Elias Saikali
Internal Medicine · Jacksonville, FLNPI 1790774123
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 99.4% of the total across 314 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 31 manufacturers, the largest accounting for just 18.8% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2019 at $1,515 and has fallen 60.7% since, to $595 in 2025. Among internal medicine clinicians in FL 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 314 payments — averaging $20.06 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novo Nordisk$1K
- AstraZeneca$1K
- Lilly USA, LLC$794
- Novartis$440
- Merck$396
- Amarin Pharma, Inc.$376
- plus $2K from 25 others
Across 295 payments — averaging $2695.35 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.
- Merck$443K
- Boehringer Ingelheim$308K
- Boehringer Ingelheim International GmbH$37K
- Genentech, Inc.$8K
What the payments were for
- Food & beverage$6,26099%
- Education$391%
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 |
|---|---|---|
| Novo Nordisk | 79 | $1,186 |
| AstraZeneca | 45 | $1,123 |
| Lilly USA, LLC | 44 | $794 |
| Novartis | 22 | $440 |
| Merck | 18 | $396 |
| Amarin Pharma, Inc. | 21 | $376 |
| Abbott | 7 | $312 |
| Boehringer Ingelheim | 11 | $298 |
| Pfizer | 14 | $258 |
| Sanofi-aventis U.S. LLC | 11 | $214 |
| Johnson & Johnson(2 entities) | 7 | $136 |
| Bayer | 8 | $133 |
| AbbVie(2 entities) | 3 | $115 |
| Dexcom, Inc. | 1 | $102 |
| Exact Sciences | 4 | $78 |
| GSK | 2 | $37 |
| Medtronic | 2 | $35 |
| Mannkind Corporation | 1 | $30 |
| Kowa Pharmaceuticals America, Inc. | 2 | $30 |
| Optinose US, Inc. | 1 | $24 |
| Corcept Therapeutics | 1 | $23 |
| Nestle Healthcare Nutrition Inc. | 1 | $19 |
| Abiomed | 1 | $19 |
| Nabriva Therapeutics, PLC | 1 | $19 |
| Astellas Pharma US Inc | 1 | $18 |
| Jazz Pharmaceuticals Inc. | 1 | $16 |
| Hikma Pharmaceuticals USA | 1 | $16 |
| Gilead | 1 | $15 |
| Tactile Systems Technology Inc | 1 | $15 |
| Globus Medical | 1 | $14 |
| Bardy Diagnostics, Inc. | 1 | $5 |
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.
- RYBELSUS$247
- FARXIGA$236
- FreeStyle Libre 2$128
- BREZTRI$125
- JARDIANCE$124
- Vascepa$114
- ENTRESTO$109
- STEGLATRO$109
- DEXCOM G6 TRANSMITTER$102
How this compares
$6,299 in reported general payments places this provider in the 90th percentile of 8,530 internal medicine providers in Florida.
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 |
|---|---|---|
| MounjaroTirzepatide | 123 | $137,079 |
| OzempicSemaglutide | 100 | $116,518 |
| FarxigaDapagliflozin Propanediol | 44 | $34,849 |
| JardianceEmpagliflozin | 34 | $29,760 |
| EliquisApixaban | 30 | $22,940 |
| XareltoRivaroxaban | 14 | $17,971 |
| VascepaIcosapent Ethyl | 52 | $17,800 |
| EntrestoSacubitril/Valsartan | 15 | $11,096 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 12 | $9,202 |
| Tresiba Flextouch U-100Insulin Degludec | 17 | $6,516 |
| Gabapentin | 74 | $2,270 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 87 | $2,015 |
| Atorvastatin Calcium | 233 | $1,873 |
| SynthroidLevothyroxine Sodium | 19 | $1,836 |
| Levothyroxine Sodium | 167 | $1,800 |
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, LLCMounjaro | $794 | $137,079123 claims |
| Novo NordiskOzempic | $1,186 | $116,518100 claims |
| AstraZenecaFarxiga | $1,123 | $34,84944 claims |
| Boehringer IngelheimJardiance | $298 | $29,76034 claims |
| PfizerEliquis | $258 | $22,94030 claims |
| Johnson & JohnsonXarelto | $136 | $17,97114 claims |
| NovartisEntresto | $440 | $11,09615 claims |
| GSKTrelegy Ellipta | $37 | $9,20212 claims |
| AbbVieSynthroid | $115 | $1,83619 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 8,530 internal medicine providers in Florida.
Other internal medicine in Jacksonville
- Daniela Chiriboga SalazarJacksonville$117K
- James PorcelliJacksonville$61K
- Reza HejaziJacksonville$44K
- Haytham ElgammalMiami$2.2M
- Keith RubinFort Lauderdale$2M
- Michael SensionFort Lauderdale$1M
- Quang NguyenOcala$434K
- Luis Correa LunaSanford$412K
- Michael OleksykFort Myers$365K
- Andrew KuykendallTampa$322K
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.