Carl Diener
Internal Medicine · Tucson, AZNPI 1558461152
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $2,222 of the $3,259 with a category attached, or 68.2%. 11 manufacturers reported payments, led by AstraZeneca at 52.1% of the total. Reporting peaked in 2019 at $1,577 and has fallen 92.1% since, to $125 in 2025. Among internal medicine clinicians in AZ with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 41 payments — averaging $79.48 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$2K
- Genentech USA, Inc.$294
- Boehringer Ingelheim$250
- Novo Nordisk$239
- GSK$197
- Amgen$125
- plus $455 from 5 others
Across 67 payments — averaging $11,146 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- AstraZeneca$325K
- Mylan Specialty L.p.$252K
- Teva Pharmaceuticals USA, Inc.$70K
- Sanofi$56K
- Astrazeneca UK Limited$15K
- Genentech, Inc.$9K
- plus $20K from 3 others
What the payments were for
- Travel & lodging$1,03132%
- Food & beverage$2,22268%
- Education$60%
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 | 15 | $1,699 |
| Genentech USA, Inc. | 4 | $294 |
| Boehringer Ingelheim | 2 | $250 |
| Novo Nordisk | 2 | $239 |
| GSK | 6 | $197 |
| Amgen | 1 | $125 |
| Sunovion Pharmaceuticals Inc. | 5 | $120 |
| Bayer | 1 | $119 |
| Mylan Specialty L.p. | 2 | $98 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 1 | $90 |
| Actelion Pharmaceuticals US, Inc. | 2 | $27 |
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
$3,259 in reported general payments places this provider in the 90th percentile of 2,212 internal medicine providers in Arizona.
Other internal medicine in Tucson
- Rajesh JanardhananTucson$685K
- Mona SelejTucson$440K
- Franz RischardTucson$55K
- Nebojsa SkrepnikTucson$48K
- Christine OxleyTucson$44K
- Muhammad HusnainTucson$19K
- Steven WoolTucson$19K
- Surekha BandlamuriTucson$17K
- Augusto PosadasTucson$15K
- Lisa EmmansTucson$14K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.