RxDoctor Payments Data

Shelley Shapiro, MD

Pulmonary Disease · Los Angeles, CANPI 1760402846

Payments from drug & device makers

What this record shows

Almost everything reported here is food and beverage — 93.3% of the total across 33 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. United Therapeutics Corporation accounts for 72.6% of it on its own, with 9 other manufacturers making up the rest.

$1,861in general payments, 2019–2025

Across 33 payments — averaging $56.38 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • United Therapeutics Corporation$1K
  • Actelion Pharmaceuticals US, Inc.$314
  • Biotronik Inc.$40
  • Bayer$33
  • Merck$26
  • Abiomed$22
  • plus $76 from 4 others
$1,042,019in research payments, 2019–2025

Across 107 payments — averaging $9738.49 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.

  • United Therapeutics Corporation$519K
  • Medtronic$388K
  • Sumitomo Pharma America, Inc.$119K
  • Janssen Research & Development, LLC$12K
  • Actelion Pharmaceuticals US, Inc.$2K
  • Novartis$839

What the payments were for

  • Food & beverage$1,73693%
  • Education$1257%

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.

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

$1,861 in reported general payments places this provider in the 55th percentile of 1,261 pulmonary disease providers in California.

See all pulmonary disease providers in California

Medicare billing

Part B allowed, 2024
$25,647
Medicare patients
72
Services billed
205

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
Tyvaso DpiTreprostinil147$3,761,173
OpsumitMacitentan173$2,131,535
AdempasRiociguat95$1,283,051
WinrevairSotatercept-Csrk76$1,161,369
Ambrisentan253$770,773
LetairisAmbrisentan49$628,728
AdcircaTadalafil107$543,205
UptraviSelexipag23$489,778
Tyvaso Refill KitTreprostinil/Neb Accessories16$324,369
Tadalafil277$290,268
RemodulinTreprostinil Sodium17$107,001
Orenitram ErTreprostinil Diolamine21$105,702
Potassium Chloride54$2,593
Digoxin62$1,621
Furosemide62$733

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
Actelion Pharmaceuticals US, Inc.Opsumit, Uptravi$314$2,621,313196 claims
BayerAdempas$33$1,283,05195 claims
MerckWinrevair$26$1,161,36976 claims
United Therapeutics CorporationAdcirca, Remodulin$1,350$650,206124 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 55th percentile of 1,261 pulmonary disease providers in California.

Other pulmonary disease in Los Angeles

See the full list for California

Where these figures come from

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