Ananda Som, MD
Internal Medicine · Palm Harbor, FLNPI 1598739534
Payments from drug & device makers
Across 162 payments — averaging $22.72 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$787
- GSK$559
- Novo Nordisk$436
- AbbVie$391
- Boehringer Ingelheim$232
- Esperion Therapeutics, Inc.$178
- plus $1K from 17 others
What the payments were for
- Food & beverage$3,681100%
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 | 29 | $787 |
| GSK | 27 | $559 |
| Novo Nordisk | 22 | $436 |
| AbbVie(2 entities) | 21 | $391 |
| Boehringer Ingelheim | 9 | $232 |
| Esperion Therapeutics, Inc. | 4 | $178 |
| Novartis | 8 | $177 |
| Penumbra, Inc. | 1 | $142 |
| Johnson & Johnson | 7 | $115 |
| Astellas Pharma US Inc | 5 | $110 |
| Lilly USA, LLC | 7 | $108 |
| Pfizer | 5 | $80 |
| Amgen(2 entities) | 4 | $65 |
| Abiomed | 1 | $60 |
| Medtronic(2 entities) | 2 | $44 |
| Insmed, Inc. | 2 | $40 |
| Kowa Pharmaceuticals America, Inc. | 2 | $34 |
| Bayer | 1 | $24 |
| Dexcom, Inc. | 1 | $23 |
| Merck | 1 | $22 |
| Nestle Healthcare Nutrition Inc. | 1 | $21 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 1 | $18 |
| Teva Pharmaceuticals USA, Inc. | 1 | $13 |
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.
- Indigo System$142
- TRELEGY ELLIPTA$125
- RYBELSUS$125
- FARXIGA$125
- NEXLETOL$125
- NEXLIZET$125
- BREZTRI$124
- ANORO ELLIPTA$112
How this compares
$3,681 in reported general payments places this provider in the 85th percentile of 8,530 internal medicine providers in Florida.
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 |
|---|---|---|
| JardianceEmpagliflozin | 112 | $136,235 |
| OzempicSemaglutide | 69 | $81,492 |
| EliquisApixaban | 72 | $77,513 |
| FarxigaDapagliflozin Propanediol | 56 | $71,758 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 45 | $69,209 |
| MounjaroTirzepatide | 44 | $55,980 |
| XareltoRivaroxaban | 37 | $29,021 |
| Tresiba Flextouch U-200Insulin Degludec | 20 | $24,386 |
| RybelsusSemaglutide | 14 | $18,965 |
| EntrestoSacubitril/Valsartan | 12 | $16,006 |
| SymbicortBudesonide/Formoterol Fumarate | 20 | $5,909 |
| Celecoxib | 34 | $5,506 |
| Fluticasone-SalmeterolFluticasone Propion/Salmeterol | 33 | $5,125 |
| DilantinPhenytoin Sodium Extended | 32 | $3,975 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 151 | $3,816 |
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 |
|---|---|---|
| Boehringer IngelheimJardiance | $232 | $136,235112 claims |
| Novo NordiskOzempic, Rybelsus | $436 | $100,45783 claims |
| PfizerEliquis, Dilantin | $80 | $81,488104 claims |
| AstraZenecaFarxiga, Symbicort | $787 | $77,66776 claims |
| GSKTrelegy Ellipta | $559 | $69,20945 claims |
| Lilly USA, LLCMounjaro | $108 | $55,98044 claims |
| Johnson & JohnsonXarelto | $115 | $29,02137 claims |
| NovartisEntresto | $177 | $16,00612 claims |
| AbbVieSynthroid | $391 | $1,31615 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 8,530 internal medicine providers in Florida.
Other internal medicine in Palm Harbor
- Yaneicy Gonzalez RojasCoral Gables$93.5M
- Juan Carlos RondonHollywood$66.8M
- Jaynier MoyaPembroke Pines$45.4M
- Mark KutnerMiami$35.7M
- Gilberto JimenezHialeah$35.6M
- Mira BaronWest Palm Beach$29.6M
- William SanchezHialeah$28.9M
- Nelia Sanchez-CrespoHollywood$28.8M
- Kwabena AyesuOrlando$27.6M
- Michael DeverWindermere$24M
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.