RxDoctor Payments Data

Zackary Tushak, DO

Advanced Heart Failure and Transplant Cardiology · Norfolk, VANPI 1316324288

Payments from drug & device makers

What this record shows

The money is spread across several categories — speaking fees (57.4%), grants and consulting fees — rather than concentrated in one kind of arrangement. 9 manufacturers reported payments, led by Pfizer at 36.7% of the total. 2025 is the largest year on record at $42,411, 2.8 times the $15,000 reported in 2021. Among advanced heart failure and transplant cardiology clinicians in VA with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.

$91,803in general payments, 2019–2025

Across 94 payments — averaging $976.63 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Pfizer$34K
  • AstraZeneca$21K
  • Medtronic$15K
  • Alnylam Pharmaceuticals Inc.$14K
  • Bridgebio Pharma, Inc.$5K
  • E.r. Squibb & Sons, L.L.C.$1K
  • plus $527 from 3 others

What the payments were for

  • Consulting fees$11,10812%
  • Speaking & faculty fees$52,66057%
  • Grants$15,00016%
  • Travel & lodging$8,3119%
  • Food & beverage$4,5565%
  • Education$1690%

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.

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

$91,803 in reported general payments places this provider in the 90th percentile of 43 advanced heart failure and transplant cardiology providers in Virginia.

See all advanced heart failure and transplant cardiology providers in Virginia

Medicare billing

Part B allowed, 2024
$141,011
Medicare patients
467
Services billed
1,358

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
VyndamaxTafamidis117$2,856,547
VyndaqelTafamidis Meglumine41$961,417
WainuaEplontersen Sodium21$905,466
EntrestoSacubitril/Valsartan239$223,333
JardianceEmpagliflozin264$202,815
FarxigaDapagliflozin Propanediol158$143,146
CamzyosMavacamten12$95,981
EliquisApixaban39$30,478
XareltoRivaroxaban20$22,579
Torsemide145$2,352
Metoprolol Succinate204$2,340
Bumetanide49$1,958
Eplerenone33$1,882
Spironolactone283$1,759
Carvedilol112$877

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
PfizerVyndamax, Vyndaqel, Eliquis$33,665$3,848,442197 claims
AstraZenecaWainua, Farxiga$21,450$1,048,612179 claims
E.r. Squibb & Sons, L.L.C.Camzyos$1,307$95,98112 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 90th percentile of 43 advanced heart failure and transplant cardiology providers in Virginia.

Other advanced heart failure and transplant cardiology in Norfolk

See the full list for Virginia

Where these figures come from

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