RxDoctor Payments Data

Robert Pearlstein, DO

Geriatric Medicine · Plymouth Meeting, PANPI 1598788689

Payments from drug & device makers

What this record shows

Almost everything reported here is food and beverage — 99.4% of the total across 715 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 60 manufacturers, the largest accounting for just 8.6% — the pattern of someone who eats at a lot of different presentations. Among geriatric medicine clinicians in PA with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.

$14,745in general payments, 2019–2025

Across 715 payments — averaging $20.62 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Sunovion Pharmaceuticals Inc.$1K
  • Pfizer$1K
  • Otsuka America Pharmaceutical, Inc.$1K
  • Acadia Pharmaceuticals Inc$962
  • Teva Pharmaceuticals USA, Inc.$887
  • AstraZeneca$750
  • plus $8K from 54 others
$61,640in research payments, 2019–2025

Across 3 payments — averaging $20,547 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.

  • Eli Lilly$55K
  • Eisai Inc.$6K

What the payments were for

  • Speaking & faculty fees$200%
  • Food & beverage$14,65799%
  • Education$690%

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
Sunovion Pharmaceuticals Inc.69$1,274
Pfizer76$1,246
Otsuka America Pharmaceutical, Inc.40$1,058
Acadia Pharmaceuticals Inc39$962
Teva Pharmaceuticals USA, Inc.42$887
AstraZeneca(2 entities)32$750
UCB, Inc.22$578
Lilly USA, LLC35$533
Sumitomo Pharma America, Inc.24$511
Avanir Pharmaceuticals, Inc.19$439
Johnson & Johnson20$374
Biogen7$340
Astellas Pharma US Inc15$325
Novartis16$323
Neurocrine Biosciences, Inc.15$319
E.r. Squibb & Sons, L.L.C.14$277
Sun Pharmaceutical Industries Inc.7$233
AbbVie(2 entities)14$230
Bayer12$221
Amneal Pharmaceuticals LLC3$149
Akcea Therapeutics, Inc.7$145
Alpha Cognition USA, Inc.1$141
Collegium Pharmaceutical, Inc.7$138
Salix Pharmaceuticals, A Division Of Bausch Health US, LLC9$138
Eisai Inc.8$136
ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.)7$134
Kyowa Kirin, Inc.8$131
Boehringer Ingelheim7$127
Amarin Pharma, Inc.8$127
Paratek Pharmaceuticals, Inc.8$126
GSK7$121
Abbott4$120
SK Life Science, Inc.6$110
Daiichi Sankyo Inc.5$99
Xeris Pharmaceuticals, Inc.5$95
Novo Nordisk5$87
Nestle Healthcare Nutrition Inc.4$86
Vivus LLC5$85
Lundbeck LLC4$81
Neurelis, Inc.4$70
Amgen4$69
Ardelyx, Inc.3$63
Scilex Pharmaceuticals Inc.3$63
Verona Pharma, Inc.3$61
Biohaven Pharmaceutical Holding Company Ltd.3$58
Inspire Medical Systems, Inc.3$57
Shield Therapeutics Inc1$56
Urovant Sciences Inc3$49
Axsome Therapeutics, Inc.2$49
Boston Scientific3$49
Exact Sciences2$47
Alkermes, Inc.2$46
Mannkind Corporation1$43
Radius Health, Inc.3$41
Medtronic2$40
CMP Pharma, Inc.2$37
Noven Therapeutics, LLC2$34
Smith+Nephew2$33
Ferring Pharmaceuticals Inc.2$33
Amphastar Pharmaceuticals, Inc.2$32

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

$14,745 in reported general payments places this provider in the 95th percentile of 217 geriatric medicine providers in Pennsylvania.

See all geriatric medicine providers in Pennsylvania

Medicare billing

Part B allowed, 2024
$410,428
Medicare patients
1,867
Services billed
4,203

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
EliquisApixaban13,468$3,479,064
TrulicityDulaglutide1,561$1,113,317
XareltoRivaroxaban2,834$698,125
JardianceEmpagliflozin2,205$530,506
JanuviaSitagliptin Phosphate1,187$359,325
XifaxanRifaximin263$356,674
Trelegy ElliptaFluticasone/Umeclidin/Vilanter527$340,889
OzempicSemaglutide300$309,037
MyrbetriqMirabegron1,387$287,650
RexultiBrexpiprazole502$283,840
Atorvastatin Calcium24,619$275,412
EntrestoSacubitril/Valsartan746$244,660
Breo ElliptaFluticasone/Vilanterol549$233,161
SantylCollagenase Clostridium Hist.227$225,677
Invega SustennaPaliperidone Palmitate75$224,073

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
PfizerEliquis$1,246$3,479,06413,468 claims
Lilly USA, LLCTrulicity$533$1,113,3171,561 claims
Johnson & JohnsonXarelto, Invega Sustenna$374$922,1982,909 claims
GSKTrelegy Ellipta, Breo Ellipta, Incruse Ellipta, Anoro Ellipta$121$801,9161,686 claims
Boehringer IngelheimJardiance, Tradjenta$127$659,0492,721 claims
Salix Pharmaceuticals, A Division Of Bausch Health US, LLCXifaxan$138$356,674263 claims
Novo NordiskOzempic$87$309,037300 claims
Astellas Pharma US IncMyrbetriq$325$287,6501,387 claims
Otsuka America Pharmaceutical, Inc.Rexulti$1,058$283,840502 claims
AbbVieLinzess, Restasis$230$265,400486 claims
NovartisEntresto$323$244,660746 claims
Smith+NephewSantyl$33$225,677227 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 217 geriatric medicine providers in Pennsylvania.

Other geriatric medicine in Plymouth Meeting

See the full list for Pennsylvania

Where these figures come from

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