RxDoctor Payments Data

Hillard Salas, MD

Internal Medicine · Dubuque, IANPI 1215996418

Payments from drug & device makers

What this record shows

Almost everything reported here is food and beverage — 97.3% of the total across 109 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 27 manufacturers, the largest accounting for just 12.8% — the pattern of someone who eats at a lot of different presentations. 2025 is the largest year on record at $682, 4.7 times the $146 reported in 2019. Among internal medicine clinicians in IA with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.

$1,758in general payments, 2019–2025

Across 109 payments — averaging $16.13 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Johnson & Johnson$225
  • Novo Nordisk$200
  • Pfizer$191
  • AstraZeneca$128
  • Astellas Pharma US Inc$125
  • Lilly USA, LLC$123
  • plus $765 from 21 others

What the payments were for

  • Food & beverage$1,71197%
  • Education$473%

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.

How this compares

$1,758 in reported general payments places this provider in the 90th percentile of 583 internal medicine providers in Iowa.

See all internal medicine providers in Iowa

Medicare billing

Part B allowed, 2024
$242,449
Medicare patients
399
Services billed
7,576

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
EliquisApixaban284$218,268
XareltoRivaroxaban106$103,532
OzempicSemaglutide79$85,348
Trelegy ElliptaFluticasone/Umeclidin/Vilanter124$78,483
JardianceEmpagliflozin50$42,114
MyrbetriqMirabegron71$27,989
JanuviaSitagliptin Phosphate35$27,050
FarxigaDapagliflozin Propanediol52$25,381
Arnuity ElliptaFluticasone Furoate77$21,355
Potassium Chloride307$19,743
RybelsusSemaglutide12$14,325
Nurtec OdtRimegepant Sulfate12$14,184
Atorvastatin Calcium1,408$13,997
TrulicityDulaglutide11$12,268
Gabapentin535$9,746

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
PfizerEliquis, Nurtec Odt$191$232,452296 claims
Johnson & JohnsonXarelto, Invokana$225$110,522118 claims
GSKTrelegy Ellipta, Arnuity Ellipta$36$99,838201 claims
Novo NordiskOzempic, Rybelsus$200$99,67391 claims
Boehringer IngelheimJardiance$62$42,11450 claims
Astellas Pharma US IncMyrbetriq$125$27,98971 claims
AstraZenecaFarxiga$128$25,38152 claims
Lilly USA, LLCTrulicity$123$12,26811 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 90th percentile of 583 internal medicine providers in Iowa.

Other internal medicine in Dubuque

See the full list for Iowa

Where these figures come from

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