RxDoctor Payments Data

Subramani Paranjothi, MD

Pulmonary Disease · Saint Louis, MONPI 1992777270

Payments from drug & device makers

$588in general payments, 2019–2025

Across 34 payments — averaging $17.29 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • GSK$178
  • Baxter Healthcare$163
  • AstraZeneca$90
  • ANI Pharmaceuticals, Inc.$59
  • Harmony Biosciences LLC$45
  • Bayer$22
  • plus $31 from 2 others

What the payments were for

  • Food & beverage$54392%
  • Education$458%

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

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.

How this compares

$588 in reported general payments places this provider in the 35th percentile of 295 pulmonary disease providers in Missouri.

See all pulmonary disease providers in Missouri

Medicare billing

Part B allowed, 2024
$104,137
Medicare patients
635
Services billed
1,213

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/Vilanter592$524,040
AdempasRiociguat28$390,749
Prolastin CAlpha-1-Proteinase Inhibitor26$313,843
OfevNintedanib Esylate14$183,452
OpsumitMacitentan14$180,244
Aralast NpAlpha-1-Proteinase Inhibitor13$135,535
EsbrietPirfenidone12$127,699
Breo ElliptaFluticasone/Vilanterol218$105,282
Spiriva RespimatTiotropium Bromide73$56,218
Dupixent PenDupilumab12$53,081
Breztri AerosphereBudesonide/Glycopyr/Formoterol75$48,586
SymbicortBudesonide/Formoterol Fumarate112$32,720
Advair HfaFluticasone Propion/Salmeterol41$30,957
Incruse ElliptaUmeclidinium Bromide71$30,066
Anoro ElliptaUmeclidinium Brm/Vilanterol Tr45$25,459

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, Incruse Ellipta, Anoro Ellipta, Arnuity Ellipta$178$695,245964 claims
BayerAdempas$22$390,74928 claims
AstraZenecaBreztri Aerosphere, Symbicort$90$81,306187 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 295 pulmonary disease providers in Missouri.

Other pulmonary disease in Saint Louis

See the full list for Missouri

Where these figures come from

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