RxDoctor Payments Data

Yury Kalmanovich, MD

Nephrology · Norfolk, VANPI 1992796767

Payments from drug & device makers

What this record shows

Almost everything reported here is food and beverage — 94.2% of the total across 76 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 20 manufacturers, the largest accounting for just 20.9% — the pattern of someone who eats at a lot of different presentations.

$1,537in general payments, 2019–2025

Across 76 payments — averaging $20.23 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Amgen$322
  • AstraZeneca$256
  • Otsuka America Pharmaceutical, Inc.$98
  • Vifor Pharma, Inc.$95
  • Fresenius USA Marketing, Inc.$79
  • Bayer$77
  • plus $610 from 14 others
$307,274in research payments, 2019–2025

Across 20 payments — averaging $15,364 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.

  • AstraZeneca$156K
  • Medtronic$150K
  • Akebia Therapeutics Inc$1K

What the payments were for

  • Food & beverage$1,44894%
  • Education$896%

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.

How this compares

$1,537 in reported general payments places this provider in the 60th percentile of 298 nephrology providers in Virginia.

See all nephrology providers in Virginia

Medicare billing

Part B allowed, 2024
$164,031
Medicare patients
352
Services billed
1,295

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
FarxigaDapagliflozin Propanediol15$14,662
Cinacalcet Hcl90$13,670
JardianceEmpagliflozin16$11,229
LokelmaSodium Zirconium Cyclosilicate18$10,992
Mycophenolic AcidMycophenolate Sodium17$6,732
Paricalcitol11$3,716
Tacrolimus13$2,077
Nifedipine ErNifedipine86$2,071
Potassium Chloride31$1,201
Midodrine Hcl15$1,121
Bumetanide28$811
Labetalol Hcl16$732
Prednisone132$723
Calcitriol13$534
Hydralazine Hcl42$435

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
AstraZenecaFarxiga, Lokelma$256$25,65433 claims
Boehringer IngelheimJardiance$28$11,22916 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 298 nephrology providers in Virginia.

Other nephrology in Norfolk

See the full list for Virginia

Where these figures come from

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