Rukma Parthvi, MD
Pulmonary Disease · Middleburg, FLNPI 1720474216
Payments from drug & device makers
Across 31 payments — averaging $51.40 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Grifols USA, LLC$384
- Philips North America LLC$237
- Inspire Medical Systems, Inc.$150
- Jazz Pharmaceuticals Inc.$150
- Regeneron Healthcare Solutions, Inc.$130
- Insmed, Inc.$124
- plus $418 from 9 others
What the payments were for
- Consulting fees$1509%
- Food & beverage$1,44391%
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
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.
| Company | Payments | Total |
|---|---|---|
| Grifols USA, LLC | 3 | $384 |
| Philips North America LLC | 6 | $237 |
| Inspire Medical Systems, Inc. | 2 | $150 |
| Jazz Pharmaceuticals Inc. | 1 | $150 |
| Regeneron Healthcare Solutions, Inc. | 2 | $130 |
| Insmed, Inc. | 4 | $124 |
| AstraZeneca | 1 | $95 |
| GSK | 4 | $70 |
| Intuitive Surgical | 1 | $63 |
| Inogen, Inc. | 1 | $53 |
| Boehringer Ingelheim | 2 | $39 |
| Mylan Specialty L.p. | 1 | $33 |
| Breas Medical, Inc. | 1 | $25 |
| Electromed, Inc. | 1 | $23 |
| Sanofi | 1 | $17 |
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.
- Prolastin-C Liquid$384
- XYWAV$150
- XYREM$150
- Inspire$128
How this compares
$1,593 in reported general payments places this provider in the 35th percentile of 953 pulmonary disease providers in Florida.
Medicare billing
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
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 695 | $520,459 |
| OfevNintedanib Esylate | 33 | $445,463 |
| Breztri AerosphereBudesonide/Glycopyr/Formoterol | 149 | $105,793 |
| Prolastin CAlpha-1-Proteinase Inhibitor | 14 | $102,026 |
| Fasenra PenBenralizumab | 16 | $98,014 |
| Spiriva RespimatTiotropium Bromide | 128 | $84,137 |
| Breo ElliptaFluticasone/Vilanterol | 145 | $70,444 |
| Anoro ElliptaUmeclidinium Brm/Vilanterol Tr | 80 | $57,312 |
| NucalaMepolizumab | 12 | $44,496 |
| Stiolto RespimatTiotropium Br/Olodaterol Hcl | 60 | $40,313 |
| SymbicortBudesonide/Formoterol Fumarate | 124 | $39,465 |
| Advair HfaFluticasone Propion/Salmeterol | 46 | $17,614 |
| Fluticasone-SalmeterolFluticasone Propion/Salmeterol | 112 | $15,835 |
| Incruse ElliptaUmeclidinium Bromide | 46 | $14,700 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 628 | $14,550 |
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.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| GSKTrelegy Ellipta, Breo Ellipta, Anoro Ellipta, Nucala, Incruse Ellipta | $70 | $716,6571,015 claims |
| Boehringer IngelheimOfev, Spiriva Respimat, Stiolto Respimat, Combivent Respimat | $39 | $578,189238 claims |
| AstraZenecaBreztri Aerosphere, Symbicort | $95 | $145,258273 claims |
| Grifols USA, LLCProlastin C | $384 | $102,02614 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 35th percentile of 953 pulmonary disease providers in Florida.
Other pulmonary disease in Middleburg
- James KrainsonMiami$11.7M
- Jose DiazLeesburg$11.2M
- Carlos MartinezHomestead$9.2M
- Leonard DunnDunedin$7.6M
- Francis AverillClearwater$6.3M
- Charles BurgerJacksonville$5.6M
- Daniel LorchBrandon$5.5M
- Lourdes BoschMiami$4.2M
- Raj KarunakaraOcala$4M
- Neal WarshoffLoxahatchee$3.6M
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.