RxDoctor Payments Data

Gerardo Arnaez Zapata, MD

Internal Medicine · Durham, NCNPI 1114014511

Payments from drug & device makers

$643in general payments, 2019–2025

Across 17 payments — averaging $37.81 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • AstraZeneca$258
  • Neurocrine Biosciences, Inc.$128
  • Acadia Pharmaceuticals Inc$127
  • Sun Pharmaceutical Industries Inc.$49
  • Lilly USA, LLC$36
  • Avanir Pharmaceuticals, Inc.$29
  • plus $16 from 1 others

What the payments were for

  • Food & beverage$643100%

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.

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.

How this compares

$643 in reported general payments places this provider in the 65th percentile of 3,302 internal medicine providers in North Carolina.

See all internal medicine providers in North Carolina

Medicare billing

Part B allowed, 2024
$122,810
Medicare patients
201
Services billed
1,209

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
EliquisApixaban789$234,516
TrulicityDulaglutide96$100,598
NuedextaDextromethorphan Hbr/Quinidine152$96,582
Trelegy ElliptaFluticasone/Umeclidin/Vilanter88$62,557
FarxigaDapagliflozin Propanediol173$49,025
EntrestoSacubitril/Valsartan116$37,132
LinzessLinaclotide70$35,112
XareltoRivaroxaban119$34,749
OdefseyEmtricitab/Rilpiviri/Tenof Ala23$33,684
Anoro ElliptaUmeclidinium Brm/Vilanterol Tr63$32,847
Pantoprazole Sodium389$29,367
MyrbetriqMirabegron117$25,335
RexultiBrexpiprazole32$24,168
Clonidine192$23,786
ArexvyRsvpref3 Antigen/As01e/Pf72$22,055

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
Lilly USA, LLCTrulicity$36$100,59896 claims
Avanir Pharmaceuticals, Inc.Nuedexta$29$96,582152 claims
AstraZenecaFarxiga, Lokelma, Brilinta$258$76,740258 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 65th percentile of 3,302 internal medicine providers in North Carolina.

Other internal medicine in Durham

See the full list for North Carolina

Where these figures come from

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