RxDoctor Payments Data

Andrew Nathanson, DO

Internal Medicine · Troy, MINPI 1508433020

Payments from drug & device makers

$2,112in general payments, 2019–2025

Across 28 payments — averaging $75.44 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Amgen$492
  • Cequr Corporation$368
  • AstraZeneca$244
  • Novo Nordisk$232
  • Ascendis Pharma Endocrinology Inc$232
  • AbbVie$141
  • plus $404 from 10 others

What the payments were for

  • Food & beverage$2,112100%

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

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.

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

$2,112 in reported general payments places this provider in the 80th percentile of 4,567 internal medicine providers in Michigan.

See all internal medicine providers in Michigan

Medicare billing

Part B allowed, 2024
$68,895
Medicare patients
299
Services billed
1,133

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
PaxlovidNirmatrelvir/Ritonavir19$1,341
Fluticasone Propionate45$671
Albuterol Sulfate HfaAlbuterol Sulfate24$669
Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav41$281
Doxycycline Hyclate25$160
Amlodipine Besylate21$159
Nitrofurantoin Mono-MacroNitrofurantoin Monohyd/M-Cryst16$156
Famotidine19$108
Methylprednisolone11$54
Prednisone21$28
Azithromycin11$23
Meloxicam13$19

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
PfizerPaxlovid$16$1,34119 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 80th percentile of 4,567 internal medicine providers in Michigan.

Other internal medicine in Troy

See the full list for Michigan

Where these figures come from

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