RxDoctor Payments Data

Avanti Vigg, MD

Internal Medicine · Fresno, CANPI 1649417353

Payments from drug & device makers

$1,984in general payments, 2019–2025

Across 84 payments — averaging $23.62 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Musculoskeletal Transplant Foundation Inc.$591
  • Amgen$198
  • Lilly USA, LLC$161
  • AstraZeneca$161
  • Novo Nordisk$158
  • Boehringer Ingelheim$119
  • plus $596 from 20 others

What the payments were for

  • Food & beverage$1,984100%

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
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.

How this compares

$1,984 in reported general payments places this provider in the 80th percentile of 13,581 internal medicine providers in California.

See all internal medicine providers in California

Medicare billing

Part B allowed, 2024
$31,511
Medicare patients
131
Services billed
391

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
Trelegy ElliptaFluticasone/Umeclidin/Vilanter16$13,533
EliquisApixaban11$12,146
JardianceEmpagliflozin14$8,620
Albuterol Sulfate HfaAlbuterol Sulfate28$926
Atorvastatin Calcium55$750
Venlafaxine Hcl ErVenlafaxine Hcl14$339
Metformin Hcl25$335
Benazepril Hcl16$304
Omeprazole18$299
Losartan Potassium19$186
Gabapentin14$183
Pantoprazole Sodium16$151
Fluticasone Propionate11$147
Metoprolol Succinate11$143
Amlodipine Besylate28$58

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
GSKTrelegy Ellipta$44$13,53316 claims
PfizerEliquis$96$12,14611 claims
Boehringer IngelheimJardiance$119$8,62014 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 13,581 internal medicine providers in California.

Other internal medicine in Fresno

See the full list for California

Where these figures come from

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