Carolyn Fleming Fruci, MD
Critical Care Medicine · Williamsburg, VANPI 1952341653
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 145 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 29 manufacturers reported payments, led by AstraZeneca at 25.7% of the total. Reporting peaked in 2019 at $1,272 and has fallen 96.1% since, to $50 in 2025.
Across 145 payments — averaging $22.70 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$845
- GSK$419
- Intuitive Surgical$293
- Novartis$196
- Johnson & Johnson$186
- Boehringer Ingelheim$151
- plus $1K from 23 others
Across 5 payments — averaging $1285.59 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$6K
What the payments were for
- Food & beverage$3,291100%
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(2 entities) | 20 | $845 |
| GSK | 29 | $419 |
| Intuitive Surgical | 1 | $293 |
| Novartis | 12 | $196 |
| Johnson & Johnson | 9 | $186 |
| Boehringer Ingelheim | 8 | $151 |
| Covidien LP | 2 | $141 |
| Actelion Pharmaceuticals US, Inc. | 12 | $140 |
| Amgen | 1 | $121 |
| Mylan Specialty L.p. | 6 | $106 |
| Grifols USA, LLC | 6 | $100 |
| Pfizer | 5 | $90 |
| Sunovion Pharmaceuticals Inc. | 11 | $67 |
| Philips North America LLC | 3 | $52 |
| Kerecis Limited | 1 | $50 |
| Insmed, Inc. | 3 | $47 |
| Covis Pharma GmbH | 2 | $43 |
| E.r. Squibb & Sons, L.L.C. | 2 | $39 |
| Sanofi | 2 | $32 |
| Astellas Pharma US Inc | 1 | $25 |
| AbbVie | 1 | $23 |
| Boston Scientific | 1 | $19 |
| Sanofi Pasteur Inc. | 1 | $17 |
| Circassia Inc. | 1 | $16 |
| Advanced Respiratory, Inc | 1 | $16 |
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $16 |
| Genentech USA, Inc. | 1 | $14 |
| Shire North American Group Inc | 1 | $14 |
| Electromed, Inc. | 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.
- TEZSPIRE$364
- Da Vinci Surgical System$293
- FASENRA$250
- superDimension$108
How this compares
$3,291 in reported general payments places this provider in the 80th percentile of 174 critical care medicine providers in Virginia.
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 |
|---|---|---|
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 17 | $10,816 |
| Anoro ElliptaUmeclidinium Brm/Vilanterol Tr | 13 | $8,596 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 38 | $1,000 |
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 |
|---|---|---|
| GSKTrelegy Ellipta, Anoro Ellipta | $419 | $19,41230 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 174 critical care medicine providers in Virginia.
Other critical care medicine in Williamsburg
- Nanda DinWilliamsburg$1K
- Oksana ShlobinFalls Church$375K
- Matthew WilliamsAnnandale$235K
- Sami Abdul JawadFalls Church$193K
- Rajiv MalhotraRichmond$187K
- Thomas BouderWinchester$163K
- Christopher KingFalls Church$131K
- Rohit GoyalFredericksburg$95K
- Robert ThieleCharlottesville$52K
- Jeff HalesArlington$37K
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.