RxDoctor Payments Data

Dominick Ervelli, DO

Internal Medicine · Ankeny, IANPI 1871572990

Payments from drug & device makers

$959in general payments, 2019–2025

Across 46 payments — averaging $20.84 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Boehringer Ingelheim$201
  • Novo Nordisk$185
  • Amgen$99
  • AbbVie$84
  • Phathom Pharmaceuticals, Inc.$58
  • Lilly USA, LLC$56
  • plus $277 from 11 others

What the payments were for

  • Food & beverage$959100%

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
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

$959 in reported general payments places this provider in the 85th percentile of 583 internal medicine providers in Iowa.

See all internal medicine providers in Iowa

Medicare billing

Part B allowed, 2024
$103,901
Medicare patients
243
Services billed
3,326

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
OzempicSemaglutide85$97,289
EliquisApixaban106$74,124
JardianceEmpagliflozin67$69,526
MounjaroTirzepatide31$36,671
Emgality PenGalcanezumab-Gnlm19$25,340
RybelsusSemaglutide18$24,494
FarxigaDapagliflozin Propanediol15$20,655
Nicotrol NsNicotine12$17,961
Synjardy XrEmpagliflozin/Metformin Hcl13$16,009
TrulicityDulaglutide14$14,427
MyrbetriqMirabegron15$7,711
Tresiba Flextouch U-100Insulin Degludec11$7,405
Janumet XrSitagliptin Phos/Metformin Hcl13$7,349
Humulin R U-500 KwikpenInsulin Regular, Human11$6,356
Duloxetine Hcl143$3,730

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
Novo NordiskOzempic, Rybelsus$185$121,783103 claims
Boehringer IngelheimJardiance, Synjardy Xr$201$85,53580 claims
PfizerEliquis$13$74,124106 claims
Lilly USA, LLCMounjaro, Trulicity$56$51,09945 claims
AstraZenecaFarxiga$52$20,65515 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 85th percentile of 583 internal medicine providers in Iowa.

Other internal medicine in Ankeny

See the full list for Iowa

Where these figures come from

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