Amer Arshad, MD
Internal Medicine · Defiance, OHNPI 1710970652
Payments from drug & device makers
Across 222 payments — averaging $14.53 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novo Nordisk$688
- Dexcom, Inc.$382
- AstraZeneca$323
- Pfizer$210
- AbbVie$196
- Novartis$137
- plus $1K from 29 others
What the payments were for
- Speaking & faculty fees$140%
- Food & beverage$3,19399%
- Education$181%
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 |
|---|---|---|
| Novo Nordisk | 55 | $688 |
| Dexcom, Inc. | 26 | $382 |
| AstraZeneca | 21 | $323 |
| Pfizer | 24 | $210 |
| AbbVie(2 entities) | 11 | $196 |
| Novartis | 8 | $137 |
| Lilly USA, LLC | 9 | $132 |
| GSK | 8 | $130 |
| Sanofi-aventis U.S. LLC | 10 | $130 |
| Stimwave Technologies Incorporated | 1 | $126 |
| Amgen | 6 | $102 |
| Boehringer Ingelheim | 5 | $74 |
| Phathom Pharmaceuticals, Inc. | 4 | $62 |
| Kowa Pharmaceuticals America, Inc. | 4 | $61 |
| Amarin Pharma, Inc. | 3 | $39 |
| Radius Health, Inc. | 2 | $38 |
| Teva Pharmaceuticals USA, Inc. | 3 | $37 |
| Johnson & Johnson | 3 | $35 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 2 | $33 |
| Abbott | 2 | $28 |
| Bayer | 1 | $25 |
| Eisai Inc. | 1 | $25 |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 1 | $21 |
| Vertex | 1 | $21 |
| Merck | 1 | $20 |
| Sun Pharmaceutical Industries Inc. | 1 | $18 |
| Astellas Pharma US Inc | 1 | $18 |
| Currax Pharmaceuticals LLC | 1 | $17 |
| Viatris Specialty LLC | 1 | $17 |
| E.r. Squibb & Sons, L.L.C. | 1 | $15 |
| Mannkind Corporation | 1 | $15 |
| Acorda Therapeutics, Inc | 1 | $14 |
| Strongbridge US Inc. | 1 | $12 |
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $12 |
| Mylan Specialty L.p. | 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
$3,225 in reported general payments places this provider in the 85th percentile of 4,428 internal medicine providers in Ohio.
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 | 224 | $249,077 |
| OzempicSemaglutide | 188 | $227,072 |
| JardianceEmpagliflozin | 149 | $174,712 |
| MounjaroTirzepatide | 130 | $156,307 |
| EliquisApixaban | 147 | $155,224 |
| XifaxanRifaximin | 11 | $61,461 |
| TrulicityDulaglutide | 46 | $52,124 |
| Lantus SolostarInsulin Glargine,hum.Rec.Anlog | 115 | $41,708 |
| XareltoRivaroxaban | 52 | $38,036 |
| Basaglar Kwikpen U-100Insulin Glargine,hum.Rec.Anlog | 32 | $29,480 |
| Tresiba Flextouch U-200Insulin Degludec | 11 | $28,093 |
| Toujeo SolostarInsulin Glargine,hum.Rec.Anlog | 21 | $26,120 |
| Breo ElliptaFluticasone/Vilanterol | 38 | $25,048 |
| FarxigaDapagliflozin Propanediol | 21 | $22,023 |
| EntrestoSacubitril/Valsartan | 13 | $21,471 |
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 |
|---|---|---|
| MerckJanuvia | $20 | $249,077224 claims |
| Novo NordiskOzempic | $688 | $227,072188 claims |
| Lilly USA, LLCMounjaro, Trulicity | $132 | $208,431176 claims |
| Boehringer IngelheimJardiance | $74 | $174,712149 claims |
| PfizerEliquis, Paxlovid | $210 | $159,485158 claims |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLCXifaxan | $33 | $61,46111 claims |
| GSKBreo Ellipta, Trelegy Ellipta | $130 | $43,27554 claims |
| Johnson & JohnsonXarelto | $35 | $38,03652 claims |
| AstraZenecaFarxiga, Breztri Aerosphere | $323 | $34,65133 claims |
| NovartisEntresto | $137 | $21,47113 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 85th percentile of 4,428 internal medicine providers in Ohio.
Other internal medicine in Defiance
- Antoinette PragalosCincinnati$27.8M
- Steven FolkerthBeavercreek$9.1M
- Charles EgerCincinnati$8.7M
- Vadim KoshkinCleveland$6.1M
- Nizar DaboulMaumee$4.7M
- Douglas LoganCincinnati$4.7M
- Seref BornovaliLoveland$4.4M
- Yevgeniy BukhmanCanton$3.7M
- Leela VrishabhendraCincinnati$3.4M
- Narinder SainiSpringfield$3.2M
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.