Guy Arnall, MD
Internal Medicine · Sharpsburg, GANPI 1760464341
Payments from drug & device makers
Across 157 payments — averaging $17.69 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Pfizer$247
- AstraZeneca$246
- GSK$232
- Lilly USA, LLC$215
- Radius Health, Inc.$185
- Novo Nordisk$185
- plus $1K from 29 others
What the payments were for
- Food & beverage$2,64095%
- Education$1365%
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 |
|---|---|---|
| Pfizer | 13 | $247 |
| AstraZeneca | 15 | $246 |
| GSK | 13 | $232 |
| Lilly USA, LLC | 13 | $215 |
| Radius Health, Inc. | 15 | $185 |
| Novo Nordisk | 10 | $185 |
| Boehringer Ingelheim | 7 | $129 |
| AbbVie(2 entities) | 8 | $127 |
| Sumitomo Pharma America, Inc. | 6 | $120 |
| Sanofi-aventis U.S. LLC | 5 | $104 |
| Astellas Pharma US Inc | 5 | $98 |
| Phathom Pharmaceuticals, Inc. | 5 | $85 |
| Axsome Therapeutics, Inc. | 3 | $84 |
| Avanos Medical | 1 | $83 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 5 | $79 |
| Amgen | 5 | $76 |
| Novartis | 3 | $52 |
| Bausch Health US, LLC | 2 | $43 |
| Dexcom, Inc. | 2 | $39 |
| Mylan Specialty L.p. | 2 | $37 |
| Bayer | 2 | $37 |
| Sunovion Pharmaceuticals Inc. | 2 | $34 |
| Biohaven Pharmaceutical Holding Company Ltd. | 1 | $28 |
| Merck | 2 | $28 |
| Genentech USA, Inc. | 1 | $24 |
| Shire North American Group Inc | 2 | $23 |
| Neos Therapeutics, LP | 1 | $19 |
| Amarin Pharma, Inc. | 1 | $17 |
| Johnson & Johnson | 1 | $16 |
| Dynavax Technologies Corporation | 1 | $16 |
| Teva Pharmaceuticals USA, Inc. | 1 | $15 |
| Antares Pharma, Inc. | 1 | $15 |
| Circassia Inc. | 1 | $12 |
| Mannkind Corporation | 1 | $11 |
| Companion Medical, Inc. | 1 | $11 |
How this compares
$2,777 in reported general payments places this provider in the 80th percentile of 3,311 internal medicine providers in Georgia.
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 |
|---|---|---|
| JanuviaSitagliptin Phosphate | 39 | $54,906 |
| EliquisApixaban | 51 | $50,880 |
| OzempicSemaglutide | 46 | $42,824 |
| FarxigaDapagliflozin Propanediol | 18 | $14,659 |
| XareltoRivaroxaban | 16 | $11,634 |
| Basaglar Kwikpen U-100Insulin Glargine,hum.Rec.Anlog | 17 | $9,648 |
| Toujeo SolostarInsulin Glargine,hum.Rec.Anlog | 25 | $9,179 |
| Breztri AerosphereBudesonide/Glycopyr/Formoterol | 14 | $8,772 |
| Fluticasone-SalmeterolFluticasone Propion/Salmeterol | 23 | $6,995 |
| Combivent RespimatIpratropium/Albuterol Sulfate | 12 | $6,242 |
| SynthroidLevothyroxine Sodium | 21 | $3,306 |
| Atorvastatin Calcium | 316 | $2,667 |
| Gabapentin | 91 | $2,243 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 70 | $2,088 |
| Rosuvastatin Calcium | 146 | $1,885 |
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 |
|---|---|---|
| MerckJanuvia | $28 | $54,90639 claims |
| PfizerEliquis | $247 | $50,88051 claims |
| Novo NordiskOzempic | $185 | $42,82446 claims |
| AstraZenecaFarxiga, Breztri Aerosphere | $246 | $23,43132 claims |
| Johnson & JohnsonXarelto | $16 | $11,63416 claims |
| Boehringer IngelheimCombivent Respimat | $129 | $6,24212 claims |
| AbbVieSynthroid | $127 | $3,30621 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 3,311 internal medicine providers in Georgia.
Other internal medicine in Sharpsburg
- Paul BradleySavannah$76.4M
- Kimball JohnsonAtlanta$51.1M
- Bram WieskopfWoodstock$21.9M
- Dwight BlakeUnion City$13.3M
- Charlotte Grayson-MathisFayetteville$9.6M
- Christopher RecknorGainesville$9.2M
- James HarperJohns Creek$9.2M
- Robert Springer IiiAtlanta$5.3M
- Thomas MoriaritySavannah$4.6M
- Charles KempAlbany$2.7M
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.