Alif Sarah, MD
Internal Medicine · Tucson, AZNPI 1992866651
Payments from drug & device makers
Across 374 payments — averaging $16.85 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$1K
- Bayer$891
- Johnson & Johnson$655
- AbbVie$481
- Pfizer$458
- Novartis$321
- plus $2K from 29 others
What the payments were for
- Food & beverage$6,282100%
- Education$210%
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 |
|---|---|---|
| AstraZeneca | 48 | $1,415 |
| Bayer | 56 | $891 |
| Johnson & Johnson | 48 | $655 |
| AbbVie | 29 | $481 |
| Pfizer | 32 | $458 |
| Novartis | 24 | $321 |
| Sunovion Pharmaceuticals Inc. | 24 | $297 |
| Novo Nordisk | 20 | $216 |
| Teva Pharmaceuticals USA, Inc. | 11 | $196 |
| Amgen | 11 | $175 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 11 | $171 |
| Boehringer Ingelheim | 9 | $126 |
| Sumitomo Pharma America, Inc. | 9 | $123 |
| Boston Scientific | 1 | $111 |
| GSK | 6 | $89 |
| Otsuka America Pharmaceutical, Inc. | 3 | $60 |
| Lundbeck LLC | 3 | $57 |
| Exact Sciences | 3 | $52 |
| Amarin Pharma, Inc. | 4 | $50 |
| Lilly USA, LLC | 3 | $43 |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 2 | $36 |
| Abbott | 2 | $36 |
| Collegium Pharmaceutical, Inc. | 2 | $32 |
| Aimmune Therapeutics, Inc. | 2 | $27 |
| Corcept Therapeutics | 1 | $24 |
| Eisai Inc. | 1 | $22 |
| Shire North American Group Inc | 1 | $19 |
| E.r. Squibb & Sons, L.L.C. | 1 | $17 |
| Paratek Pharmaceuticals, Inc. | 1 | $17 |
| UCB, Inc. | 1 | $16 |
| Astellas Pharma US Inc | 1 | $15 |
| Alkermes, Inc. | 1 | $14 |
| Xeris Pharmaceuticals, Inc. | 1 | $14 |
| Biohaven Pharmaceutical Holding Company Ltd. | 1 | $12 |
| Almatica Pharma LLC | 1 | $12 |
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
$6,303 in reported general payments places this provider in the 90th percentile of 2,212 internal medicine providers in Arizona.
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 |
|---|---|---|
| EliquisApixaban | 225 | $136,824 |
| Humira(Cf) PenAdalimumab | 17 | $136,603 |
| MounjaroTirzepatide | 96 | $94,705 |
| OzempicSemaglutide | 72 | $91,298 |
| FarxigaDapagliflozin Propanediol | 111 | $82,579 |
| TrulicityDulaglutide | 62 | $63,134 |
| XareltoRivaroxaban | 117 | $61,583 |
| JardianceEmpagliflozin | 78 | $45,754 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 46 | $32,696 |
| RybelsusSemaglutide | 16 | $24,353 |
| Repatha SureclickEvolocumab | 21 | $15,944 |
| GemtesaVibegron | 15 | $15,505 |
| Breztri AerosphereBudesonide/Glycopyr/Formoterol | 12 | $13,028 |
| Anoro ElliptaUmeclidinium Brm/Vilanterol Tr | 34 | $12,617 |
| EntrestoSacubitril/Valsartan | 35 | $11,724 |
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 |
|---|---|---|
| Lilly USA, LLCMounjaro, Trulicity | $43 | $157,839158 claims |
| PfizerEliquis | $458 | $136,824225 claims |
| Novo NordiskOzempic, Rybelsus | $216 | $115,65188 claims |
| AstraZenecaFarxiga, Breztri Aerosphere | $1,415 | $95,608123 claims |
| Johnson & JohnsonXarelto | $655 | $61,583117 claims |
| Boehringer IngelheimJardiance, Stiolto Respimat | $126 | $52,78690 claims |
| GSKTrelegy Ellipta, Anoro Ellipta, Breo Ellipta | $89 | $51,55595 claims |
| Sumitomo Pharma America, Inc.Gemtesa | $123 | $15,50515 claims |
| NovartisEntresto | $321 | $11,72435 claims |
| Astellas Pharma US IncMyrbetriq | $15 | $9,76639 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 90th percentile of 2,212 internal medicine providers in Arizona.
Other internal medicine in Tucson
- Robert MutterperlTucson$5.3M
- Nebojsa SkrepnikTucson$4.7M
- Franz RischardTucson$3.7M
- Girish KaramchandaniTucson$2.9M
- Siddharth SinghalTucson$1.3M
- Rajesh JanardhananTucson$983K
- Carl DienerTucson$750K
- Roxana RodriguezTucson$547K
- Mona SelejTucson$440K
- Muhammad HusnainTucson$359K
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.