RxDoctor Payments Data

Ronson Sato, MD

Pulmonary Disease · Honolulu, HINPI 1629271416

Payments from drug & device makers

What this record shows

The money is spread across several categories — education (41.1%), food and beverage and travel and lodging — rather than concentrated in one kind of arrangement. 11 manufacturers reported payments, led by Intuitive Surgical at 51.7% of the total. 2025 is the largest year on record at $7,485, more than ten times the $393 reported in 2019.

$13,503in general payments, 2019–2025

Across 191 payments — averaging $70.70 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Intuitive Surgical$7K
  • Inspire Medical Systems, Inc.$4K
  • GSK$1K
  • AstraZeneca$1K
  • Sanofi$293
  • Harmony Biosciences LLC$139
  • plus $172 from 5 others

What the payments were for

  • Travel & lodging$2,99722%
  • Food & beverage$4,95837%
  • Education$5,54841%

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

$13,503 in reported general payments places this provider in the 80th percentile of 44 pulmonary disease providers in Hawaii.

See all pulmonary disease providers in Hawaii

Medicare billing

Part B allowed, 2024
$80,011
Medicare patients
534
Services billed
991

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
Trelegy ElliptaFluticasone/Umeclidin/Vilanter127$123,079
TezspireTezepelumab-Ekko13$61,809
Breo ElliptaFluticasone/Vilanterol75$38,734
Breztri AerosphereBudesonide/Glycopyr/Formoterol26$28,840
Anoro ElliptaUmeclidinium Brm/Vilanterol Tr15$16,442
Spiriva RespimatTiotropium Bromide16$14,904
Incruse ElliptaUmeclidinium Bromide19$11,504
Arnuity ElliptaFluticasone Furoate12$5,744
DuleraMometasone/Formoterol14$5,606
Wixela InhubFluticasone Propion/Salmeterol35$4,577
SymbicortBudesonide/Formoterol Fumarate11$3,710
Albuterol Sulfate HfaAlbuterol Sulfate155$3,600
Montelukast Sodium60$1,539
Fluticasone Propionate49$762
Azelastine Hcl18$721

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
GSKTrelegy Ellipta, Breo Ellipta, Anoro Ellipta, Incruse Ellipta, Arnuity Ellipta$1,374$195,504248 claims
AstraZenecaTezspire, Breztri Aerosphere, Symbicort$1,021$94,36050 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 80th percentile of 44 pulmonary disease providers in Hawaii.

Other pulmonary disease in Honolulu

See the full list for Hawaii

Where these figures come from

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