Andy Fine
Internal Medicine · Littleton, CONPI 1245261965
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $607 of the $807 with a category attached, or 75.2%. It is spread thinly across 14 manufacturers, the largest accounting for just 19.4% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2023 at $306 and has fallen 94.2% since, to $18 in 2025.
Across 22 payments — averaging $36.67 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$157
- BD$155
- Skeletal Dynamics Inc$131
- Bristol Myers Squibb$78
- Boston Scientific$49
- Medtronic$45
- plus $192 from 8 others
Across 10 payments — averaging $15,592 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.
- Lucid Diagnostics Inc.$114K
- AstraZeneca$42K
What the payments were for
- Consulting fees$456%
- Speaking & faculty fees$15519%
- Food & beverage$60775%
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 |
|---|---|---|
| AbbVie | 6 | $157 |
| BD | 1 | $155 |
| Skeletal Dynamics Inc | 1 | $131 |
| Bristol Myers Squibb | 1 | $78 |
| Boston Scientific | 2 | $49 |
| Medtronic | 1 | $45 |
| Nevro Corp. | 2 | $45 |
| Gilead | 2 | $42 |
| Dexcom, Inc. | 1 | $21 |
| Viiv Healthcare Company | 1 | $19 |
| AstraZeneca | 1 | $19 |
| Exact Sciences | 1 | $18 |
| Inspire Medical Systems, Inc. | 1 | $16 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 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.
How this compares
$807 in reported general payments places this provider in the 85th percentile of 1,430 internal medicine providers in Colorado.
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 |
|---|---|---|
| OzempicSemaglutide | 96 | $105,815 |
| EliquisApixaban | 71 | $83,743 |
| JardianceEmpagliflozin | 48 | $54,460 |
| XareltoRivaroxaban | 28 | $34,655 |
| MounjaroTirzepatide | 27 | $33,048 |
| Spiriva HandihalerTiotropium Bromide | 24 | $24,993 |
| TrulicityDulaglutide | 16 | $16,932 |
| FarxigaDapagliflozin Propanediol | 16 | $16,073 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 14 | $12,659 |
| TradjentaLinagliptin | 14 | $10,205 |
| Fluticasone-SalmeterolFluticasone Propion/Salmeterol | 41 | $6,884 |
| SymbicortBudesonide/Formoterol Fumarate | 21 | $5,041 |
| Doxepin Hcl | 63 | $3,784 |
| Lantus SolostarInsulin Glargine,hum.Rec.Anlog | 33 | $3,595 |
| Gabapentin | 163 | $3,123 |
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 |
|---|---|---|
| AstraZenecaFarxiga, Symbicort | $19 | $21,11437 claims |
| AbbVieSynthroid | $157 | $2,08528 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 1,430 internal medicine providers in Colorado.
Other internal medicine in Littleton
- Sophia AmbrusoLittleton$62K
- Celinde StrohlLittleton$14K
- David ConwayLittleton$12K
- Pierre MalekLittleton$9K
- George FrankLittleton$9K
- Roger BowlesLittleton$6K
- Gilad GordonBoulder$476K
- Kathryn PolovitzParker$403K
- Monica GrafalsAvon$401K
- Luke WebbColorado Springs$287K
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.