Alex Palumbo
Internal Medicine · Cincinnati, OHNPI 1144753625
Payments from drug & device makers
Across 117 payments — averaging $17.72 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novo Nordisk$411
- AbbVie$349
- Lilly USA, LLC$328
- Pfizer$161
- Boehringer Ingelheim$127
- Exact Sciences$106
- plus $590 from 15 others
What the payments were for
- Food & beverage$2,073100%
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
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.
| Company | Payments | Total |
|---|---|---|
| Novo Nordisk | 27 | $411 |
| AbbVie | 17 | $349 |
| Lilly USA, LLC | 19 | $328 |
| Pfizer | 9 | $161 |
| Boehringer Ingelheim | 7 | $127 |
| Exact Sciences | 5 | $106 |
| Amgen | 4 | $71 |
| GSK | 4 | $63 |
| Merck | 3 | $61 |
| Eisai Inc. | 3 | $61 |
| Dexcom, Inc. | 3 | $54 |
| Astellas Pharma US Inc | 2 | $48 |
| AstraZeneca | 3 | $45 |
| Sanofi-aventis U.S. LLC | 2 | $42 |
| Novartis | 3 | $40 |
| Medtronic | 1 | $33 |
| Biohaven Pharmaceutical Holding Company Ltd. | 1 | $25 |
| Viatris Specialty LLC | 1 | $14 |
| Phathom Pharmaceuticals, Inc. | 1 | $13 |
| Idorsia Pharmaceuticals US Inc | 1 | $13 |
| Dynavax Technologies Corporation | 1 | $8 |
How this compares
$2,073 in reported general payments places this provider in the 80th percentile of 4,428 internal medicine providers in Ohio.
Medicare billing
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
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| JardianceEmpagliflozin | 66 | $89,395 |
| OzempicSemaglutide | 76 | $74,871 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 53 | $35,544 |
| FarxigaDapagliflozin Propanediol | 27 | $32,530 |
| EliquisApixaban | 34 | $32,115 |
| JanuviaSitagliptin Phosphate | 18 | $21,540 |
| TrulicityDulaglutide | 15 | $15,812 |
| MounjaroTirzepatide | 12 | $12,421 |
| Tresiba Flextouch U-200Insulin Degludec | 12 | $10,539 |
| ArexvyRsvpref3 Antigen/As01e/Pf | 32 | $9,302 |
| ShingrixVaricella-Zoster Ge/As01b/Pf | 36 | $7,408 |
| Breo ElliptaFluticasone/Vilanterol | 14 | $5,631 |
| Atorvastatin Calcium | 479 | $3,610 |
| Ezetimibe | 63 | $3,504 |
| Levothyroxine Sodium | 192 | $2,180 |
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.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| Boehringer IngelheimJardiance | $127 | $89,39566 claims |
| Novo NordiskOzempic | $411 | $74,87176 claims |
| GSKTrelegy Ellipta, Arexvy, Shingrix, Breo Ellipta | $63 | $57,885135 claims |
| AstraZenecaFarxiga | $45 | $32,53027 claims |
| PfizerEliquis | $161 | $32,11534 claims |
| Lilly USA, LLCTrulicity, Mounjaro | $328 | $28,23327 claims |
| MerckJanuvia | $61 | $21,54018 claims |
| AbbVieSynthroid | $349 | $69026 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 80th percentile of 4,428 internal medicine providers in Ohio.
Other internal medicine in Cincinnati
- Antoinette PragalosCincinnati$27.8M
- Charles EgerCincinnati$8.7M
- Douglas LoganCincinnati$4.7M
- Leela VrishabhendraCincinnati$3.4M
- Traci TurnerCincinnati$645K
- Vincent MartinCincinnati$398K
- Lisa LarkinCincinnati$276K
- Mark EckmanCincinnati$255K
- Kay JohnsonCincinnati$184K
- Steven FolkerthBeavercreek$9.1M
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.