Bertrand Roche, MD
Family Medicine · Williamsville, NYNPI 1639134174
Payments from drug & device makers
Across 229 payments — averaging $18.22 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Lilly USA, LLC$632
- Boehringer Ingelheim$423
- AbbVie$357
- Exact Sciences$306
- Novo Nordisk$305
- Pfizer$233
- plus $2K from 24 others
What the payments were for
- Food & beverage$4,158100%
- Education$150%
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
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.
| Company | Payments | Total |
|---|---|---|
| Lilly USA, LLC | 40 | $632 |
| Boehringer Ingelheim | 25 | $423 |
| AbbVie(2 entities) | 18 | $357 |
| Exact Sciences | 15 | $306 |
| Novo Nordisk | 17 | $305 |
| Pfizer | 14 | $233 |
| GSK | 13 | $201 |
| Kowa Pharmaceuticals America, Inc. | 11 | $176 |
| Amgen | 9 | $164 |
| AstraZeneca | 8 | $161 |
| Amarin Pharma, Inc. | 10 | $154 |
| Penumbra, Inc. | 1 | $148 |
| Phathom Pharmaceuticals, Inc. | 5 | $112 |
| Johnson & Johnson | 5 | $108 |
| Merck | 6 | $103 |
| Edwards Lifesciences | 4 | $93 |
| E.r. Squibb & Sons, L.L.C. | 6 | $89 |
| Bayer | 4 | $69 |
| Abbott | 3 | $56 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 2 | $48 |
| Seqirus USA Inc | 2 | $37 |
| ARS Pharmaceuticals Operations, Inc. | 2 | $37 |
| Daiichi Sankyo Inc. | 2 | $35 |
| VBI Vaccine (delaware) Inc. | 1 | $29 |
| Biohaven Pharmaceutical Holding Company Ltd. | 1 | $22 |
| Paratek Pharmaceuticals, Inc. | 1 | $18 |
| Boston Scientific | 1 | $15 |
| Grifols USA, LLC | 1 | $14 |
| Dexcom, Inc. | 1 | $13 |
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $12 |
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.
- Indigo System$148
How this compares
$4,173 in reported general payments places this provider in the 85th percentile of 4,321 family medicine providers in New York.
Medicare billing
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
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| OzempicSemaglutide | 48 | $50,934 |
| FarxigaDapagliflozin Propanediol | 35 | $28,352 |
| EliquisApixaban | 30 | $23,359 |
| JardianceEmpagliflozin | 23 | $21,126 |
| XareltoRivaroxaban | 20 | $20,074 |
| MounjaroTirzepatide | 11 | $11,103 |
| Rosuvastatin Calcium | 101 | $2,216 |
| Metoprolol Succinate | 74 | $1,823 |
| SynthroidLevothyroxine Sodium | 22 | $1,754 |
| Levothyroxine Sodium | 91 | $1,587 |
| Pantoprazole Sodium | 62 | $1,504 |
| Atorvastatin Calcium | 79 | $1,441 |
| Metformin Hcl ErMetformin Hcl | 51 | $1,339 |
| Amlodipine Besylate | 93 | $1,242 |
| Lisinopril | 67 | $922 |
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.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| Novo NordiskOzempic | $305 | $50,93448 claims |
| AstraZenecaFarxiga | $161 | $28,35235 claims |
| PfizerEliquis | $233 | $23,35930 claims |
| Boehringer IngelheimJardiance | $423 | $21,12623 claims |
| Johnson & JohnsonXarelto | $108 | $20,07420 claims |
| Lilly USA, LLCMounjaro | $632 | $11,10311 claims |
| AbbVieSynthroid | $357 | $1,75422 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 4,321 family medicine providers in New York.
Other family medicine in Williamsville
- Matthew DavisRochester$76.6M
- Frank EderBinghamton$46.2M
- Suchet PatelEndwell$23.3M
- James WildGowanda$2.2M
- Michael FedericoEndwell$1.4M
- Donald BrautigamWestfield$1.3M
- Kimberly DesantisEndwell$1.1M
- Michael TugetmanHartsdale$1M
- Richard RuhOrchard Park$769K
- Eric LorraineEndwell$740K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.