Daniela Cioflec, MD
Internal Medicine · Chester, VANPI 1578523239
Payments from drug & device makers
Across 29 payments — averaging $20.36 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Amgen$208
- AbbVie$72
- Pfizer$34
- Esperion Therapeutics, Inc.$33
- Kowa Pharmaceuticals America, Inc.$28
- GSK$24
- plus $191 from 12 others
What the payments were for
- Food & beverage$590100%
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 |
|---|---|---|
| Amgen | 6 | $208 |
| AbbVie | 4 | $72 |
| Pfizer | 2 | $34 |
| Esperion Therapeutics, Inc. | 2 | $33 |
| Kowa Pharmaceuticals America, Inc. | 2 | $28 |
| GSK | 1 | $24 |
| Novartis | 1 | $20 |
| Lundbeck LLC | 1 | $19 |
| Impel Pharmaceuticals Inc. | 1 | $18 |
| Lilly USA, LLC | 1 | $17 |
| Bayer | 1 | $16 |
| Novo Nordisk | 1 | $15 |
| AstraZeneca | 1 | $15 |
| Tactile Systems Technology Inc | 1 | $15 |
| Eisai Inc. | 1 | $15 |
| Teva Pharmaceuticals USA, Inc. | 1 | $14 |
| Astellas Pharma US Inc | 1 | $14 |
| Merck | 1 | $14 |
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.
- AIMOVIG$125
How this compares
$590 in reported general payments places this provider in the 70th percentile of 2,724 internal 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 |
|---|---|---|
| EliquisApixaban | 64 | $68,582 |
| JardianceEmpagliflozin | 45 | $58,888 |
| MounjaroTirzepatide | 31 | $42,255 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 43 | $33,645 |
| JanumetSitagliptin Phos/Metformin Hcl | 17 | $25,098 |
| XareltoRivaroxaban | 21 | $23,333 |
| OzempicSemaglutide | 19 | $21,611 |
| MyrbetriqMirabegron | 25 | $13,629 |
| Toujeo Max SolostarInsulin Glargine,hum.Rec.Anlog | 16 | $12,397 |
| FarxigaDapagliflozin Propanediol | 13 | $12,082 |
| JanuviaSitagliptin Phosphate | 11 | $11,964 |
| Dexlansoprazole DrDexlansoprazole | 28 | $11,025 |
| Tresiba Flextouch U-200Insulin Degludec | 12 | $9,808 |
| Janumet XrSitagliptin Phos/Metformin Hcl | 11 | $9,038 |
| Pitavastatin Calcium | 18 | $5,329 |
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 |
|---|---|---|
| PfizerEliquis | $34 | $68,58264 claims |
| MerckJanumet, Januvia, Janumet Xr | $14 | $46,10139 claims |
| Lilly USA, LLCMounjaro | $17 | $42,25531 claims |
| GSKTrelegy Ellipta | $24 | $33,64543 claims |
| Novo NordiskOzempic | $15 | $21,61119 claims |
| AstraZenecaFarxiga, Symbicort | $15 | $17,24031 claims |
| Astellas Pharma US IncMyrbetriq | $14 | $13,62925 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 70th percentile of 2,724 internal medicine providers in Virginia.
Other internal medicine in Chester
- Leroy VaughanRichmond$20.8M
- James ClarkCharlottesville$16.2M
- Nabil AndrawisBurke$8.5M
- Mary BlumbergNorfolk$6.5M
- David RamstadSuffolk$5.8M
- Andrew PoklepovicRichmond$4.6M
- Nashwa GabraBurke$4.3M
- Michael DevittCharlottesville$3.5M
- Richard JacksonRichmond$2.5M
- Sue BrownCharlottesville$2.4M
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.