RxDoctor Payments Data

Alan Frischer, MD

Internal Medicine · Downey, CANPI 1982701454

Payments from drug & device makers

$21,671in general payments, 2019–2025

Across 792 payments — averaging $27.36 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Mylan Specialty L.p.$5K
  • AbbVie$3K
  • AstraZeneca$2K
  • Lilly USA, LLC$1K
  • GSK$1K
  • Pfizer$891
  • plus $8K from 54 others

What the payments were for

  • Consulting fees$1,1505%
  • Speaking & faculty fees$3,85718%
  • Travel & lodging$9504%
  • Food & beverage$15,67772%
  • Education$380%

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.

CompanyPaymentsTotal
Mylan Specialty L.p.18$5,023
AbbVie(2 entities)177$3,300
AstraZeneca91$1,616
Lilly USA, LLC68$1,294
GSK44$1,025
Pfizer46$891
Merck40$807
Paratek Pharmaceuticals, Inc.1$800
Boehringer Ingelheim28$704
Novo Nordisk29$587
Salix Pharmaceuticals, A Division Of Bausch Health US, LLC29$564
Shire North American Group Inc3$397
Novartis20$376
Amarin Pharma, Inc.17$376
Bayer17$355
Scilex Pharmaceuticals Inc.12$262
Otsuka America Pharmaceutical, Inc.9$218
Dexcom, Inc.9$210
Amgen7$187
Phathom Pharmaceuticals, Inc.6$162
Ardelyx, Inc.5$156
Biohaven Pharmaceuticals, Inc.7$142
Exact Sciences6$135
Eisai Inc.6$118
Johnson & Johnson11$117
Almatica Pharma LLC6$102
Biohaven Pharmaceutical Holding Company Ltd.4$102
Medtronic1$98
Shield Therapeutics Inc5$88
Xeris Pharmaceuticals, Inc.4$83
Sumitomo Pharma America, Inc.3$81
ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.)4$76
Ironwood Pharmaceuticals, Inc4$73
Esperion Therapeutics, Inc.3$69
Radius Health, Inc.3$60
Boston Scientific2$56
Teva Pharmaceuticals USA, Inc.3$55
Gilead3$55
Sanofi-aventis U.S. LLC3$53
Aimmune Therapeutics, Inc.2$53
Amerisourcebergen Drug Corporation1$48
Supernus Pharmaceuticals, Inc.3$47
E.r. Squibb & Sons, L.L.C.2$46
Astellas Pharma US Inc2$45
Takeda Pharmaceuticals U.S.A., Inc.2$43
Smith+Nephew2$42
Axsome Therapeutics, Inc.2$37
Idorsia Pharmaceuticals US Inc2$34
Echosens North America, Inc.1$32
Optinose US, Inc.2$29
Philips North America LLC1$28
Ascensia Diabetes Care US Inc.1$26
Aytu Biopharma, Inc.1$25
Seqirus USA Inc1$25
Abbott1$24
Myriad Genetic Laboratories, Inc.1$24
Genentech USA, Inc.1$23
Insulet Corporation1$21
Medicure Pharma Inc.1$20
Sunovion Pharmaceuticals Inc.1$19

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

$21,671 in reported general payments places this provider in the 95th percentile of 13,581 internal medicine providers in California.

See all internal medicine providers in California

Medicare billing

Part B allowed, 2024
$174,668
Medicare patients
466
Services billed
2,249

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 Propanediol165$158,021
JardianceEmpagliflozin111$126,901
EliquisApixaban64$80,753
JanuviaSitagliptin Phosphate60$80,218
OzempicSemaglutide47$72,299
TrulicityDulaglutide31$54,718
Trelegy ElliptaFluticasone/Umeclidin/Vilanter29$47,010
CreonLipase/Protease/Amylase22$44,118
MounjaroTirzepatide21$29,655
XareltoRivaroxaban16$24,698
JanumetSitagliptin Phos/Metformin Hcl16$24,582
MyrbetriqMirabegron26$24,004
Janumet XrSitagliptin Phos/Metformin Hcl18$22,944
TradjentaLinagliptin19$22,697
Levothyroxine Sodium834$10,825

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$1,616$158,021165 claims
Boehringer IngelheimJardiance, Tradjenta$704$149,598130 claims
MerckJanuvia, Janumet, Janumet Xr$807$127,74394 claims
Lilly USA, LLCTrulicity, Mounjaro$1,294$84,37352 claims
PfizerEliquis$891$80,75364 claims
Novo NordiskOzempic$587$72,29947 claims
AbbVieCreon, Synthroid$3,300$51,991127 claims
GSKTrelegy Ellipta$1,025$47,01029 claims
Johnson & JohnsonXarelto$117$24,69816 claims
Astellas Pharma US IncMyrbetriq$45$24,00426 claims
Teva Pharmaceuticals USA, Inc.Qvar Redihaler$55$4,96212 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 95th percentile of 13,581 internal medicine providers in California.

Other internal medicine in Downey

See the full list for California

Where these figures come from

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