David Slay, MD
Internal Medicine · Hot Springs, ARNPI 1801898630
Payments from drug & device makers
Across 99 payments — averaging $14.82 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$402
- Otsuka America Pharmaceutical, Inc.$113
- Exact Sciences$111
- Salix Pharmaceuticals, A Division Of Bausch Health US, LLC$109
- Takeda Pharmaceuticals U.S.A., Inc.$71
- Lilly USA, LLC$69
- plus $594 from 20 others
What the payments were for
- Food & beverage$1,467100%
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(2 entities) | 32 | $402 |
| Otsuka America Pharmaceutical, Inc. | 7 | $113 |
| Exact Sciences | 7 | $111 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 7 | $109 |
| Takeda Pharmaceuticals U.S.A., Inc. | 4 | $71 |
| Lilly USA, LLC | 4 | $69 |
| Teva Pharmaceuticals USA, Inc. | 4 | $62 |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 3 | $60 |
| GSK | 3 | $53 |
| Pfizer | 3 | $44 |
| Amgen(2 entities) | 3 | $43 |
| Boehringer Ingelheim | 3 | $43 |
| Supernus Pharmaceuticals, Inc. | 2 | $33 |
| Merck | 2 | $32 |
| Ironshore Pharmaceuticals Inc. | 2 | $29 |
| Novartis | 2 | $29 |
| Boston Scientific | 2 | $27 |
| Alnylam Pharmaceuticals Inc. | 1 | $22 |
| Genentech USA, Inc. | 1 | $18 |
| Lundbeck LLC | 1 | $16 |
| Dermira, Inc. | 1 | $16 |
| Novo Nordisk | 1 | $15 |
| Biohaven Pharmaceuticals, Inc. | 1 | $15 |
| Shire North American Group Inc | 1 | $14 |
| Johnson & Johnson | 1 | $13 |
| AstraZeneca | 1 | $12 |
How this compares
$1,467 in reported general payments places this provider in the 75th percentile of 614 internal medicine providers in Arkansas.
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 |
|---|---|---|
| Enbrel SureclickEtanercept | 14 | $104,734 |
| OzempicSemaglutide | 68 | $68,995 |
| MounjaroTirzepatide | 29 | $39,819 |
| EliquisApixaban | 38 | $30,224 |
| JardianceEmpagliflozin | 20 | $22,340 |
| FarxigaDapagliflozin Propanediol | 20 | $17,920 |
| SymbicortBudesonide/Formoterol Fumarate | 76 | $17,743 |
| XareltoRivaroxaban | 30 | $16,748 |
| SynjardyEmpagliflozin/Metformin Hcl | 28 | $15,637 |
| JanuviaSitagliptin Phosphate | 11 | $15,525 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 16 | $15,235 |
| MyrbetriqMirabegron | 15 | $8,980 |
| Spiriva HandihalerTiotropium Bromide | 14 | $8,822 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 255 | $6,619 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 211 | $5,807 |
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 |
|---|---|---|
| Novo NordiskOzempic | $15 | $68,99568 claims |
| Lilly USA, LLCMounjaro | $69 | $39,81929 claims |
| Boehringer IngelheimJardiance, Synjardy | $43 | $37,97848 claims |
| AstraZenecaFarxiga, Symbicort | $12 | $35,66396 claims |
| PfizerEliquis | $44 | $30,22438 claims |
| GSKTrelegy Ellipta, Arnuity Ellipta | $53 | $19,25328 claims |
| Johnson & JohnsonXarelto | $13 | $16,74830 claims |
| MerckJanuvia | $32 | $15,52511 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 75th percentile of 614 internal medicine providers in Arkansas.
Other internal medicine in Hot Springs
- Jenny NavarroHot Springs$11K
- Seth BarnesHot Springs$9K
- James BridgesHot Springs$5K
- Priyantha WijewardaneLittle Rock$43.6M
- Joseph RoseLittle Rock$1.1M
- David JohnsonSearcy$630K
- Kathleen GannonRogers$450K
- Alexander KaczenskiLittle Rock$305K
- John HendersonSearcy$102K
- David PyleJonesboro$93K
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.