Gabrielle Milian
Primary Care · Madison, NCNPI 1568240422
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $2,057 of the $2,293 with a category attached, or 89.7%. 21 manufacturers reported payments, led by AstraZeneca at 24.9% of the total.
Across 109 payments — averaging $21.03 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$571
- Novo Nordisk$345
- Astellas Pharma US Inc$285
- Lilly USA, LLC$212
- Abbott$203
- Exact Sciences$144
- plus $533 from 15 others
What the payments were for
- Food & beverage$2,05790%
- Education$23610%
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 |
|---|---|---|
| AstraZeneca | 27 | $571 |
| Novo Nordisk | 21 | $345 |
| Astellas Pharma US Inc | 6 | $285 |
| Lilly USA, LLC | 13 | $212 |
| Abbott | 4 | $203 |
| Exact Sciences | 7 | $144 |
| AbbVie | 7 | $125 |
| Novartis | 3 | $59 |
| Phathom Pharmaceuticals, Inc. | 4 | $47 |
| Johnson & Johnson | 3 | $43 |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 2 | $35 |
| Amgen | 2 | $31 |
| Viatris Specialty LLC | 1 | $30 |
| Cequr Corporation | 2 | $27 |
| Otsuka America Pharmaceutical, Inc. | 1 | $26 |
| Organon | 1 | $22 |
| Lundbeck LLC | 1 | $22 |
| Esperion Therapeutics, Inc. | 1 | $19 |
| Mylan Specialty L.p. | 1 | $18 |
| Pfizer | 1 | $15 |
| Boehringer Ingelheim | 1 | $14 |
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.
- FREESTYLE LIBRE 3$143
- AIRSUPRA$124
How this compares
$2,293 in reported general payments places this provider in the 80th percentile of 236 primary care providers in North Carolina.
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 |
|---|---|---|
| OzempicSemaglutide | 20 | $24,662 |
| EliquisApixaban | 16 | $11,156 |
| SymbicortBudesonide/Formoterol Fumarate | 11 | $2,625 |
| Rosuvastatin Calcium | 39 | $499 |
| Omeprazole | 27 | $498 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 19 | $389 |
| Losartan Potassium | 24 | $293 |
| Gabapentin | 16 | $201 |
| Lisinopril | 29 | $191 |
| Alendronate Sodium | 12 | $186 |
| Pantoprazole Sodium | 13 | $181 |
| Doxycycline Hyclate | 36 | $172 |
| Ezetimibe | 13 | $151 |
| Naproxen | 14 | $106 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 12 | $100 |
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 |
|---|---|---|
| Novo NordiskOzempic | $345 | $24,66220 claims |
| PfizerEliquis | $15 | $11,15616 claims |
| AstraZenecaSymbicort | $571 | $2,62511 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 236 primary care providers in North Carolina.
Other primary care in Madison
- Jessica AllynRaleigh$21K
- Jennifer RogersWinston Salem$17K
- Elizabeth WaltersChapel Hill$14K
- Ragan JohnsonChapel Hill$13K
- Kirkland DickeyPine Hall$11K
- Kimberly WeaverHickory$9K
- Amanda StoneWilmington$9K
- Elizabeth WalshGreensboro$7K
- Mark HollingsworthWilmington$7K
- Crystal GoinsFayetteville$7K
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.