RxDoctor Payments Data

Ana-Maria Orbai, MD

Internal Medicine · Baltimore, MDNPI 1255516332

Payments from drug & device makers

What this record shows

This record is dominated by consulting fees: $65,861 of the $89,051 with a category attached, or 74.0%. 9 manufacturers reported payments, led by Novartis at 30.9% of the total. Reporting peaked in 2019 at $52,675 and has fallen 97.3% since, to $1,442 in 2025. Among internal medicine clinicians in MD with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.

$89,051in general payments, 2019–2025

Across 74 payments — averaging $1203.40 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Novartis$28K
  • Janssen Scientific Affairs, LLC$15K
  • Eli Lilly$15K
  • UCB SA$11K
  • Johnson & Johnson$10K
  • Pfizer$6K
  • plus $5K from 3 others
$1,065,242in research payments, 2019–2025

Across 128 payments — averaging $8322.21 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.

  • AbbVie$378K
  • Amgen$350K
  • Janssen Research & Development, LLC$190K
  • Gilead$45K
  • Takeda Pharmaceuticals U.S.A., Inc.$45K
  • Eli Lilly$27K
  • plus $31K from 2 others

What the payments were for

  • Consulting fees$65,86174%
  • Speaking & faculty fees$6,4007%
  • Travel & lodging$15,24017%
  • Food & beverage$1,5512%

General payments by program year

19
20
21
22
23
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.

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

$89,051 in reported general payments places this provider in the 95th percentile of 2,979 internal medicine providers in Maryland.

See all internal medicine providers in Maryland

Medicare billing

Part B allowed, 2024
$29,432
Medicare patients
123
Services billed
348

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
Cosentyx Sensoready (2 Pens)Secukinumab37$441,847
Skyrizi PenRisankizumab-Rzaa17$334,752
RinvoqUpadacitinib41$256,750
Cosentyx Sensoready PenSecukinumab18$212,661
Enbrel SureclickEtanercept24$195,200
Humira PenAdalimumab16$171,398
OtezlaApremilast30$155,494
Humira(Cf) PenAdalimumab16$120,711
Enbrel MiniEtanercept11$94,899
RasuvoMethotrexate/Pf11$10,535
MethotrexateMethotrexate Sodium59$2,873
Leflunomide26$1,641
Hydroxychloroquine Sulfate13$1,296
Sulfasalazine DrSulfasalazine28$1,156
Prednisone22$200

Paid to pharmacies, not to this prescriber.

Other internal medicine in Baltimore

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Where these figures come from

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