RxDoctor Payments Data

Anil Nachnani, MD

Internal Medicine · Gallatin, TNNPI 1679558738

Payments from drug & device makers

$3,782in general payments, 2019–2025

Across 235 payments — averaging $16.10 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • AbbVie$806
  • Novo Nordisk$608
  • Pfizer$246
  • GSK$218
  • Novartis$216
  • Astellas Pharma US Inc$198
  • plus $1K from 38 others

What the payments were for

  • Food & beverage$3,65197%
  • Education$1313%

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

19
20
21
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

$3,782 in reported general payments places this provider in the 80th percentile of 2,216 internal medicine providers in Tennessee.

See all internal medicine providers in Tennessee

Medicare billing

Part B allowed, 2024
$275,874
Medicare patients
621
Services billed
17,638

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
OzempicSemaglutide446$505,155
EliquisApixaban229$262,160
Trelegy ElliptaFluticasone/Umeclidin/Vilanter198$182,792
JardianceEmpagliflozin229$179,990
TrulicityDulaglutide134$178,082
XareltoRivaroxaban148$173,644
MounjaroTirzepatide76$86,185
MyrbetriqMirabegron104$83,674
XifaxanRifaximin18$69,742
VraylarCariprazine Hcl35$53,148
LinzessLinaclotide81$49,936
Breo ElliptaFluticasone/Vilanterol69$44,279
JanuviaSitagliptin Phosphate28$37,025
TradjentaLinagliptin24$25,473
Fluticasone-SalmeterolFluticasone Propion/Salmeterol77$24,136

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
Novo NordiskOzempic, Xultophy 100-3.6$608$516,883458 claims
Lilly USA, LLCTrulicity, Mounjaro$56$264,267210 claims
PfizerEliquis$246$262,160229 claims
GSKTrelegy Ellipta, Breo Ellipta, Anoro Ellipta, Incruse Ellipta$218$257,068310 claims
Boehringer IngelheimJardiance, Tradjenta, Spiriva Respimat$29$229,113284 claims
Johnson & JohnsonXarelto$55$173,644148 claims
AbbVieVraylar, Linzess, Synthroid$806$110,533293 claims
Astellas Pharma US IncMyrbetriq$198$83,674104 claims
Salix Pharmaceuticals, A Division Of Bausch Health US, LLCXifaxan$12$69,74218 claims
MerckJanuvia$64$37,02528 claims
AstraZenecaFarxiga$48$17,69914 claims
Amneal Pharmaceuticals LLCLevothyroxine Sodium$13$13,3561,250 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 2,216 internal medicine providers in Tennessee.

Other internal medicine in Gallatin

See the full list for Tennessee

Where these figures come from

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