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David Estes, MD

Internal Medicine · Bella Vista, ARNPI 1013958008

Payments from drug & device makers

$11,169in general payments, 2019–2025

Across 744 payments — averaging $15.01 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • GSK$1K
  • AbbVie$1K
  • Amgen$1K
  • AstraZeneca$1K
  • Boehringer Ingelheim$764
  • Pfizer$709
  • plus $5K from 37 others

What the payments were for

  • Food & beverage$11,141100%
  • Education$270%

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.

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.

How this compares

$11,169 in reported general payments places this provider in the 95th percentile of 614 internal medicine providers in Arkansas.

See all internal medicine providers in Arkansas

Medicare billing

Part B allowed, 2024
$299,836
Medicare patients
690
Services billed
6,862

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
EliquisApixaban225$270,988
JardianceEmpagliflozin195$247,360
OzempicSemaglutide106$154,541
FarxigaDapagliflozin Propanediol133$132,355
Trelegy ElliptaFluticasone/Umeclidin/Vilanter100$107,293
TrulicityDulaglutide52$78,104
XareltoRivaroxaban60$71,613
MounjaroTirzepatide56$59,724
Xigduo XrDapaglifloz Propaned/Metformin39$49,626
Breztri AerosphereBudesonide/Glycopyr/Formoterol72$49,583
ProliaDenosumab27$46,713
Anoro ElliptaUmeclidinium Brm/Vilanterol Tr67$41,460
Synjardy XrEmpagliflozin/Metformin Hcl28$41,336
Repatha SureclickEvolocumab41$35,638
Breo ElliptaFluticasone/Vilanterol37$26,274

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
Boehringer IngelheimJardiance, Synjardy Xr$764$288,696223 claims
PfizerEliquis$709$270,988225 claims
AstraZenecaFarxiga, Breztri Aerosphere, Symbicort$1,108$192,581223 claims
GSKTrelegy Ellipta, Anoro Ellipta, Breo Ellipta$1,191$175,027204 claims
Novo NordiskOzempic$555$154,541106 claims
Lilly USA, LLCTrulicity, Mounjaro$417$137,828108 claims
Johnson & JohnsonXarelto$363$71,61360 claims
AmgenProlia$1,153$46,71327 claims
Astellas Pharma US IncMyrbetriq$497$19,12429 claims
MerckJanuvia$140$16,49114 claims
AbbVieSynthroid$1,161$4,20558 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 614 internal medicine providers in Arkansas.

Other internal medicine in Bella Vista

See the full list for Arkansas

Where these figures come from

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