Cynthia Alexander, MD
Internal Medicine · Bellefonte, PANPI 1255302600
Payments from drug & device makers
Across 180 payments — averaging $17.26 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$539
- Novo Nordisk$469
- GSK$374
- Lilly USA, LLC$281
- Pfizer$274
- AstraZeneca$145
- plus $1K from 26 others
What the payments were for
- Food & beverage$3,107100%
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 |
|---|---|---|
| AbbVie | 24 | $539 |
| Novo Nordisk | 30 | $469 |
| GSK | 20 | $374 |
| Lilly USA, LLC | 18 | $281 |
| Pfizer | 18 | $274 |
| AstraZeneca(2 entities) | 11 | $145 |
| Johnson & Johnson | 7 | $132 |
| Abbott | 4 | $81 |
| Dexcom, Inc. | 4 | $81 |
| Amgen | 5 | $81 |
| Phathom Pharmaceuticals, Inc. | 5 | $76 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 4 | $68 |
| Urovant Sciences Inc | 3 | $62 |
| Biohaven Pharmaceuticals, Inc. | 3 | $57 |
| Boehringer Ingelheim | 3 | $44 |
| Biohaven Pharmaceutical Holding Company Ltd. | 2 | $34 |
| E.r. Squibb & Sons, L.L.C. | 2 | $34 |
| Radius Health, Inc. | 2 | $31 |
| Amarin Pharma, Inc. | 2 | $30 |
| Lundbeck LLC | 1 | $25 |
| Exact Sciences | 1 | $22 |
| Apria Healthcare LLC | 1 | $20 |
| Sumitomo Pharma America, Inc. | 1 | $19 |
| Sanofi Pasteur Inc. | 1 | $18 |
| Astellas Pharma US Inc | 1 | $17 |
| Philips North America LLC | 1 | $16 |
| Bayer | 1 | $14 |
| Medtronic | 1 | $13 |
| Strongbridge US Inc. | 1 | $13 |
| Novartis | 1 | $13 |
| Merck | 1 | $11 |
| Sanofi-aventis U.S. LLC | 1 | $11 |
How this compares
$3,107 in reported general payments places this provider in the 85th percentile of 5,705 internal medicine providers in Pennsylvania.
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 | 70 | $80,079 |
| OzempicSemaglutide | 61 | $70,179 |
| MounjaroTirzepatide | 49 | $65,291 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 35 | $29,589 |
| JardianceEmpagliflozin | 15 | $24,314 |
| TrulicityDulaglutide | 23 | $20,666 |
| Humulin R U-500 KwikpenInsulin Regular, Human | 12 | $20,342 |
| Anoro ElliptaUmeclidinium Brm/Vilanterol Tr | 32 | $14,547 |
| Breo ElliptaFluticasone/Vilanterol | 16 | $9,301 |
| Basaglar Kwikpen U-100Insulin Glargine,hum.Rec.Anlog | 13 | $8,872 |
| Repatha SureclickEvolocumab | 12 | $6,627 |
| Doxepin Hcl | 33 | $6,033 |
| Stiolto RespimatTiotropium Br/Olodaterol Hcl | 11 | $5,335 |
| Fluticasone-SalmeterolFluticasone Propion/Salmeterol | 31 | $5,048 |
| Levothyroxine Sodium | 365 | $3,997 |
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 | $281 | $85,95772 claims |
| PfizerEliquis | $274 | $80,07970 claims |
| Novo NordiskOzempic | $469 | $70,17961 claims |
| GSKTrelegy Ellipta, Anoro Ellipta, Breo Ellipta | $374 | $53,43783 claims |
| Boehringer IngelheimJardiance, Stiolto Respimat | $44 | $29,64926 claims |
| AbbVieSynthroid | $539 | $1,51744 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 5,705 internal medicine providers in Pennsylvania.
Other internal medicine in Bellefonte
- Jonathan EpsteinPhiladelphia$13.1M
- Siddharth ShethPittsburgh$11M
- Nathan PatelTannersville$9.5M
- Pitamber DevgonPhiladelphia$7.5M
- Christopher StillDanville$7.1M
- Liza VillaruzPittsburgh$6.6M
- Paul HartleyUniontown$4.9M
- Victor KoladeSayre$4.7M
- Michael OliverBeaver$4.7M
- Raman PurighallaPittsburgh$3.9M
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.