RxDoctor Payments Data

Ann Costello, MD

Internal Medicine · Ithaca, NYNPI 1235125626

Payments from drug & device makers

$235in general payments, 2019–2025

Across 14 payments — averaging $16.77 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • AbbVie$107
  • Biotronik Inc.$96
  • Exact Sciences$19
  • Pfizer$12

What the payments were for

  • Food & beverage$21993%
  • Education$157%

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

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.

CompanyPaymentsTotal
AbbVie6$107
Biotronik Inc.6$96
Exact Sciences1$19
Pfizer1$12

How this compares

$235 in reported general payments places this provider in the 50th percentile of 9,771 internal medicine providers in New York.

See all internal medicine providers in New York

Medicare billing

Part B allowed, 2024
$328,043
Medicare patients
514
Services billed
4,492

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
EliquisApixaban91$57,093
RybelsusSemaglutide21$36,784
JardianceEmpagliflozin43$33,584
OzempicSemaglutide16$21,216
MounjaroTirzepatide11$20,930
AmbienZolpidem Tartrate20$10,851
EntrestoSacubitril/Valsartan17$10,298
ArexvyRsvpref3 Antigen/As01e/Pf31$9,446
Fentanyl44$7,044
ShingrixVaricella-Zoster Ge/As01b/Pf27$5,934
Testosterone14$3,107
Fluvastatin ErFluvastatin Sodium12$2,819
Pregabalin99$2,730
Morphine Sulfate ErMorphine Sulfate12$2,329
Estradiol11$2,252

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
PfizerEliquis$12$57,09391 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 50th percentile of 9,771 internal medicine providers in New York.

Other internal medicine in Ithaca

See the full list for New York

Where these figures come from

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