RxDoctor Payments Data

Alexis Fulk, MD

Family Medicine · Winston Salem, NCNPI 1043586605

Payments from drug & device makers

$1,964in general payments, 2019–2025

Across 113 payments — averaging $17.38 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Novo Nordisk$329
  • Pfizer$252
  • AstraZeneca$199
  • AbbVie$187
  • Lilly USA, LLC$144
  • Astellas Pharma US Inc$116
  • plus $737 from 17 others

What the payments were for

  • Food & beverage$1,964100%

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.

How this compares

$1,964 in reported general payments places this provider in the 75th percentile of 3,444 family medicine providers in North Carolina.

See all family medicine providers in North Carolina

Medicare billing

Part B allowed, 2024
$35,941
Medicare patients
91
Services billed
708

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
OzempicSemaglutide62$99,127
FarxigaDapagliflozin Propanediol75$79,121
MounjaroTirzepatide63$74,682
EliquisApixaban46$56,661
TrulicityDulaglutide31$47,848
Trelegy ElliptaFluticasone/Umeclidin/Vilanter34$45,821
JardianceEmpagliflozin32$42,096
LinzessLinaclotide22$25,773
Spiriva RespimatTiotropium Bromide22$23,012
VraylarCariprazine Hcl15$22,276
XareltoRivaroxaban28$18,789
MyrbetriqMirabegron14$18,523
Breo ElliptaFluticasone/Vilanterol35$16,036
SymbicortBudesonide/Formoterol Fumarate25$13,722
ShingrixVaricella-Zoster Ge/As01b/Pf58$12,948

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
Lilly USA, LLCMounjaro, Trulicity$144$122,52994 claims
Novo NordiskOzempic$329$99,12762 claims
AstraZenecaFarxiga, Symbicort$199$92,843100 claims
GSKTrelegy Ellipta, Breo Ellipta, Shingrix$70$74,806127 claims
Boehringer IngelheimJardiance, Spiriva Respimat$65$65,10854 claims
PfizerEliquis$252$56,66146 claims
AbbVieLinzess, Vraylar$187$48,04937 claims
Johnson & JohnsonXarelto$116$18,78928 claims
Astellas Pharma US IncMyrbetriq$116$18,52314 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 75th percentile of 3,444 family medicine providers in North Carolina.

Other family medicine in Winston Salem

See the full list for North Carolina

Where these figures come from

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