Cletus Iwuagwu, MD
Geriatric Medicine · Toledo, OHNPI 1972598530
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $283 of the $355 with a category attached, or 79.8%. 7 manufacturers reported payments, led by Teva Pharmaceuticals USA, Inc. at 57.1% of the total. Reporting peaked in 2019 at $229 and has fallen 81.7% since, to $42 in 2025.
Across 11 payments — averaging $32.24 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Teva Pharmaceuticals USA, Inc.$203
- Otsuka America Pharmaceutical, Inc.$65
- Lundbeck LLC$23
- Neurocrine Biosciences, Inc.$21
- Sunovion Pharmaceuticals Inc.$16
- Dynavax Technologies Corporation$16
- plus $11 from 1 others
Across 1 payment — averaging $23.35 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.
- Merck$23
What the payments were for
- Food & beverage$28380%
- Education$7120%
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 |
|---|---|---|
| Teva Pharmaceuticals USA, Inc. | 3 | $203 |
| Otsuka America Pharmaceutical, Inc. | 3 | $65 |
| Lundbeck LLC | 1 | $23 |
| Neurocrine Biosciences, Inc. | 1 | $21 |
| Sunovion Pharmaceuticals Inc. | 1 | $16 |
| Dynavax Technologies Corporation | 1 | $16 |
| Lilly USA, LLC | 1 | $11 |
How this compares
$355 in reported general payments places this provider in the 65th percentile of 146 geriatric medicine providers in Ohio.
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 |
|---|---|---|
| EliquisApixaban | 742 | $267,236 |
| JardianceEmpagliflozin | 107 | $41,678 |
| XareltoRivaroxaban | 130 | $41,130 |
| JanuviaSitagliptin Phosphate | 61 | $26,937 |
| RytaryCarbidopa/Levodopa | 31 | $23,341 |
| GlatopaGlatiramer Acetate | 13 | $23,096 |
| MyrbetriqMirabegron | 60 | $22,654 |
| Atorvastatin Calcium | 1,214 | $21,453 |
| TrulicityDulaglutide | 21 | $16,746 |
| Breo ElliptaFluticasone/Vilanterol | 38 | $15,802 |
| Rivastigmine | 77 | $15,649 |
| Potassium Chloride | 527 | $15,071 |
| NamzaricMemantine Hcl/Donepezil Hcl | 27 | $14,939 |
| EntrestoSacubitril/Valsartan | 25 | $12,935 |
| OzempicSemaglutide | 12 | $12,309 |
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 |
|---|---|---|
| Lilly USA, LLCTrulicity | $11 | $16,74621 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 65th percentile of 146 geriatric medicine providers in Ohio.
Other geriatric medicine in Toledo
- Ammar KayyaliToledo$1K
- Anu GargToledo$368
- Meenakshi PatelCenterville$644K
- Daniel CannoneWadsworth$423K
- Babak TousiCleveland$215K
- Brinder VijWest Chester$92K
- Sean CannoneCopley$74K
- Tai-Chi KwokWooster$26K
- James FidelholtzCincinnati$15K
- Rodney IsonCanal Fulton$10K
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.