RxDoctor Payments Data

Bryan Gieszl, MD

Internal Medicine · Aspen, CONPI 1881644649

Payments from drug & device makers

$620in general payments, 2019–2025

Across 28 payments — averaging $22.15 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Pfizer$257
  • AbbVie$169
  • Exact Sciences$50
  • Amgen$46
  • Lilly USA, LLC$38
  • Biohaven Pharmaceutical Holding Company Ltd.$22
  • plus $40 from 2 others

What the payments were for

  • Food & beverage$620100%

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.

How this compares

$620 in reported general payments places this provider in the 80th percentile of 1,430 internal medicine providers in Colorado.

See all internal medicine providers in Colorado

Medicare billing

Part B allowed, 2024
$162,431
Medicare patients
479
Services billed
2,169

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
EliquisApixaban28$36,888
OzempicSemaglutide33$30,558
Trelegy ElliptaFluticasone/Umeclidin/Vilanter14$10,396
JanumetSitagliptin Phos/Metformin Hcl11$6,262
MyrbetriqMirabegron14$6,210
Arnuity ElliptaFluticasone Furoate15$3,363
Atorvastatin Calcium256$1,859
SynthroidLevothyroxine Sodium32$1,727
Tamsulosin Hcl80$1,287
Estradiol18$1,212
Trazodone Hcl81$1,200
Amlodipine-OlmesartanAmlodipine Bes/Olmesartan Med11$1,189
ValacyclovirValacyclovir Hcl39$1,186
Venlafaxine Hcl ErVenlafaxine Hcl66$1,104
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen57$1,086

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
PfizerEliquis$257$36,88828 claims
AbbVieSynthroid$169$1,72732 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 1,430 internal medicine providers in Colorado.

Other internal medicine in Aspen

See the full list for Colorado

Where these figures come from

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