Bryce Howe
Internal Medicine · Greenville, NCNPI 1275162224
Payments from drug & device makers
Across 41 payments — averaging $36.18 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Johnson & Johnson$309
- Inari Medical, Inc.$167
- Merck$162
- Scpharmaceuticals Inc.$143
- Salix Pharmaceuticals, A Division Of Bausch Health US, LLC$113
- AstraZeneca$112
- plus $477 from 10 others
What the payments were for
- Food & beverage$1,483100%
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 |
|---|---|---|
| Johnson & Johnson | 6 | $309 |
| Inari Medical, Inc. | 1 | $167 |
| Merck | 8 | $162 |
| Scpharmaceuticals Inc. | 2 | $143 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 5 | $113 |
| AstraZeneca(2 entities) | 5 | $112 |
| Biogen | 1 | $100 |
| E.r. Squibb & Sons, L.L.C. | 1 | $100 |
| Melinta Therapeutics, LLC | 4 | $76 |
| Amgen | 2 | $38 |
| Janssen Scientific Affairs, LLC | 1 | $36 |
| Boston Scientific | 1 | $33 |
| Stryker | 1 | $30 |
| Insmed, Inc. | 1 | $25 |
| Boehringer Ingelheim | 1 | $24 |
| Gilead | 1 | $16 |
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.
- XARELTO$236
- CT THROMBECTOMY SYSTEM KIT$167
- FLOWTRIEVER CATHETER, S$167
- FUROSCIX$110
How this compares
$1,483 in reported general payments places this provider in the 75th percentile of 3,302 internal medicine providers in North Carolina.
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 |
|---|---|---|
| EliquisApixaban | 17 | $11,870 |
| Amiodarone Hcl | 19 | $454 |
| Levetiracetam | 19 | $416 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 14 | $305 |
| Pantoprazole Sodium | 39 | $230 |
| Metoprolol Succinate | 18 | $171 |
| Cefdinir | 11 | $126 |
| Cephalexin | 17 | $116 |
| Atorvastatin Calcium | 27 | $115 |
| Carvedilol | 33 | $112 |
| Furosemide | 32 | $102 |
| Metoprolol Tartrate | 12 | $98 |
| Tamsulosin Hcl | 12 | $85 |
| Metronidazole | 12 | $77 |
| Oxycodone Hcl | 16 | $56 |
Paid to pharmacies, not to this prescriber.
Other internal medicine in Greenville
- Manesh PatelDurham$27.2M
- Saad UsmaniCharlotte$16.2M
- Christina KennellyCharlotte$15.4M
- John RubinoRaleigh$13M
- Adam DevoreDurham$11.8M
- Krishnakumar UdayakumarDurham$11M
- Sylvia ShoffnerCary$7.1M
- Wayne HarperRaleigh$6.7M
- Joseph MoranStatesville$6.7M
- April SalamaDurham$6.5M
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.