RxDoctor Payments Data

Bahareh Ghafarizadeh, MD

Internal Medicine · Bakersfield, CANPI 1548503683

Payments from drug & device makers

$16,511in general payments, 2019–2025

Across 955 payments — averaging $17.29 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Novo Nordisk$3K
  • AbbVie$2K
  • Lilly USA, LLC$2K
  • Amgen$2K
  • Boehringer Ingelheim$1K
  • AstraZeneca$1K
  • plus $6K from 39 others

What the payments were for

  • Food & beverage$16,440100%
  • Education$710%

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

$16,511 in reported general payments places this provider in the 95th percentile of 13,581 internal medicine providers in California.

See all internal medicine providers in California

Medicare billing

Part B allowed, 2024
$202,208
Medicare patients
282
Services billed
1,913

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
MounjaroTirzepatide126$133,340
JardianceEmpagliflozin158$129,791
RybelsusSemaglutide51$66,184
OzempicSemaglutide35$46,415
LinzessLinaclotide59$35,683
JanuviaSitagliptin Phosphate32$31,798
TrulicityDulaglutide23$28,598
VascepaIcosapent Ethyl71$26,806
RexultiBrexpiprazole12$20,316
Repatha SyringeEvolocumab23$17,765
KerendiaFinerenone14$13,451
FarxigaDapagliflozin Propanediol17$12,229
Breo ElliptaFluticasone/Vilanterol27$10,472
MyrbetriqMirabegron15$7,914
Trelegy ElliptaFluticasone/Umeclidin/Vilanter14$7,831

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$1,720$161,938149 claims
Boehringer IngelheimJardiance, Tradjenta$1,279$134,908170 claims
Novo NordiskRybelsus, Ozempic$3,155$112,59986 claims
MerckJanuvia, Janumet Xr$408$38,24244 claims
AbbVieLinzess, Synthroid$1,965$37,11188 claims
Otsuka America Pharmaceutical, Inc.Rexulti$191$20,31612 claims
GSKBreo Ellipta, Trelegy Ellipta$258$18,30341 claims
BayerKerendia$331$13,45114 claims
AstraZenecaFarxiga$1,011$12,22917 claims
Astellas Pharma US IncMyrbetriq$445$7,91415 claims
Takeda Pharmaceuticals U.S.A., Inc.Uloric$130$3,39311 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 13,581 internal medicine providers in California.

Other internal medicine in Bakersfield

See the full list for California

Where these figures come from

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