RxDoctor Payments Data

Ronald Kleyn, MD

Family Medicine · Fresno, CANPI 1760476386

Payments from drug & device makers

$1,452in general payments, 2019–2025

Across 80 payments — averaging $18.15 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • AbbVie$337
  • Pfizer$160
  • AstraZeneca$141
  • GSK$91
  • Novo Nordisk$77
  • Amgen$73
  • plus $572 from 18 others

What the payments were for

  • Food & beverage$1,452100%

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

$1,452 in reported general payments places this provider in the 75th percentile of 10,533 family medicine providers in California.

See all family medicine providers in California

Medicare billing

Part B allowed, 2024
$126,657
Medicare patients
317
Services billed
1,858

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
OxycontinOxycodone Hcl54$66,357
EliquisApixaban64$61,315
JanuviaSitagliptin Phosphate52$49,571
OzempicSemaglutide49$48,739
JardianceEmpagliflozin36$30,578
MounjaroTirzepatide18$28,364
RybelsusSemaglutide17$26,239
TrulicityDulaglutide25$23,787
FarxigaDapagliflozin Propanediol11$11,677
TradjentaLinagliptin12$10,105
Adderall XrDextroamphetamine/Amphetamine12$7,571
Rosuvastatin Calcium414$7,159
Basaglar Kwikpen U-100Insulin Glargine,hum.Rec.Anlog12$6,459
EdarbiAzilsartan Medoxomil16$5,881
Fluticasone Propionate HfaFluticasone Propionate15$5,758

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, Rybelsus$77$74,97966 claims
PfizerEliquis$160$61,31564 claims
Lilly USA, LLCMounjaro, Trulicity$64$52,15143 claims
Boehringer IngelheimJardiance, Tradjenta$22$40,68348 claims
AstraZenecaFarxiga$141$11,67711 claims
GSKArnuity Ellipta$91$3,19715 claims
BayerClimara Pro$33$2,60611 claims
AbbVieSynthroid$337$2,12516 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 75th percentile of 10,533 family medicine providers in California.

Other family medicine in Fresno

See the full list for California

Where these figures come from

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