RxDoctor Payments Data

Antonio Ramos, MD

Internal Medicine · Knoxville, TNNPI 1104867001

Payments from drug & device makers

$20,456in general payments, 2019–2025

Across 1,543 payments — averaging $13.26 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • AbbVie$3K
  • Pfizer$2K
  • GSK$2K
  • Lilly USA, LLC$2K
  • Novo Nordisk$1K
  • Amgen$1K
  • plus $9K from 54 others

What the payments were for

  • Food & beverage$20,417100%
  • Education$390%

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.

CompanyPaymentsTotal
AbbVie(2 entities)274$3,177
Pfizer190$1,968
GSK114$1,669
Lilly USA, LLC115$1,513
Novo Nordisk121$1,311
Amgen(2 entities)99$1,306
AstraZeneca52$1,155
Otsuka America Pharmaceutical, Inc.54$787
Boehringer Ingelheim76$766
E.r. Squibb & Sons, L.L.C.42$687
Novartis47$670
Amarin Pharma, Inc.36$497
Salix Pharmaceuticals, A Division Of Bausch Health US, LLC34$467
Merck38$432
Esperion Therapeutics, Inc.20$308
Takeda Pharmaceuticals U.S.A., Inc.23$297
Bayer18$293
Biohaven Pharmaceuticals, Inc.17$267
Sanofi-aventis U.S. LLC17$259
Medicure Pharma Inc.1$234
Biohaven Pharmaceutical Holding Company Ltd.15$210
Kowa Pharmaceuticals America, Inc.18$209
Medtronic(2 entities)9$150
Arbor Pharmaceuticals, Inc.8$121
Antares Pharma, Inc.8$113
Heartflow, Inc.3$99
Supernus Pharmaceuticals, Inc.7$98
Johnson & Johnson6$87
Abbott4$72
Insmed, Inc.4$70
Xeris Pharmaceuticals, Inc.4$69
Exact Sciences4$67
Sumitomo Pharma America, Inc.6$66
Genentech USA, Inc.3$58
Eisai Inc.4$52
Teva Pharmaceuticals USA, Inc.4$50
Edwards Lifesciences2$49
Axsome Therapeutics, Inc.3$48
Paratek Pharmaceuticals, Inc.3$46
Lundbeck LLC2$45
Phathom Pharmaceuticals, Inc.3$45
Optinose US, Inc.2$41
Astellas Pharma US Inc2$40
Amneal Pharmaceuticals LLC2$37
Jazz Pharmaceuticals Inc.2$36
Lifescan, Inc.2$35
G Medical Diagnostic Services, Inc.2$31
Nestle Healthcare Nutrition Inc.2$30
Daiichi Sankyo Inc.1$28
Clarus Therapeutics Inc.4$28
IBSA Pharma Inc.2$27
Gilead2$27
ARS Pharmaceuticals Operations, Inc.1$26
Duchesnay USA Incorporated1$25
Dexcom, Inc.1$23
Ascensia Diabetes Care US Inc.1$20
Philips North America LLC1$19
Dermira, Inc.1$19
Radius Health, Inc.1$16
Halozyme Inc1$15

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

$20,456 in reported general payments places this provider in the 95th percentile of 2,216 internal medicine providers in Tennessee.

See all internal medicine providers in Tennessee

Medicare billing

Part B allowed, 2024
$230,232
Medicare patients
511
Services billed
11,688

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
EliquisApixaban144$169,216
OzempicSemaglutide92$138,588
JardianceEmpagliflozin103$122,741
FarxigaDapagliflozin Propanediol96$121,688
Trelegy ElliptaFluticasone/Umeclidin/Vilanter98$101,709
MounjaroTirzepatide87$98,412
TrulicityDulaglutide73$87,965
Tresiba Flextouch U-100Insulin Degludec68$37,626
Toujeo Max SolostarInsulin Glargine,hum.Rec.Anlog52$34,900
XareltoRivaroxaban21$34,284
LinzessLinaclotide29$32,404
ProliaDenosumab19$32,143
JanuviaSitagliptin Phosphate19$31,344
MyrbetriqMirabegron25$22,008
RybelsusSemaglutide11$20,452

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
Lilly USA, LLCMounjaro, Trulicity$1,513$186,377160 claims
PfizerEliquis$1,968$169,216144 claims
Novo NordiskOzempic, Rybelsus$1,311$159,040103 claims
Boehringer IngelheimJardiance, Stiolto Respimat$766$132,009115 claims
AstraZenecaFarxiga, Symbicort$1,155$129,151111 claims
GSKTrelegy Ellipta, Lamictal$1,669$105,868111 claims
AbbVieLinzess, Synthroid$3,177$38,495142 claims
MerckJanuvia, Janumet$432$35,58852 claims
Johnson & JohnsonXarelto$87$34,28421 claims
AmgenProlia$1,306$32,14319 claims
Astellas Pharma US IncMyrbetriq$40$22,00825 claims
Amneal Pharmaceuticals LLCLevothyroxine Sodium$37$6,950889 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 95th percentile of 2,216 internal medicine providers in Tennessee.

Other internal medicine in Knoxville

See the full list for Tennessee

Where these figures come from

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