Douglas Saunders, MD
Internal Medicine · Cincinnati, OHNPI 1760473532
Payments from drug & device makers
Across 116 payments — averaging $14.04 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novartis$202
- Johnson & Johnson$195
- Novo Nordisk$171
- AstraZeneca$157
- Amgen$151
- Abbott$144
- plus $608 from 12 others
What the payments were for
- Food & beverage$1,61399%
- Education$151%
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 |
|---|---|---|
| Novartis | 15 | $202 |
| Johnson & Johnson | 16 | $195 |
| Novo Nordisk | 11 | $171 |
| AstraZeneca | 7 | $157 |
| Amgen | 9 | $151 |
| Abbott | 8 | $144 |
| Pfizer | 15 | $142 |
| Lilly USA, LLC | 7 | $87 |
| Amarin Pharma, Inc. | 5 | $72 |
| GSK | 5 | $64 |
| Astellas Pharma US Inc | 4 | $54 |
| Boehringer Ingelheim | 3 | $49 |
| Takeda Pharmaceuticals U.S.A., Inc. | 3 | $30 |
| Sanofi-aventis U.S. LLC | 2 | $28 |
| AbbVie | 2 | $28 |
| Kowa Pharmaceuticals America, Inc. | 2 | $24 |
| Hikma Pharmaceuticals USA | 1 | $16 |
| Teva Pharmaceuticals USA, Inc. | 1 | $12 |
How this compares
$1,628 in reported general payments places this provider in the 80th percentile of 4,428 internal medicine providers in Ohio.
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 | 123 | $118,911 |
| TrulicityDulaglutide | 59 | $84,322 |
| OzempicSemaglutide | 70 | $80,727 |
| FarxigaDapagliflozin Propanediol | 59 | $57,280 |
| JardianceEmpagliflozin | 53 | $54,404 |
| JanuviaSitagliptin Phosphate | 36 | $45,203 |
| MounjaroTirzepatide | 42 | $43,481 |
| XareltoRivaroxaban | 29 | $39,637 |
| EntrestoSacubitril/Valsartan | 12 | $20,969 |
| Spiriva HandihalerTiotropium Bromide | 13 | $20,172 |
| Praluent PenAlirocumab | 18 | $19,994 |
| Breo ElliptaFluticasone/Vilanterol | 20 | $14,421 |
| MyrbetriqMirabegron | 11 | $13,723 |
| Toujeo SolostarInsulin Glargine,hum.Rec.Anlog | 12 | $11,413 |
| SymbicortBudesonide/Formoterol Fumarate | 28 | $11,028 |
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 |
|---|---|---|
| Lilly USA, LLCTrulicity, Mounjaro | $87 | $127,803101 claims |
| PfizerEliquis | $142 | $118,911123 claims |
| Novo NordiskOzempic | $171 | $80,72770 claims |
| AstraZenecaFarxiga, Symbicort | $157 | $68,30887 claims |
| Boehringer IngelheimJardiance | $49 | $54,40453 claims |
| Johnson & JohnsonXarelto | $195 | $39,63729 claims |
| GSKBreo Ellipta, Trelegy Ellipta | $64 | $22,77331 claims |
| NovartisEntresto | $202 | $20,96912 claims |
| Astellas Pharma US IncMyrbetriq | $54 | $13,72311 claims |
| AbbVieSynthroid | $28 | $5,67276 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 80th percentile of 4,428 internal medicine providers in Ohio.
Other internal medicine in Cincinnati
- Antoinette PragalosCincinnati$27.8M
- Charles EgerCincinnati$8.7M
- Douglas LoganCincinnati$4.7M
- Leela VrishabhendraCincinnati$3.4M
- Traci TurnerCincinnati$645K
- Vincent MartinCincinnati$398K
- Lisa LarkinCincinnati$276K
- Mark EckmanCincinnati$255K
- Kay JohnsonCincinnati$184K
- Steven FolkerthBeavercreek$9.1M
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.