RxDoctor Payments Data

Carlos Giraldo Vanegas, MD

Internal Medicine · Fremont, NENPI 1194096248

Payments from drug & device makers

$693in general payments, 2019–2025

Across 38 payments — averaging $18.24 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Novo Nordisk$101
  • Viatris Specialty LLC$71
  • Lilly USA, LLC$61
  • AbbVie$58
  • Amgen$55
  • Pfizer$50
  • plus $298 from 12 others

What the payments were for

  • Food & beverage$693100%

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

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

$693 in reported general payments places this provider in the 75th percentile of 570 internal medicine providers in Nebraska.

See all internal medicine providers in Nebraska

Medicare billing

Part B allowed, 2024
$17,631
Medicare patients
98
Services billed
334

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
JardianceEmpagliflozin24$36,036
TrulicityDulaglutide28$32,906
JanumetSitagliptin Phos/Metformin Hcl21$31,140
EliquisApixaban12$14,610
Lantus SolostarInsulin Glargine,hum.Rec.Anlog16$2,522
Atorvastatin Calcium86$393
Metformin Hcl ErMetformin Hcl44$256
Gabapentin27$237
Losartan Potassium26$232
Metformin Hcl35$197
Amitriptyline Hcl15$184
Levothyroxine Sodium28$173
Lisinopril31$167
Trazodone Hcl11$143
Pioglitazone Hcl17$124

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
Boehringer IngelheimJardiance$33$36,03624 claims
Lilly USA, LLCTrulicity$61$32,90628 claims
PfizerEliquis$50$14,61012 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 75th percentile of 570 internal medicine providers in Nebraska.

Other internal medicine in Fremont

See the full list for Nebraska

Where these figures come from

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