Carina Buhay, MD
Internal Medicine · San Bernardino, CANPI 1639143530
Payments from drug & device makers
Across 241 payments — averaging $36.80 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$1K
- Boehringer Ingelheim$746
- AbbVie$695
- Sanofi-aventis U.S. LLC$514
- Merck$510
- Abbott$494
- plus $5K from 30 others
What the payments were for
- Speaking & faculty fees$1221%
- Food & beverage$8,69898%
- Education$471%
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 |
|---|---|---|
| AstraZeneca | 30 | $1,342 |
| Boehringer Ingelheim | 16 | $746 |
| AbbVie(2 entities) | 23 | $695 |
| Sanofi-aventis U.S. LLC | 16 | $514 |
| Merck | 20 | $510 |
| Abbott | 5 | $494 |
| Novo Nordisk | 12 | $469 |
| Amgen(2 entities) | 8 | $444 |
| Sunovion Pharmaceuticals Inc. | 8 | $415 |
| Bayer | 10 | $400 |
| Johnson & Johnson(2 entities) | 10 | $381 |
| Phathom Pharmaceuticals, Inc. | 2 | $247 |
| Sumitomo Pharma America, Inc. | 2 | $244 |
| Pfizer | 16 | $219 |
| Amarin Pharma, Inc. | 7 | $181 |
| Novartis | 11 | $167 |
| Biohaven Pharmaceutical Holding Company Ltd. | 3 | $157 |
| Phadia US Inc. | 2 | $149 |
| Vertex | 1 | $125 |
| Axsome Therapeutics, Inc. | 1 | $122 |
| Biohaven Pharmaceuticals, Inc. | 3 | $94 |
| Otsuka America Pharmaceutical, Inc. | 1 | $91 |
| Vertiflex, Inc. | 5 | $91 |
| Lilly USA, LLC | 5 | $75 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 5 | $73 |
| Vanda Pharmaceuticals Inc. | 2 | $68 |
| Nestle Healthcare Nutrition Inc. | 1 | $66 |
| GSK | 3 | $54 |
| Teva Pharmaceuticals USA, Inc. | 3 | $47 |
| Xeris Pharmaceuticals, Inc. | 2 | $47 |
| Astellas Pharma US Inc | 2 | $33 |
| Esperion Therapeutics, Inc. | 2 | $29 |
| Aurinia Pharma U.S., Inc. | 1 | $26 |
| OPKO Pharmaceuticals, LLC | 1 | $22 |
| Lifescan, Inc. | 1 | $17 |
| Mannkind Corporation | 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.
How this compares
$8,868 in reported general payments places this provider in the 90th percentile of 13,581 internal medicine providers in California.
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 |
|---|---|---|
| JardianceEmpagliflozin | 223 | $201,774 |
| OzempicSemaglutide | 133 | $160,958 |
| EliquisApixaban | 125 | $102,838 |
| JanuviaSitagliptin Phosphate | 104 | $82,078 |
| FarxigaDapagliflozin Propanediol | 87 | $79,576 |
| Humira(Cf) PenAdalimumab | 11 | $76,538 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 96 | $67,184 |
| CreonLipase/Protease/Amylase | 15 | $54,180 |
| InvokanaCanagliflozin | 63 | $47,367 |
| Toujeo SolostarInsulin Glargine,hum.Rec.Anlog | 63 | $46,297 |
| XareltoRivaroxaban | 44 | $43,111 |
| TrulicityDulaglutide | 41 | $41,434 |
| LinzessLinaclotide | 60 | $41,200 |
| XifaxanRifaximin | 12 | $37,515 |
| RybelsusSemaglutide | 23 | $35,819 |
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 |
|---|---|---|
| Boehringer IngelheimJardiance, Stiolto Respimat, Tradjenta, Combivent Respimat | $746 | $241,777288 claims |
| Novo NordiskOzempic, Rybelsus | $469 | $196,778156 claims |
| PfizerEliquis | $219 | $102,838125 claims |
| AbbVieCreon, Linzess | $695 | $95,37975 claims |
| AstraZenecaFarxiga, Brilinta | $1,342 | $92,063115 claims |
| Johnson & JohnsonInvokana, Xarelto | $381 | $90,477107 claims |
| GSKTrelegy Ellipta, Anoro Ellipta, Breo Ellipta | $54 | $89,393147 claims |
| MerckJanuvia | $510 | $82,078104 claims |
| Lilly USA, LLCTrulicity | $75 | $41,43441 claims |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLCXifaxan | $73 | $37,51512 claims |
| NovartisEntresto | $167 | $27,81625 claims |
| Teva Pharmaceuticals USA, Inc.Qvar Redihaler | $47 | $9,01032 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 90th percentile of 13,581 internal medicine providers in California.
Other internal medicine in San Bernardino
- Andrew ChengSouth San Francisco$55.1M
- Joel NeutelTustin$34.9M
- Donald BrandonSan Diego$34M
- William TownerLos Angeles$27.4M
- Rahul AggarwalSan Francisco$24M
- Masoud AzizadNorthridge$21.1M
- Helen StaceyWalnut Creek$20.4M
- Rohit Loombala Jolla$15.1M
- Zeid KayaliColton$14.2M
- Alexandra DrakakiSanta Monica$14.2M
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.