Medical Doctor Program year 2025 Reported 2019–2025 Source: CMS Open Payments, 2026 publication

Florin Gadalean

Nephrology Orlando, FL Medical Doctor

NPI 1447243514 CMS profile 1201026

10967 Lake Underhill Rd, Ste 105, Orlando, FL 32825

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General payments

$6,838

353 records reported · program years 2019–2025

Research payments

$0

Paid to them · None reported · program years 2019–2025

Ownership & investment interest

$0

None reported

Through program year 2025, Florin Gadalean of Orlando, FL is reported in the CMS Open Payments database as having received $6,838 across 353 general payments and $0 in research payments paid to them.

No combined total General, research and ownership are kept apart. Each is reported under its own rules, and ownership is not money that moved at all but the value of a stake held. A meal, a clinical trial grant and a shareholding do not add up to anything meaningful, so this site does not add them.

General payments for this record sit in the 85th percentile of Nephrology profiles with reported payments. Percentile describes the distribution, not the conduct.

By program year

7 rows
Year Kind Relative to this record's peak year Amount Records
2025 General $1,320 61
2024 General $1,266 66
2023 General $1,206 58
2022 General $860 45
2021 General $978 51
2020 General $593 37
2019 General $614 35

Beside peers

Year by year, beside peers General payments · among profiles paid that year
  • Florin Gadalean
  • Nephrology median
  • Middle half of Nephrology
  • National median

In program year 2025, general payments to Florin Gadalean were reported at $1,320. Among 8,186 Nephrology profiles paid that year, the median was $310 and the middle half received between $104 and $880.

Show as a table
Year Florin Gadalean Nephrology median Middle half National median
2019 $614 $236 $90–$588 $163
2020 $593 $135 $46–$364 $114
2021 $978 $202 $67–$551 $132
2022 $860 $242 $77–$695 $149
2023 $1,206 $254 $84–$766 $160
2024 $1,266 $300 $99–$852 $164
2025 $1,320 $310 $104–$880 $169

Breakdown

Who paid General payments · program years 2019–2025
  1. Relypsa, Inc. $1,002 59 payments
  2. Horizon Therapeutics plc $844 55 payments
  3. Amgen Inc. $723 33 payments
  4. Retrophin, Inc. $652 49 payments
  5. AstraZeneca Pharmaceuticals LP $579 31 payments
  6. Otsuka America Pharmaceutical, Inc. $483 19 payments
  7. Bayer HealthCare Pharmaceuticals Inc. $474 17 payments
  8. OPKO Pharmaceuticals, LLC $459 22 payments
  9. Mallinckrodt Hospital Products Inc. $399 15 payments
  10. Ardelyx, Inc. $227 9 payments
  11. Other $996 44 payments

Every payment, record by record

What the payments were for General payments · program years 2019–2025
  1. Food and Beverage $6,491 330 payments
  2. Education $347 23 payments
Products named General payments · program years 2019–2025
  1. KRYSTEXXA Krystexxa $844 55 payments
  2. LOKELMA $529 27 payments
  3. KRYSTEXXA Inflammation/Rare Disease $519 25 payments
  4. Veltassa Hyperkalemia $518 31 payments
  5. Kerendia $474 17 payments
  6. JYNARQUE $432 17 payments
  7. RAYALDEE $387 19 payments
  8. Veltassa Hyperkalemia $373 24 payments
  9. ACTHAR $371 14 payments
  10. IBSRELA $227 9 payments
  11. Other $1,475 70 payments

A payment can name more than one product, so these amounts overlap and do not add up to the general-payment figure.

Prescribing to Medicare patients

Part D · data year 2024 · 46 drugs

Part D claims

3,583

Median for Nephrology: 954

Drug cost

$324,390

Median for Nephrology: $127,050

Branded share of claims

15.9%

Median for Nephrology: 17.9%

Drugs this doctor was counted under in Medicare Part D 2024, by drug cost
Drug Type Relative to their largest Claims Drug cost
Veltassa Patiromer Calcium Sorbitex Brand 78 $71,237
Kerendia Finerenone Brand 66 $55,440
Rayaldee Calcifediol Brand 46 $53,618
Jardiance Empagliflozin Brand 48 $32,456
Lokelma Sodium Zirconium Cyclosilicate Brand 46 $31,987
Velphoro Sucroferric Oxyhydroxide Brand 13 $23,202
Farxiga Dapagliflozin Propanediol Brand 25 $15,340
Bumetanide Generic 240 $4,859
Doxazosin Mesylate Generic 144 $4,027
Hydralazine Hcl Generic 298 $3,978

The 10 drugs with the highest cost, of 46 counted.

Drug cost is what was paid for the drugs at the pharmacy — by Medicare, the patient and others — and is not money to the prescriber. Medicare Part D only: drugs dispensed to Medicare beneficiaries. A drug with fewer than 11 claims for this prescriber is not published, so a missing drug does not mean zero. The medians are for the 9,003 Part D prescribers listed as Nephrology; they describe a distribution and say nothing about conduct.

Billing to Medicare

Part B · data year 2024 · 57 billing codes

Paid by Medicare

$350,581

Of which drugs: $6,050

Medicare patients

563

Average age 75

Services billed

13,203

285 women, 278 men among their patients

Share of this provider's Medicare patients with each condition
Condition among their Medicare patients Relative to the most common Share of patients
High blood pressure 75%
Chronic kidney disease 75%
Diabetes 62%
Ischemic heart disease 54%
Heart failure 50%
Arthritis 47%
Depression 33%
Atrial fibrillation 32%
Drugs given in the clinic that this provider billed Medicare Part B for
Drug given in the clinic Where Patients Services Paid by Medicare
Injection, epoetin alfa, biosimilar, (retacrit) (for non-esrd use), 1000 units Q5106 Office 15 1,000 $4,877
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg J3420 Office 41 75 $49

Medicare Part B only: services billed to Medicare. Rows covering fewer than 11 beneficiaries are not published. Only drugs given in the clinic are itemised here; the rest of what this provider billed is in the total above.

Payments and prescribing

First 5 of 10 products · payments 2024

Two separate records. The payments come from Open Payments and the claims from Medicare. They are set side by side because they name the same product; they do not show that a payment affected a prescription.

Products this doctor was paid in connection with in 2024, beside Medicare claims for the same product
Product Paid by Related payments Part D claims Part B services
KRYSTEXXA
  • Amgen Inc. $281
$281 — —
JYNARQUE
  • Otsuka America Pharmaceutical, Inc. $172
$172 — —
IBSRELA
  • Ardelyx, Inc. $138
$138 — —
RAYALDEE
  • OPKO Pharmaceuticals, LLC $137
$137 46 —
Kerendia
  • Bayer HealthCare Pharmaceuticals Inc. $88
$88 66 —

A dash means Medicare published no figure for this doctor and product — fewer than 11 claims, or the product is not covered under that part — which is not the same as none. Payments are general payments only; one that names several products is split evenly between them, so an amount is payments related to the product, not money paid for it.

See all 10 in the dashboard with a free account

Records

353 reported

Every payment, record by record

Date, company, amount, what it was for and the product named — filter by year, kind and company, or download as CSV.

Other Nephrology in Florida

Related records

What this means

U.S. law requires drug and medical device manufacturers to report payments and transfers of value they make to physicians and teaching hospitals. The Centers for Medicare & Medicaid Services publishes that record each year. This page shows what was reported about this person, and nothing else.

An ownership interest is different from the other two. It is not a payment: it is a stake — shares, options, a partnership holding — that a physician or an immediate family member held in a manufacturer during that year. The figure shown is what the stake was reported to be worth.

Research payments frequently pass through a clinician to the institution running a trial, and rarely represent personal income. They should be read differently from general payments.

Provenance

Source: CMS Open Payments · through program year 2025

Data current to program year 2025, from CMS's 2026 publication.

We reproduce what manufacturers reported. We do not verify, edit or correct the underlying records.

A payment record is not evidence of wrongdoing. Financial relationships between industry and medicine are legal, common and often necessary for research. Who Paid My Doc reports what was disclosed; it does not judge it.

Who Paid My Doc is independent and is not affiliated with, endorsed by or sponsored by CMS or any U.S. government agency. It is not a consumer reporting agency and this is not a consumer report; do not use it for decisions covered by the Fair Credit Reporting Act.

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