RxDoctor Payments Data

Ernest Gesiotto, MD

Internal Medicine · Fort Myers, FLNPI 1336166115

Payments from drug & device makers

$236in general payments, 2019–2025

Across 12 payments — averaging $19.68 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Amgen$107
  • Philips North America LLC$34
  • Boston Scientific$31
  • Sanofi Pasteur Inc.$23
  • Radius Health, Inc.$21
  • Novo Nordisk$19

What the payments were for

  • Food & beverage$236100%

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
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

$236 in reported general payments places this provider in the 40th percentile of 8,530 internal medicine providers in Florida.

See all internal medicine providers in Florida

Medicare billing

Part B allowed, 2024
$901,626
Medicare patients
641
Services billed
37,207

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
EliquisApixaban120$150,637
XareltoRivaroxaban60$81,378
OzempicSemaglutide39$36,875
Repatha SureclickEvolocumab28$29,756
JanuviaSitagliptin Phosphate20$26,918
JardianceEmpagliflozin11$16,622
MyrbetriqMirabegron12$5,320
Rivastigmine14$4,982
Rosuvastatin Calcium212$3,141
Levothyroxine Sodium299$3,101
SynthroidLevothyroxine Sodium48$3,032
Atorvastatin Calcium284$2,944
Losartan Potassium201$2,792
Fluoxetine Hcl50$2,784
Simvastatin214$2,672

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$19$36,87539 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 40th percentile of 8,530 internal medicine providers in Florida.

Other internal medicine in Fort Myers

See the full list for Florida

Where these figures come from

Is this you, or does something look wrong? →