RxDoctor Payments Data

Elliott Semble, MD

Rheumatology · Winston Salem, NCNPI 1780677237

Payments from drug & device makers

$8,650in general payments, 2019–2025

Across 486 payments — averaging $17.80 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Amgen$3K
  • AbbVie$2K
  • Johnson & Johnson$1K
  • Novartis$901
  • Lilly USA, LLC$440
  • AstraZeneca$151
  • plus $333 from 7 others

What the payments were for

  • Food & beverage$8,48498%
  • Education$1662%

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
20
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.

How this compares

$8,650 in reported general payments places this provider in the 60th percentile of 210 rheumatology providers in North Carolina.

See all rheumatology providers in North Carolina

Medicare billing

Part B allowed, 2024
$106,644
Medicare patients
187
Services billed
1,431

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
RinvoqUpadacitinib43$298,966
Humira(Cf) PenAdalimumab24$245,953
Enbrel SureclickEtanercept30$223,270
EnbrelEtanercept30$221,582
Humira PenAdalimumab18$125,428
Enbrel MiniEtanercept14$107,878
Humira(Cf)Adalimumab13$91,032
Xeljanz XrTofacitinib Citrate11$65,359
MethotrexateMethotrexate Sodium550$15,345
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen360$12,251
Etodolac239$9,667
Leflunomide87$8,586
Celecoxib220$8,223
Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen115$6,014
Hydroxychloroquine Sulfate133$4,229

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
AbbVieRinvoq, Humira(Cf)$2,404$389,99956 claims
AmgenEnbrel$3,338$221,58230 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 60th percentile of 210 rheumatology providers in North Carolina.

Other rheumatology in Winston Salem

See the full list for North Carolina

Where these figures come from

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