Cristian Carbuccia
Internal Medicine · Riverdale, GANPI 1790167799
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 229 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 20 manufacturers, the largest accounting for just 19.8% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2021 at $895 and has fallen 96.2% since, to $34 in 2025.
Across 229 payments — averaging $18.02 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Kowa Pharmaceuticals America, Inc.$817
- AstraZeneca$745
- AbbVie$557
- Lilly USA, LLC$511
- Boehringer Ingelheim$273
- Novo Nordisk$191
- plus $1K from 14 others
What the payments were for
- Food & beverage$4,127100%
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 |
|---|---|---|
| Kowa Pharmaceuticals America, Inc. | 48 | $817 |
| AstraZeneca | 42 | $745 |
| AbbVie(2 entities) | 33 | $557 |
| Lilly USA, LLC | 28 | $511 |
| Boehringer Ingelheim | 13 | $273 |
| Novo Nordisk | 11 | $191 |
| Merck | 9 | $147 |
| Pfizer | 8 | $146 |
| Amgen | 6 | $133 |
| Abbott | 7 | $123 |
| Biohaven Pharmaceutical Holding Company Ltd. | 5 | $111 |
| Exact Sciences | 5 | $97 |
| Bayer | 4 | $87 |
| Hikma Pharmaceuticals USA | 3 | $67 |
| GSK | 2 | $35 |
| Eyevance Pharmaceuticals LLC | 1 | $23 |
| Arbor Pharmaceuticals, Inc. | 1 | $18 |
| Biohaven Pharmaceuticals, Inc. | 1 | $16 |
| Dexcom, Inc. | 1 | $15 |
| Reprise Biomedical, Inc. | 1 | $15 |
How this compares
$4,127 in reported general payments places this provider in the 85th percentile of 3,311 internal medicine providers in Georgia.
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 |
|---|---|---|
| MounjaroTirzepatide | 71 | $110,490 |
| JardianceEmpagliflozin | 67 | $81,179 |
| FarxigaDapagliflozin Propanediol | 44 | $62,694 |
| TrulicityDulaglutide | 16 | $28,922 |
| OzempicSemaglutide | 13 | $28,206 |
| LinzessLinaclotide | 19 | $24,191 |
| JanuviaSitagliptin Phosphate | 13 | $19,597 |
| JanumetSitagliptin Phos/Metformin Hcl | 19 | $15,709 |
| Tresiba Flextouch U-100Insulin Degludec | 17 | $11,579 |
| EliquisApixaban | 15 | $10,902 |
| SymbicortBudesonide/Formoterol Fumarate | 23 | $5,374 |
| Atorvastatin Calcium | 272 | $2,452 |
| Lantus SolostarInsulin Glargine,hum.Rec.Anlog | 17 | $1,589 |
| Gabapentin | 65 | $1,516 |
| Potassium Chloride | 19 | $1,383 |
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, LLCMounjaro, Trulicity | $511 | $139,41287 claims |
| Boehringer IngelheimJardiance | $273 | $81,17967 claims |
| AstraZenecaFarxiga, Symbicort | $745 | $68,06867 claims |
| MerckJanuvia, Janumet | $147 | $35,30732 claims |
| Novo NordiskOzempic | $191 | $28,20613 claims |
| AbbVieLinzess, Synthroid | $557 | $25,01031 claims |
| PfizerEliquis | $146 | $10,90215 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 85th percentile of 3,311 internal medicine providers in Georgia.
Other internal medicine in Riverdale
- Victor OkehRiverdale$22K
- Michael GibsonSmyrna$2.2M
- Eduard FatakhovAlpharetta$376K
- Tracey HenryAtlanta$305K
- Sharon TuckettVilla Rica$265K
- Ebon BourneMarietta$242K
- Jennifer WoehlerSavannah$207K
- Julian HutchinsGreensboro$201K
- Brian PearlmanDalton$199K
- Scott ParryAtlanta$162K
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.