RxDoctor Payments Data

Anthony Ciulla, MD

Family Medicine · Columbiana, ALNPI 1003868282

Payments from drug & device makers

$8,532in general payments, 2019–2025

Across 515 payments — averaging $16.57 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Novo Nordisk$1K
  • AstraZeneca$1K
  • AbbVie$1K
  • Johnson & Johnson$520
  • Bayer$489
  • Salix Pharmaceuticals, A Division Of Bausch Health US, LLC$424
  • plus $4K from 37 others

What the payments were for

  • Food & beverage$8,532100%

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

$8,532 in reported general payments places this provider in the 85th percentile of 1,680 family medicine providers in Alabama.

See all family medicine providers in Alabama

Medicare billing

Part B allowed, 2024
$121,211
Medicare patients
216
Services billed
2,337

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
OzempicSemaglutide146$181,648
EliquisApixaban273$114,820
Trelegy ElliptaFluticasone/Umeclidin/Vilanter138$109,320
JardianceEmpagliflozin95$77,330
FarxigaDapagliflozin Propanediol94$57,236
NuplazidPimavanserin Tartrate12$48,597
XareltoRivaroxaban83$41,604
LinzessLinaclotide34$33,619
MounjaroTirzepatide30$33,180
RybelsusSemaglutide23$33,169
TrulicityDulaglutide30$29,329
JanuviaSitagliptin Phosphate29$29,047
XifaxanRifaximin12$27,366
MyrbetriqMirabegron39$23,264
Tresiba Flextouch U-100Insulin Degludec30$21,027

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, Rybelsus$1,202$214,817169 claims
GSKTrelegy Ellipta, Breo Ellipta$406$126,864175 claims
PfizerEliquis$185$114,820273 claims
Boehringer IngelheimJardiance, Tradjenta, Combivent Respimat$269$104,124157 claims
Lilly USA, LLCMounjaro, Trulicity$374$62,50860 claims
AstraZenecaFarxiga$1,129$57,23694 claims
AbbVieLinzess, Vraylar$1,033$50,10057 claims
Acadia Pharmaceuticals IncNuplazid$16$48,59712 claims
Johnson & JohnsonXarelto$520$41,60483 claims
MerckJanuvia, Janumet$129$35,02840 claims
Salix Pharmaceuticals, A Division Of Bausch Health US, LLCXifaxan$424$27,36612 claims
Astellas Pharma US IncMyrbetriq$44$23,26439 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 1,680 family medicine providers in Alabama.

Other family medicine in Columbiana

See the full list for Alabama

Where these figures come from

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