RxDoctor Payments Data

Francesca Gesiotto, DO

Geriatric Medicine · Fort Myers, FLNPI 1255836649

Payments from drug & device makers

$554in general payments, 2019–2025

Across 22 payments — averaging $25.16 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Merck$72
  • Novo Nordisk$69
  • Foundation Fusion Solutions, LLC$67
  • Amgen$64
  • Axonics, Inc.$63
  • Pfizer$42
  • plus $176 from 7 others

What the payments were for

  • Food & beverage$554100%

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

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

$554 in reported general payments places this provider in the 60th percentile of 305 geriatric medicine providers in Florida.

See all geriatric medicine providers in Florida

Medicare billing

Part B allowed, 2024
$716,942
Medicare patients
520
Services billed
18,489

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
OzempicSemaglutide70$64,125
EliquisApixaban34$39,353
RybelsusSemaglutide21$34,335
MounjaroTirzepatide18$17,308
JardianceEmpagliflozin14$17,017
XareltoRivaroxaban11$15,324
JanuviaSitagliptin Phosphate14$11,380
Repatha SureclickEvolocumab20$11,028
PaxlovidNirmatrelvir/Ritonavir11$4,167
Rosuvastatin Calcium256$3,458
Atorvastatin Calcium239$2,185
SynthroidLevothyroxine Sodium35$2,068
Losartan Potassium143$1,880
Metoprolol Succinate105$1,722
Levothyroxine Sodium201$1,580

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$69$98,46091 claims
PfizerEliquis, Paxlovid$42$43,52145 claims
MerckJanuvia$72$11,38014 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 305 geriatric medicine providers in Florida.

Other geriatric medicine in Fort Myers

See the full list for Florida

Where these figures come from

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