RxDoctor Payments Data

Sebastian Koch, MD

Neurology · Miami, FLNPI 1831155779

Payments from drug & device makers

What this record shows

Almost everything reported here is food and beverage — 100.0% of the total across 40 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 9 manufacturers reported payments, led by Genentech, Inc. at 37.8% of the total. Reporting peaked in 2019 at $426 and has fallen 92.7% since, to $31 in 2024. That places this record below the midpoint for neurology clinicians in FL, where the typical reported total is $1,698.

$959in general payments, 2019–2025

Across 40 payments — averaging $23.97 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Genentech, Inc.$363
  • Johnson & Johnson$150
  • E.r. Squibb & Sons, L.L.C.$137
  • Genentech USA, Inc.$125
  • Amgen$96
  • Microtransponder, Inc.$31
  • plus $56 from 3 others
$171,984in research payments, 2019–2025

Across 51 payments — averaging $3372.23 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.

  • Genentech, Inc.$134K
  • Medtronic$38K

What the payments were for

  • Food & beverage$959100%

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
22
23
24

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

$959 in reported general payments places this provider in the 40th percentile of 1,434 neurology providers in Florida.

See all neurology providers in Florida →

Medicare billing

Part B allowed, 2024
$63,445
Medicare patients
291
Services billed
487

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
EliquisApixaban43$27,588
Aimovig AutoinjectorErenumab-Aooe20$16,205
UbrelvyUbrogepant16$15,888
Clobazam12$4,171
Lacosamide19$2,942
Rivastigmine15$2,134
Memantine Hcl44$1,923
Levetiracetam27$1,688
Gabapentin49$909
Atorvastatin Calcium76$598
Amitriptyline Hcl27$582
Nifedipine ErNifedipine12$582
Donepezil Hcl35$542
Propranolol Hcl ErPropranolol Hcl12$433
Verapamil ErVerapamil Hcl19$416

Paid to pharmacies, not to this prescriber.

Other neurology in Miami

See the full list for Florida →

Where these figures come from

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