Alfonso Ciarlo, MD
Internal Medicine · Wilmington, DENPI 1043372857
Payments from drug & device makers
Across 23 payments — averaging $16.58 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Johnson & Johnson$134
- Amarin Pharma, Inc.$64
- AstraZeneca$53
- Esperion Therapeutics, Inc.$30
- GSK$18
- Lilly USA, LLC$17
- plus $65 from 4 others
What the payments were for
- Food & beverage$381100%
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 |
|---|---|---|
| Johnson & Johnson | 8 | $134 |
| Amarin Pharma, Inc. | 4 | $64 |
| AstraZeneca | 3 | $53 |
| Esperion Therapeutics, Inc. | 2 | $30 |
| GSK | 1 | $18 |
| Lilly USA, LLC | 1 | $17 |
| Genentech USA, Inc. | 1 | $17 |
| Pfizer | 1 | $17 |
| Boehringer Ingelheim | 1 | $16 |
| AbbVie | 1 | $15 |
How this compares
$381 in reported general payments places this provider in the 70th percentile of 477 internal medicine providers in Delaware.
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 |
|---|---|---|
| JanuviaSitagliptin Phosphate | 12 | $16,420 |
| JanumetSitagliptin Phos/Metformin Hcl | 12 | $13,806 |
| Rosuvastatin Calcium | 87 | $2,736 |
| Omeprazole | 43 | $971 |
| Levothyroxine Sodium | 61 | $769 |
| Olmesartan Medoxomil | 30 | $765 |
| Asa-Butalb-Caffeine-CodeineCodeine/Butalbital/Asa/Caffein | 13 | $734 |
| Esomeprazole Magnesium | 12 | $714 |
| Amlodipine Besylate | 36 | $657 |
| Duloxetine Hcl | 28 | $656 |
| Olmesartan-HydrochlorothiazideOlmesartan/Hydrochlorothiazide | 17 | $501 |
| Metoprolol Succinate | 24 | $472 |
| Gabapentin | 21 | $470 |
| Losartan-HydrochlorothiazideLosartan/Hydrochlorothiazide | 22 | $458 |
| Escitalopram Oxalate | 21 | $441 |
Paid to pharmacies, not to this prescriber.
Other internal medicine in Wilmington
- Jose CastroWilmington$27K
- Marcia Gina CastroWilmington$24K
- Robert KopeckiWilmington$15K
- Franklin AmpaduWilmington$15K
- Andrew MyersWilmington$15K
- Armand DesanctisWilmington$11K
- Carol Alvarado-BarrantesWilmington$10K
- Stuart FelzerWilmington$6K
- Terry HortonWilmington$5K
- Jerry GluckmanWilmington$5K
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.