RxDoctor Payments Data

Shrinivas Kambali, MD

Pulmonary Disease · Saginaw, MINPI 1104056290

Payments from drug & device makers

$3,549in general payments, 2019–2025

Across 54 payments — averaging $65.73 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Intuitive Surgical$2K
  • GSK$510
  • AstraZeneca$382
  • Regeneron Healthcare Solutions, Inc.$264
  • Covidien LP$36
  • Inogen, Inc.$24
  • plus $23 from 1 others

What the payments were for

  • Travel & lodging$1,82751%
  • Food & beverage$1,62546%
  • Education$893%
  • Gifts$90%

General payments by program year

19
20
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.

CompanyPaymentsTotal
Intuitive Surgical5$2,310
GSK30$510
AstraZeneca9$382
Regeneron Healthcare Solutions, Inc.5$264
Covidien LP1$36
Inogen, Inc.3$24
Sanofi1$23

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

$3,549 in reported general payments places this provider in the 60th percentile of 463 pulmonary disease providers in Michigan.

See all pulmonary disease providers in Michigan

Medicare billing

Part B allowed, 2024
$87,627
Medicare patients
340
Services billed
1,133

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/Vilanter485$515,590
Pirfenidone18$93,155
Breo ElliptaFluticasone/Vilanterol149$79,688
Breztri AerosphereBudesonide/Glycopyr/Formoterol92$64,381
Spiriva RespimatTiotropium Bromide45$39,815
Advair HfaFluticasone Propion/Salmeterol40$22,081
Stiolto RespimatTiotropium Br/Olodaterol Hcl19$17,066
Anoro ElliptaUmeclidinium Brm/Vilanterol Tr33$16,398
Fluticasone-SalmeterolFluticasone Propion/Salmeterol53$10,790
Budesonide-Formoterol FumarateBudesonide/Formoterol Fumarate22$9,954
Roflumilast74$8,109
Albuterol Sulfate HfaAlbuterol Sulfate256$7,740
SymbicortBudesonide/Formoterol Fumarate15$7,436
Ventolin HfaAlbuterol Sulfate48$4,535
Montelukast Sodium141$1,405

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$510$611,676667 claims
AstraZenecaBreztri Aerosphere, Symbicort$382$71,817107 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 60th percentile of 463 pulmonary disease providers in Michigan.

Other pulmonary disease in Saginaw

See the full list for Michigan

Where these figures come from

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