RxDoctor Payments Data

Swetha Nemargommula, MD

Pulmonary Disease · Springfield, MONPI 1467700559

Payments from drug & device makers

$862in general payments, 2019–2025

Across 19 payments — averaging $45.38 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Intuitive Surgical$235
  • GSK$147
  • Johnson & Johnson$122
  • Inari Medical, Inc.$113
  • AstraZeneca$83
  • Amgen$53
  • plus $110 from 5 others

What the payments were for

  • Travel & lodging$23527%
  • Food & beverage$62773%

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

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

$862 in reported general payments places this provider in the 40th percentile of 295 pulmonary disease providers in Missouri.

See all pulmonary disease providers in Missouri

Medicare billing

Part B allowed, 2024
$91,082
Medicare patients
549
Services billed
1,396

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/Vilanter166$128,071
Anoro ElliptaUmeclidinium Brm/Vilanterol Tr77$38,189
Incruse ElliptaUmeclidinium Bromide44$16,017
Breztri AerosphereBudesonide/Glycopyr/Formoterol17$15,595
Breo ElliptaFluticasone/Vilanterol36$15,301
Stiolto RespimatTiotropium Br/Olodaterol Hcl28$11,242
Bevespi AerosphereGlycopyrrolate/Formoterol Fum18$9,062
Arnuity ElliptaFluticasone Furoate19$4,576
DuleraMometasone/Formoterol11$3,659
Albuterol Sulfate HfaAlbuterol Sulfate141$3,086
SymbicortBudesonide/Formoterol Fumarate11$2,546
Roflumilast17$921
Fluticasone-SalmeterolFluticasone Propion/Salmeterol12$556
Montelukast Sodium21$120

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, Anoro Ellipta, Incruse Ellipta, Breo Ellipta, Arnuity Ellipta$147$202,154342 claims
AstraZenecaBreztri Aerosphere, Bevespi Aerosphere, Symbicort$83$27,20346 claims
Boehringer IngelheimStiolto Respimat$46$11,24228 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 40th percentile of 295 pulmonary disease providers in Missouri.

Other pulmonary disease in Springfield

See the full list for Missouri

Where these figures come from

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