RxDoctor Payments Data

Amanda Blanchard, MD

Internal Medicine · Bismarck, NDNPI 1841672235

Payments from drug & device makers

What this record shows

Almost everything reported here is food and beverage — 100.0% of the total across 199 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 29 manufacturers, the largest accounting for just 13.9% — the pattern of someone who eats at a lot of different presentations. Among internal medicine clinicians in ND with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.

$2,954in general payments, 2019–2025

Across 199 payments — averaging $14.84 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Amgen$411
  • Lilly USA, LLC$389
  • Pfizer$305
  • Novo Nordisk$299
  • AbbVie$296
  • Boehringer Ingelheim$286
  • plus $968 from 23 others

What the payments were for

  • Food & beverage$2,954100%

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

$2,954 in reported general payments places this provider in the 90th percentile of 159 internal medicine providers in North Dakota.

See all internal medicine providers in North Dakota

Medicare billing

Part B allowed, 2024
$21,190
Medicare patients
108
Services billed
398

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
MounjaroTirzepatide108$111,520
TrulicityDulaglutide64$63,640
JardianceEmpagliflozin52$62,084
OzempicSemaglutide30$40,964
EliquisApixaban43$38,496
Nurtec OdtRimegepant Sulfate12$16,663
Trelegy ElliptaFluticasone/Umeclidin/Vilanter12$12,248
Spiriva RespimatTiotropium Bromide18$10,226
Basaglar Kwikpen U-100Insulin Glargine,hum.Rec.Anlog12$4,060
Albuterol Sulfate HfaAlbuterol Sulfate47$2,635
Lantus SolostarInsulin Glargine,hum.Rec.Anlog22$2,623
SynthroidLevothyroxine Sodium25$2,308
Rosuvastatin Calcium161$2,130
Levothyroxine Sodium182$2,123
Metoprolol Succinate114$1,781

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$389$175,160172 claims
Boehringer IngelheimJardiance, Spiriva Respimat$286$72,31070 claims
PfizerEliquis, Nurtec Odt$305$55,15955 claims
Novo NordiskOzempic$299$40,96430 claims
GSKTrelegy Ellipta$31$12,24812 claims
AbbVieSynthroid$296$2,30825 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 159 internal medicine providers in North Dakota.

Other internal medicine in Bismarck

See the full list for North Dakota

Where these figures come from

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