RxDoctor Payments Data

Roberto Bernardo, MD

Critical Care Medicine · Stanford, CANPI 1063853109

Payments from drug & device makers

What this record shows

The money is spread across several categories — consulting fees (46.4%), travel and lodging and speaking fees — rather than concentrated in one kind of arrangement. 20 manufacturers reported payments, led by Merck at 50.0% of the total. 2025 is the largest year on record at $46,827, more than ten times the $1,316 reported in 2019. Among critical care medicine clinicians in CA 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.

$97,150in general payments, 2019–2025

Across 259 payments — averaging $375.10 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Merck$49K
  • Actelion Pharmaceuticals US, Inc.$29K
  • United Therapeutics Corporation$18K
  • Bayer$269
  • AstraZeneca$194
  • GSK$187
  • plus $749 from 14 others
$481,912in research payments, 2019–2025

Across 38 payments — averaging $12,682 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.

  • Merck$260K
  • United Therapeutics Corporation$222K

What the payments were for

  • Consulting fees$45,11646%
  • Speaking & faculty fees$17,07518%
  • Travel & lodging$26,05727%
  • Food & beverage$8,2438%
  • Education$6601%

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.

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

$97,150 in reported general payments places this provider in the 95th percentile of 715 critical care medicine providers in California.

See all critical care medicine providers in California

Medicare billing

Part B allowed, 2024
$63,114
Medicare patients
145
Services billed
469

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
WinrevairSotatercept-Csrk65$1,222,768
OpsumitMacitentan54$692,307
Orenitram ErTreprostinil Diolamine75$529,024
AdempasRiociguat23$316,167
JardianceEmpagliflozin55$51,658
OzempicSemaglutide14$16,102
Sildenafil Citrate38$3,553
Spironolactone39$520
Torsemide15$393
Potassium Chloride14$296
Gabapentin11$198
Carvedilol15$192
Furosemide11$53

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
MerckWinrevair$48,584$1,222,76865 claims
Actelion Pharmaceuticals US, Inc.Opsumit$28,833$692,30754 claims
BayerAdempas$269$316,16723 claims
Boehringer IngelheimJardiance$58$51,65855 claims
Novo NordiskOzempic$22$16,10214 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 715 critical care medicine providers in California.

Other critical care medicine in Stanford

See the full list for California

Where these figures come from

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