RxDoctor Payments Data

Bruce Hall, MD

Internal Medicine · Visalia, CANPI 1720085251

Payments from drug & device makers

What this record shows

Almost everything reported here is food and beverage — 100.0% of the total across 5 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 5 manufacturers reported payments, led by Edwards Lifesciences at 54.4% of the total.

$219in general payments, 2019–2025

Across 5 payments — averaging $43.79 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Edwards Lifesciences$119
  • Novartis$37
  • Smith+Nephew$30
  • AstraZeneca$18
  • GSK$15

What the payments were for

  • Food & beverage$219100%

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
24

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
Edwards Lifesciences1$119
Novartis1$37
Smith+Nephew1$30
AstraZeneca1$18
GSK1$15

How this compares

$219 in reported general payments places this provider in the 55th percentile of 13,581 internal medicine providers in California.

See all internal medicine providers in California

Medicare billing

Part B allowed, 2024
$174,439
Medicare patients
330
Services billed
4,730

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
EliquisApixaban116$91,187
JardianceEmpagliflozin46$53,662
MounjaroTirzepatide39$38,036
OzempicSemaglutide34$36,613
JanuviaSitagliptin Phosphate13$19,994
Lantus SolostarInsulin Glargine,hum.Rec.Anlog30$4,738
Fluticasone-SalmeterolFluticasone Propion/Salmeterol16$2,827
Wixela InhubFluticasone Propion/Salmeterol36$2,774
Atorvastatin Calcium279$2,552
Nano 2nd Gen Pen NeedlePen Needle, Diabetic20$2,406
Losartan Potassium241$2,305
Levothyroxine Sodium227$1,812
Metoprolol Succinate130$1,749
SynthroidLevothyroxine Sodium24$1,704
Estradiol17$1,601

Paid to pharmacies, not to this prescriber.

Other internal medicine in Visalia

See the full list for California

Where these figures come from

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