RxDoctor Payments Data

Chester Miltenberger, MD

Internal Medicine · Lake Mary, FLNPI 1902855505

Payments from drug & device makers

$13,102in general payments, 2019–2025

Across 834 payments — averaging $15.71 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Novo Nordisk$2K
  • AstraZeneca$2K
  • AbbVie$1K
  • Salix Pharmaceuticals, A Division Of Bausch Health US, LLC$593
  • Lilly USA, LLC$563
  • Axsome Therapeutics, Inc.$477
  • plus $7K from 51 others

What the payments were for

  • Food & beverage$13,089100%
  • Education$130%

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

19
20
21
22
23
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.

CompanyPaymentsTotal
Novo Nordisk131$1,657
AstraZeneca68$1,539
AbbVie(2 entities)84$1,155
Salix Pharmaceuticals, A Division Of Bausch Health US, LLC73$593
Lilly USA, LLC38$563
Axsome Therapeutics, Inc.21$477
Pfizer31$470
Takeda Pharmaceuticals U.S.A., Inc.44$442
Amgen33$435
Sanofi-aventis U.S. LLC16$427
Kowa Pharmaceuticals America, Inc.29$390
Astellas Pharma US Inc14$370
Xeris Pharmaceuticals, Inc.22$364
Otsuka America Pharmaceutical, Inc.15$340
Jazz Pharmaceuticals Inc.14$271
Alkermes, Inc.14$257
Boehringer Ingelheim14$236
Impulse Dynamics (USA) Inc.11$228
Lundbeck LLC10$220
Idorsia Pharmaceuticals US Inc31$211
Watermark Medical, Inc.1$170
Harmony Biosciences LLC9$165
Esperion Therapeutics, Inc.7$151
Orexo US, Inc.6$148
Johnson & Johnson4$141
Braeburn Inc.6$137
Abbott6$130
Eisai Inc.6$109
GSK6$107
Corium, LLC9$87
Antares Pharma, Inc.5$84
Ironwood Pharmaceuticals, Inc5$81
Amarin Pharma, Inc.4$78
Bausch Health US, LLC3$68
Exact Sciences3$66
Zealand Pharma US, Inc.3$63
IBSA Pharma Inc.3$61
ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.)3$58
Halozyme Inc3$56
Novartis3$52
Merck3$46
Supernus Pharmaceuticals, Inc.3$43
Gilead2$39
Shire North American Group Inc2$38
Amneal Pharmaceuticals LLC2$30
Dexcom, Inc.1$28
Mylan Specialty L.p.1$28
Acerus Pharmaceuticals Corporation2$28
Arbor Pharmaceuticals, Inc.2$27
Indivior Inc.1$24
Biohaven Pharmaceutical Holding Company Ltd.1$23
Renalytix AI, Inc.1$22
Therapeuticsmd, Inc.1$18
Biohaven Pharmaceuticals, Inc.1$18
Azurity Pharmaceuticals, Inc.1$13
Teva Pharmaceuticals USA, Inc.1$13
Clarus Therapeutics Inc.1$6

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

$13,102 in reported general payments places this provider in the 90th percentile of 8,530 internal medicine providers in Florida.

See all internal medicine providers in Florida

Medicare billing

Part B allowed, 2024
$225,492
Medicare patients
330
Services billed
3,399

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
OzempicSemaglutide124$149,372
Buprenorphine-NaloxoneBuprenorphine Hcl/Naloxone Hcl487$78,371
EliquisApixaban75$69,086
ZubsolvBuprenorphine Hcl/Naloxone Hcl64$41,662
FarxigaDapagliflozin Propanediol43$39,511
LinzessLinaclotide45$31,673
QuliptaAtogepant16$28,372
Trelegy ElliptaFluticasone/Umeclidin/Vilanter35$25,352
JardianceEmpagliflozin25$24,963
TrulicityDulaglutide18$17,464
NuedextaDextromethorphan Hbr/Quinidine11$16,981
Buprenorphine Hcl289$15,768
XareltoRivaroxaban18$15,616
Spiriva RespimatTiotropium Bromide21$11,129
Repatha SureclickEvolocumab16$9,680

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
Novo NordiskOzempic$1,657$149,372124 claims
PfizerEliquis$470$69,08675 claims
AbbVieLinzess, Qulipta, Synthroid$1,155$62,962103 claims
AstraZenecaFarxiga, Breztri Aerosphere, Symbicort$1,539$51,78274 claims
Orexo US, Inc.Zubsolv$148$41,66264 claims
Boehringer IngelheimJardiance, Spiriva Respimat$236$36,09246 claims
GSKTrelegy Ellipta, Anoro Ellipta$107$33,14448 claims
Lilly USA, LLCTrulicity$563$17,46418 claims
Johnson & JohnsonXarelto$141$15,61618 claims
Takeda Pharmaceuticals U.S.A., Inc.Trintellix$442$8,89012 claims
Indivior Inc.Suboxone$24$7,39914 claims
Kowa Pharmaceuticals America, Inc.Livalo$390$6,38613 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 8,530 internal medicine providers in Florida.

Other internal medicine in Lake Mary

See the full list for Florida

Where these figures come from

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