RxDoctor Payments Data

William Palfrey, MD

Pulmonary Disease · Jacksonville, FLNPI 1558705194

Payments from drug & device makers

$17,520in general payments, 2019–2025

Across 712 payments — averaging $24.61 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • AstraZeneca$4K
  • GSK$2K
  • Boehringer Ingelheim$1K
  • AOP Health US, LLC$973
  • Insmed, Inc.$949
  • Takeda Pharmaceuticals U.S.A., Inc.$785
  • plus $8K from 41 others

What the payments were for

  • Food & beverage$17,31199%
  • Education$2091%

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

$17,520 in reported general payments places this provider in the 75th percentile of 953 pulmonary disease providers in Florida.

See all pulmonary disease providers in Florida

Medicare billing

Part B allowed, 2024
$242,696
Medicare patients
1,096
Services billed
3,659

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
OfevNintedanib Esylate21$236,906
Trelegy ElliptaFluticasone/Umeclidin/Vilanter103$118,730
Dupixent PenDupilumab12$44,312
Breztri AerosphereBudesonide/Glycopyr/Formoterol43$38,418
Breo ElliptaFluticasone/Vilanterol44$34,176
Spiriva RespimatTiotropium Bromide16$20,486
Stiolto RespimatTiotropium Br/Olodaterol Hcl16$12,442
SymbicortBudesonide/Formoterol Fumarate32$11,215
Advair HfaFluticasone Propion/Salmeterol13$8,349
Arnuity ElliptaFluticasone Furoate16$7,562
Fluticasone-SalmeterolFluticasone Propion/Salmeterol34$6,514
Albuterol Sulfate HfaAlbuterol Sulfate155$4,617
Wixela InhubFluticasone Propion/Salmeterol18$3,434
BreynaBudesonide/Formoterol Fumarate12$2,940
Ventolin HfaAlbuterol Sulfate23$2,126

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
Boehringer IngelheimOfev, Spiriva Respimat, Stiolto Respimat$1,186$269,83353 claims
GSKTrelegy Ellipta, Breo Ellipta, Arnuity Ellipta$2,331$160,468163 claims
AstraZenecaBreztri Aerosphere, Symbicort$3,656$49,63375 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 75th percentile of 953 pulmonary disease providers in Florida.

Other pulmonary disease in Jacksonville

See the full list for Florida

Where these figures come from

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