RxDoctor Payments Data

Robert Rubenstein, MD

Neurology · Silverdale, WANPI 1437185279

Payments from drug & device makers

What this record shows

This record is dominated by speaking fees: $77,723 of the $98,589 with a category attached, or 78.8%. AbbVie accounts for 83.8% of it on its own, with 59 other manufacturers making up the rest. Reporting peaked in 2021 at $29,237 and has fallen 88.8% since, to $3,276 in 2025. Among neurology clinicians in WA 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.

$98,589in general payments, 2019–2025

Across 921 payments — averaging $107.05 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • AbbVie$83K
  • Sanofi$1K
  • Novartis$1K
  • Teva Pharmaceuticals USA, Inc.$999
  • AstraZeneca$856
  • EMD Serono, Inc.$789
  • plus $11K from 54 others

What the payments were for

  • Consulting fees$4270%
  • Speaking & faculty fees$77,72379%
  • Travel & lodging$3,0683%
  • Food & beverage$16,78417%
  • Education$5871%

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
AbbVie(2 entities)139$82,614
Sanofi40$1,150
Novartis58$1,002
Teva Pharmaceuticals USA, Inc.33$999
AstraZeneca(2 entities)38$856
EMD Serono, Inc.46$789
Lilly USA, LLC39$733
Biogen24$699
Pfizer45$699
Acadia Pharmaceuticals Inc41$637
UCB, Inc.29$516
Amgen(2 entities)25$503
Argenx US, Inc.25$480
Genentech USA, Inc.18$438
Lundbeck LLC22$409
Eisai Inc.13$358
Acorda Therapeutics, Inc20$353
Amneal Pharmaceuticals LLC13$341
Johnson & Johnson(2 entities)28$337
SK Life Science, Inc.15$319
TG Therapeutics, Inc.14$313
Merz Pharmaceuticals, LLC11$310
Neurocrine Biosciences, Inc.13$309
Impel Pharmaceuticals Inc.13$285
Neurelis, Inc.11$279
CSL Behring14$251
Bristol Myers Squibb12$246
Alnylam Pharmaceuticals Inc.11$229
Upsher-smith Laboratories LLC11$218
Boston Scientific11$193
MDD US Operations, LLC5$152
Biohaven Pharmaceutical Holding Company Ltd.12$128
Kyowa Kirin, Inc.6$116
Ipsen Biopharmaceuticals, Inc4$94
GE HealthCare4$76
Amylyx Pharmaceuticals, Inc.4$74
Catalyst Pharmaceuticals, Inc.4$72
Supernus Pharmaceuticals, Inc.4$71
Grifols USA, LLC3$60
Takeda Pharmaceuticals U.S.A., Inc.2$58
Avanir Pharmaceuticals, Inc.3$57
Corium, LLC3$57
Otsuka America Pharmaceutical, Inc.2$56
Avion Pharmaceuticals3$53
Jazz Pharmaceuticals Inc.2$52
Bausch Health US, LLC2$46
Livanova USA, Inc.2$44
Vertical Pharmaceuticals, LLC2$44
Azurity Pharmaceuticals, Inc.2$43
Vanda Pharmaceuticals Inc.1$33
Assertio Therapeutics, Inc.2$32
Currax Pharmaceuticals LLC2$30
E.r. Squibb & Sons, L.L.C.2$27
Sunovion Pharmaceuticals Inc.1$25
Sumitomo Pharma America, Inc.1$24
Biohaven Pharmaceuticals, Inc.1$24
Cala Health, Inc.1$23
Banner Life Sciences, LLC1$20
Springworks Therapeutics, Inc.1$20
Octapharma USA, Inc.1$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

$98,589 in reported general payments places this provider in the 95th percentile of 418 neurology providers in Washington.

See all neurology providers in Washington

Medicare billing

Part B allowed, 2024
$394,486
Medicare patients
1,019
Services billed
31,726

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
SolirisEculizumab24$616,237
Gamunex-CImmune Globul G/Gly/Iga Avg 4641$574,478
IngrezzaValbenazine Tosylate31$250,810
NuplazidPimavanserin Tartrate45$214,448
TysabriNatalizumab12$99,497
AustedoDeutetrabenazine11$71,075
AmpyraDalfampridine12$50,061
Aimovig AutoinjectorErenumab-Aooe34$28,947
Emgality SyringeGalcanezumab-Gnlm12$24,161
XcopriCenobamate17$21,546
UbrelvyUbrogepant12$16,904
QuliptaAtogepant12$12,333
Lamotrigine ErLamotrigine16$10,572
Carbidopa-LevodopaCarbidopa/Levodopa446$10,465
Memantine Hcl377$9,881

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
AstraZenecaSoliris$856$616,23724 claims
Grifols USA, LLCGamunex-C$60$574,47841 claims
Neurocrine Biosciences, Inc.Ingrezza$309$250,81031 claims
Acadia Pharmaceuticals IncNuplazid$637$214,44845 claims
BiogenTysabri$699$99,49712 claims
Teva Pharmaceuticals USA, Inc.Austedo$999$71,07511 claims
Acorda Therapeutics, IncAmpyra$353$50,06112 claims
AbbVieUbrelvy, Qulipta$82,614$29,23824 claims
SK Life Science, Inc.Xcopri$319$21,54617 claims
Amneal Pharmaceuticals LLCPyridostigmine Bromide, Mycophenolate Mofetil$341$3,04159 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 418 neurology providers in Washington.

Other neurology in Silverdale

See the full list for Washington

Where these figures come from

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