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Product Revenue and Reserves for Variable Consideration
9 Months Ended
Sep. 30, 2022
Revenue from Contract with Customer [Abstract]  
Product Revenue and Reserves for Variable Consideration Product Revenue and Reserves for Variable Consideration
To date, the Company’s only source of product revenue has been from the U.S. sales of Auryxia. Total net product revenue was $42.2 million and $36.8 million for the three months ended September 30, 2022 and 2021, respectively, and $127.4 million and $100.1 million for the nine months ended September 30, 2022 and 2021, respectively. The following table summarizes activity in each of the product revenue allowance and reserve categories for the nine months ended September 30, 2022 and 2021 (in thousands):
 
 Chargebacks
and Discounts
Rebates, Fees
and other
Deductions
ReturnsTotal
Balance at December 31, 2021$1,278 $26,625 $475 $28,378 
Current provisions related to sales in current year8,592 64,322 3,692 76,606 
Adjustments related to prior year sales(248)33 — (215)
Credits/payments made(8,194)(65,611)(3,669)(77,474)
Balance at September 30, 2022$1,428 $25,369 $498 $27,295 
Balance at December 31, 2020$802 $39,912 $649 $41,363 
Current provisions related to sales in current year8,911 105,432 4,866 119,209 
Adjustments related to prior year sales(1)(1,590)— (1,591)
Credits/payments made(8,593)(99,518)(4,979)(113,090)
Balance at September 30, 2021$1,119 $44,236 $536 $45,891 
 
Chargebacks, discounts and returns are recorded as a direct reduction of revenue on the unaudited condensed consolidated statement of operations with a corresponding reduction to accounts receivable on the unaudited condensed consolidated balance sheets. Rebates, distribution-related fees, and other sales-related deductions are recorded as a reduction in revenue on the unaudited condensed consolidated statement of operations with a corresponding increase to accrued liabilities or accounts payable on the unaudited condensed consolidated balance sheets.

Accounts receivable, net related to product sales was approximately $24.0 million and $24.6 million as of September 30, 2022 and December 31, 2021, respectively.