RxDoctor Payments Data

Amer Akhrass, MD

Internal Medicine · Pittsburgh, PANPI 1326005786

Payments from drug & device makers

$26,838in general payments, 2019–2025

Across 1,756 payments — averaging $15.28 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • GSK$3K
  • Novo Nordisk$3K
  • AstraZeneca$2K
  • AbbVie$2K
  • Lilly USA, LLC$2K
  • Pfizer$1K
  • plus $13K from 51 others

What the payments were for

  • Consulting fees$1000%
  • Food & beverage$26,47199%
  • Education$2671%

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.

CompanyPaymentsTotal
GSK206$3,367
Novo Nordisk228$3,059
AstraZeneca(2 entities)96$2,486
AbbVie(2 entities)203$2,161
Lilly USA, LLC123$1,850
Pfizer95$1,193
Takeda Pharmaceuticals U.S.A., Inc.71$1,067
Johnson & Johnson(2 entities)62$1,044
Merck64$880
Collegium Pharmaceutical, Inc.64$835
Astellas Pharma US Inc35$796
Amgen(2 entities)56$785
Boehringer Ingelheim51$763
Sanofi-aventis U.S. LLC54$740
Daiichi Sankyo Inc.40$569
Phathom Pharmaceuticals, Inc.16$496
Kowa Pharmaceuticals America, Inc.30$466
E.r. Squibb & Sons, L.L.C.33$426
Shield Therapeutics Inc26$380
Teva Pharmaceuticals USA, Inc.13$347
Exact Sciences18$313
ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.)21$289
Bayer13$221
Gilead17$191
Eisai Inc.14$188
Sumitomo Pharma America, Inc.8$163
Novartis9$159
Salix Pharmaceuticals, A Division Of Bausch Health US, LLC9$154
Harmony Biosciences LLC9$140
Arbor Pharmaceuticals, Inc.8$135
Aimmune Therapeutics, Inc.5$107
Comsort, Inc1$100
Azurity Pharmaceuticals, Inc.6$95
Biohaven Pharmaceutical Holding Company Ltd.4$69
Idorsia Pharmaceuticals US Inc4$62
Halozyme Inc3$58
Supernus Pharmaceuticals, Inc.4$56
Aytu Biopharma, Inc.4$55
Edwards Lifesciences4$47
Vertical Pharmaceuticals, LLC3$44
UCB, Inc.2$41
Antares Pharma, Inc.2$39
Valinor Pharma, LLC2$39
Pulmonx Corporation2$37
Otsuka America Pharmaceutical, Inc.2$36
Esperion Therapeutics, Inc.2$35
Inspire Medical Systems, Inc.1$35
Biohaven Pharmaceuticals, Inc.2$34
Redhill Biopharma Inc.2$32
Nestle Healthcare Nutrition Inc.2$29
Genentech USA, Inc.1$27
Hikma Pharmaceuticals USA1$21
Grifols USA, LLC1$17
Paratek Pharmaceuticals, Inc.1$16
Concordia Pharmaceuticals Inc.1$16
Sunovion Pharmaceuticals Inc.1$15
Dexcom, Inc.1$14

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

$26,838 in reported general payments places this provider in the 95th percentile of 5,705 internal medicine providers in Pennsylvania.

See all internal medicine providers in Pennsylvania

Medicare billing

Part B allowed, 2024
$33,737
Medicare patients
79
Services billed
863

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
MounjaroTirzepatide137$140,772
OzempicSemaglutide128$134,672
EliquisApixaban116$95,242
XareltoRivaroxaban100$79,643
OtezlaApremilast17$79,053
Trelegy ElliptaFluticasone/Umeclidin/Vilanter86$70,996
JardianceEmpagliflozin40$46,727
FarxigaDapagliflozin Propanediol58$43,933
CreonLipase/Protease/Amylase30$43,872
VraylarCariprazine Hcl31$41,717
Soliqua 100-33Insulin Glargine/Lixisenatide52$40,936
TradjentaLinagliptin52$36,401
RybelsusSemaglutide30$32,743
Xtampza ErOxycodone Myristate92$32,130
MyrbetriqMirabegron57$31,850

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$1,850$170,253168 claims
Novo NordiskOzempic, Rybelsus$3,059$167,415158 claims
AbbVieCreon, Vraylar, Linzess$2,161$108,203100 claims
Boehringer IngelheimJardiance, Tradjenta, Jentadueto, Spiriva Respimat$763$102,849130 claims
GSKTrelegy Ellipta, Anoro Ellipta, Breo Ellipta$3,367$99,453143 claims
PfizerEliquis$1,193$95,242116 claims
Johnson & JohnsonXarelto$1,044$79,643100 claims
AmgenOtezla$785$79,05317 claims
AstraZenecaFarxiga, Breztri Aerosphere$2,486$57,53478 claims
Collegium Pharmaceutical, Inc.Xtampza Er, Belbuca$835$44,955112 claims
Sanofi-aventis U.S. LLCSoliqua 100-33$740$40,93652 claims
Astellas Pharma US IncMyrbetriq$796$31,85057 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 95th percentile of 5,705 internal medicine providers in Pennsylvania.

Other internal medicine in Pittsburgh

See the full list for Pennsylvania

Where these figures come from

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