFluticasone/Vilanterol51$44,900
Orenitram ErTreprostinil Diolamine12$37,249
XareltoRivaroxaban55$33,193
EliquisApixaban22$32,034
SymbicortBudesonide/Formoterol Fumarate73$28,012
Spiriva RespimatTiotropium Bromide21$19,457
Spiriva HandihalerTiotropium Bromide18$18,440
Breztri AerosphereBudesonide/Glycopyr/Formoterol12$16,609
Sildenafil Citrate19$16,578
Wixela InhubFluticasone Propion/Salmeterol38$15,849

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
Boehringer IngelheimOfev, Spiriva Respimat$73$505,44959 claims
Actelion Pharmaceuticals US, Inc.Opsumit$654$434,26034 claims
BayerAdempas$17$274,36521 claims
GSKTrelegy Ellipta, Breo Ellipta, Anoro Ellipta, Arnuity Ellipta$1,747$250,484286 claims
AstraZenecaSymbicort, Breztri Aerosphere$121$44,62185 claims
Johnson & JohnsonXarelto$22$33,19355 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 45th percentile of 339 pulmonary disease providers in Tennessee.

Other pulmonary disease in Nashville

See the full list for Tennessee

Where these figures come from

Is this you, or does something look wrong? →