RxDoctor Payments Data

Darrell Plumage, MD

Internal Medicine · Pierre, SDNPI 1013938844

Payments from drug & device makers

What this record shows

Almost everything reported here is food and beverage — 98.7% of the total across 409 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 28 manufacturers, the largest accounting for just 12.6% — the pattern of someone who eats at a lot of different presentations. Among internal medicine clinicians in SD with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.

$5,779in general payments, 2019–2025

Across 409 payments — averaging $14.13 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Lilly USA, LLC$730
  • Pfizer$680
  • Amgen$667
  • Novo Nordisk$592
  • E.r. Squibb & Sons, L.L.C.$501
  • GSK$374
  • plus $2K from 22 others

What the payments were for

  • Consulting fees$601%
  • Food & beverage$5,70599%
  • Education$140%

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.

How this compares

$5,779 in reported general payments places this provider in the 95th percentile of 178 internal medicine providers in South Dakota.

See all internal medicine providers in South Dakota

Medicare billing

Part B allowed, 2024
$197,502
Medicare patients
653
Services billed
2,722

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
EliquisApixaban298$207,721
OzempicSemaglutide147$143,237
IngrezzaValbenazine Tosylate18$96,838
JardianceEmpagliflozin143$82,393
MounjaroTirzepatide51$65,170
NuplazidPimavanserin Tartrate26$64,974
XareltoRivaroxaban89$57,026
MyrbetriqMirabegron98$41,981
Trelegy ElliptaFluticasone/Umeclidin/Vilanter54$39,511
Basaglar Kwikpen U-100Insulin Glargine,hum.Rec.Anlog82$27,659
Invega SustennaPaliperidone Palmitate15$27,439
FarxigaDapagliflozin Propanediol50$24,762
Synjardy XrEmpagliflozin/Metformin Hcl30$17,247
Toujeo Max SolostarInsulin Glargine,hum.Rec.Anlog14$14,642
Fiasp FlextouchInsulin Aspart (Niacinamide)18$13,584

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
PfizerEliquis, Abrysvo$680$215,790324 claims
Novo NordiskOzempic$592$143,237147 claims
Boehringer IngelheimJardiance, Synjardy Xr$303$99,640173 claims
Johnson & JohnsonXarelto, Invega Sustenna$342$84,465104 claims
Lilly USA, LLCMounjaro$730$65,17051 claims
GSKTrelegy Ellipta, Anoro Ellipta, Incruse Ellipta$374$55,18391 claims
Astellas Pharma US IncMyrbetriq$286$41,98198 claims
AstraZenecaFarxiga$95$24,76250 claims
AbbVieCreon$63$11,02620 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 95th percentile of 178 internal medicine providers in South Dakota.

Other internal medicine in Pierre

See the full list for South Dakota

Where these figures come from

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