RxDoctor Payments Data

Stephen Flitman, MD

Neurology · Phoenix, AZNPI 1023018223

Payments from drug & device makers

What this record shows

Almost everything reported here is food and beverage — 95.7% of the total across 989 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 60 manufacturers, the largest accounting for just 10.7% — the pattern of someone who eats at a lot of different presentations. 2025 is the largest year on record at $6,055, 4.3 times the $1,405 reported in 2019.

$24,388in general payments, 2019–2025

Across 989 payments — averaging $24.66 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • AbbVie$3K
  • Biogen$2K
  • Novartis$1K
  • UCB, Inc.$1K
  • Eisai Inc.$1K
  • AstraZeneca$875
  • plus $15K from 54 others
$4,345,503in research payments, 2019–2025

Across 387 payments — averaging $11,229 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.

  • Pfizer$1.3M
  • Biogen$910K
  • Genentech, Inc.$499K
  • UCB SA$248K
  • Eisai Inc.$221K
  • AbbVie$191K
  • plus $943K from 16 others

What the payments were for

  • Consulting fees$6002%
  • Speaking & faculty fees$1401%
  • Food & beverage$23,33396%
  • Education$3151%

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.

CompanyPaymentsTotal
AbbVie(2 entities)191$2,609
Biogen49$1,864
Novartis73$1,288
UCB, Inc.63$1,284
Eisai Inc.38$1,241
AstraZeneca(2 entities)16$875
Pfizer30$779
Lilly USA, LLC33$750
Otsuka America Pharmaceutical, Inc.34$742
EMD Serono, Inc.18$708
Acadia Pharmaceuticals Inc34$674
Sanofi14$655
Lundbeck LLC28$640
Axsome Therapeutics, Inc.19$633
Neurocrine Biosciences, Inc.15$578
Teva Pharmaceuticals USA, Inc.23$535
Harmony Biosciences LLC14$519
Argenx US, Inc.19$492
SK Life Science, Inc.19$489
Grifols USA, LLC16$476
Bristol Myers Squibb15$411
Ipsen Biopharmaceuticals, Inc14$360
E.r. Squibb & Sons, L.L.C.8$357
Jazz Pharmaceuticals Inc.11$344
Catalyst Pharmaceuticals, Inc.5$320
Neuropace, Inc.6$303
Mallinckrodt Hospital Products Inc.9$279
Acorda Therapeutics, Inc20$267
Amgen(2 entities)12$255
Merz Pharmaceuticals, LLC9$241
Biohaven Pharmaceutical Holding Company Ltd.15$231
Abbott10$225
Neurelis, Inc.6$222
Vanda Pharmaceuticals Inc.5$210
Medtronic4$173
Inspire Medical Systems, Inc.2$134
Genentech USA, Inc.5$130
Promius Pharma LLC1$125
Amneal Pharmaceuticals LLC5$121
Kyowa Kirin, Inc.2$117
Idorsia Pharmaceuticals US Inc1$112
Corium, LLC6$108
Sumitomo Pharma America, Inc.7$107
ANI Pharmaceuticals, Inc.5$99
Johnson & Johnson6$96
MDD US Operations, LLC4$90
Upsher-smith Laboratories LLC5$83
Supernus Pharmaceuticals, Inc.5$79
GE HealthCare3$72
Zogenix Inc.1$71
Aprecia Pharmaceuticals, LLC3$65
Impel Pharmaceuticals Inc.3$63
Novo Nordisk1$62
Alfasigma USA, Inc.3$61
Merz North America, Inc.1$59
Vertex2$56
Tanabe Pharma America, Inc.3$55
Scilex Pharmaceuticals Inc.3$51
Microtransponder, Inc.1$46
Boston Scientific2$40

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

$24,388 in reported general payments places this provider in the 80th percentile of 388 neurology providers in Arizona.

See all neurology providers in Arizona

Medicare billing

Part B allowed, 2024
$110,682
Medicare patients
347
Services billed
2,783

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
Gamunex-CImmune Globul G/Gly/Iga Avg 4639$170,563
Kesimpta PenOfatumumab12$116,242
Emgality PenGalcanezumab-Gnlm53$79,199
NuplazidPimavanserin Tartrate12$68,873
Nurtec OdtRimegepant Sulfate16$49,085
RexultiBrexpiprazole23$47,297
BotoxOnabotulinumtoxina27$44,357
OngentysOpicapone14$23,652
UbrelvyUbrogepant11$16,428
Galantamine ErGalantamine Hbr105$13,153
Rivastigmine57$12,709
Memantine Hcl225$9,085
Donepezil Hcl300$7,616
Gabapentin212$6,695
Duloxetine Hcl145$6,515

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
Grifols USA, LLCGamunex-C$476$170,56339 claims
Acadia Pharmaceuticals IncNuplazid$674$68,87312 claims
AbbVieBotox, Ubrelvy$2,609$60,78538 claims
PfizerNurtec Odt$779$49,08516 claims
Otsuka America Pharmaceutical, Inc.Rexulti$742$47,29723 claims
Neurocrine Biosciences, Inc.Ongentys$578$23,65214 claims
Upsher-smith Laboratories LLCTopiramate$83$4,559232 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 80th percentile of 388 neurology providers in Arizona.

Other neurology in Phoenix

See the full list for Arizona

Where these figures come from

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