Denise Dietz, MD
Internal Medicine · Richmond, VANPI 1821290214
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 98.3% of the total across 245 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 41 manufacturers, the largest accounting for just 13.9% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2019 at $1,555 and has fallen 79.8% since, to $314 in 2025. Among internal medicine clinicians in VA with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 245 payments — averaging $19.98 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Amgen$681
- Novartis$520
- AstraZeneca$389
- Abbott$300
- Johnson & Johnson$286
- Boehringer Ingelheim$266
- plus $2K from 35 others
Across 1 payment — averaging $2552.41 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Boehringer Ingelheim$3K
What the payments were for
- Food & beverage$4,81198%
- Education$180%
- Gifts$180%
- Entertainment$481%
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 | 30 | $681 |
| Novartis | 32 | $520 |
| AstraZeneca | 26 | $389 |
| Abbott | 9 | $300 |
| Johnson & Johnson | 18 | $286 |
| Boehringer Ingelheim | 16 | $266 |
| Pfizer | 16 | $262 |
| Kestra Medical Technology Services, Inc. | 8 | $168 |
| Amarin Pharma, Inc. | 9 | $160 |
| Akcea Therapeutics, Inc. | 2 | $154 |
| Irhythm Technologies, Inc. | 5 | $145 |
| Edwards Lifesciences | 1 | $141 |
| Actelion Pharmaceuticals US, Inc. | 8 | $135 |
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 7 | $128 |
| Regeneron Healthcare Solutions, Inc. | 7 | $109 |
| Biosense Webster, Inc. | 1 | $101 |
| E.r. Squibb & Sons, L.L.C. | 7 | $100 |
| Medtronic | 1 | $99 |
| Alnylam Pharmaceuticals Inc. | 6 | $97 |
| Philips North America LLC | 6 | $80 |
| Bayer | 4 | $76 |
| Atricure, Inc. | 3 | $71 |
| Impulse Dynamics (USA) Inc. | 2 | $64 |
| Gilead | 3 | $42 |
| Bardy Diagnostics, Inc. | 2 | $34 |
| Heartflow, Inc. | 1 | $26 |
| Boston Scientific | 1 | $24 |
| Novo Nordisk | 1 | $23 |
| Smith+Nephew | 1 | $20 |
| Medicomp Inc | 1 | $19 |
| Vifor Pharma, Inc. | 1 | $19 |
| Welch Allyn | 1 | $18 |
| Lundbeck LLC | 1 | $18 |
| Nuwellis, Inc. | 1 | $17 |
| Baxter Healthcare | 1 | $17 |
| Lantheus Medical Imaging, Inc. | 1 | $16 |
| Vital Connect, Inc | 1 | $16 |
| Chiesi USA, Inc. | 1 | $16 |
| Esperion Therapeutics, Inc. | 1 | $13 |
| Merck | 1 | $12 |
| Arbor Pharmaceuticals, Inc. | 1 | $11 |
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.
- SAPIEN 3 Ultra RESILIA$141
- Repatha$125
- TEGSEDI$121
- Carto 3$101
How this compares
$4,895 in reported general payments places this provider in the 90th 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 | 296 | $300,814 |
| EntrestoSacubitril/Valsartan | 111 | $113,687 |
| Repatha SureclickEvolocumab | 46 | $52,384 |
| XareltoRivaroxaban | 43 | $50,115 |
| JardianceEmpagliflozin | 30 | $43,556 |
| FarxigaDapagliflozin Propanediol | 18 | $19,746 |
| Praluent PenAlirocumab | 12 | $14,713 |
| Valsartan | 136 | $4,522 |
| Metoprolol Succinate | 393 | $4,303 |
| Rosuvastatin Calcium | 197 | $2,560 |
| Bumetanide | 80 | $2,286 |
| Losartan Potassium | 106 | $1,158 |
| Atorvastatin Calcium | 159 | $1,117 |
| Diltiazem 24hr Er (Cd)Diltiazem Hcl | 40 | $1,074 |
| Valsartan-HydrochlorothiazideValsartan/Hydrochlorothiazide | 38 | $1,056 |
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 | $262 | $300,814296 claims |
| NovartisEntresto | $520 | $113,687111 claims |
| Johnson & JohnsonXarelto | $286 | $50,11543 claims |
| Boehringer IngelheimJardiance | $266 | $43,55630 claims |
| AstraZenecaFarxiga | $389 | $19,74618 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 90th percentile of 2,724 internal medicine providers in Virginia.
Other internal medicine in Richmond
- Lawrence SchwartzRichmond$205K
- Wally SmithRichmond$177K
- Andrew PoklepovicRichmond$58K
- Leroy VaughanRichmond$55K
- Rachel WallerRichmond$55K
- Syed RehmanRichmond$49K
- Rafae ShaikhRichmond$41K
- Chau VoRichmond$24K
- Richard JacksonRichmond$17K
- Minh TranRichmond$16K
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.