RxDoctor Payments Data

Ruchit Rana, MD

Allergy & Immunology · Hot Springs, ARNPI 1669978243

Payments from drug & device makers

What this record shows

Almost everything reported here is food and beverage — 100.0% of the total across 77 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 11 manufacturers reported payments, led by AstraZeneca at 26.9% of the total. 2025 is the largest year on record at $1,089, 2.4 times the $459 reported in 2022. That places this record below the midpoint for allergy & immunology clinicians in AR, where the typical reported total is $3,878.

$2,229in general payments, 2019–2025

Across 77 payments — averaging $28.95 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • AstraZeneca$599
  • GSK$556
  • Novartis$342
  • ARS Pharmaceuticals Operations, Inc.$157
  • Incyte Corporation$126
  • Pfizer$124
  • plus $325 from 5 others

What the payments were for

  • Food & beverage$2,229100%

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

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

$2,229 in reported general payments places this provider in the 35th percentile of 26 allergy & immunology providers in Arkansas.

See all allergy & immunology providers in Arkansas

Medicare billing

Part B allowed, 2024
$43,105
Medicare patients
155
Services billed
4,258

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
HaegardaC1 Esterase Inhibitor14$603,844
Epinephrine15$2,674
Azelastine Hcl66$1,170
Ipratropium Bromide35$702
Fluticasone Propionate59$675
Albuterol Sulfate HfaAlbuterol Sulfate20$545
Famotidine11$79
Montelukast Sodium12$32

Paid to pharmacies, not to this prescriber.

Other allergy & immunology in Hot Springs

See the full list for Arkansas

Where these figures come from

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