RxDoctor Payments Data

Ingrid Loma Miller, MD

Neurology · Norfolk, VANPI 1336393701

Payments from drug & device makers

What this record shows

This record is dominated by speaking fees: $233,692 of the $363,827 with a category attached, or 64.2%. 15 manufacturers reported payments, led by Biogen at 47.4% of the total. Reporting peaked in 2019 at $132,896 and has fallen 89.0% since, to $14,559 in 2025. Among neurology clinicians in VA with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.

$363,827in general payments, 2019–2025

Across 573 payments — averaging $634.95 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Biogen$172K
  • Sanofi$44K
  • EMD Serono, Inc.$37K
  • AstraZeneca$25K
  • Genentech USA, Inc.$21K
  • Bristol Myers Squibb$20K
  • plus $43K from 9 others
$801,705in research payments, 2019–2025

Across 122 payments — averaging $6571.36 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.

  • Novartis$343K
  • Adamas Pharmaceuticals, Inc.$121K
  • EMD Serono, Inc.$91K
  • Genentech, Inc.$82K
  • Biogen$58K
  • Roche Products Limited$44K
  • plus $63K from 4 others

What the payments were for

  • Consulting fees$80,89322%
  • Speaking & faculty fees$233,69264%
  • Travel & lodging$27,9128%
  • Food & beverage$20,7106%
  • Education$6200%

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

$363,827 in reported general payments places this provider in the 95th percentile of 474 neurology providers in Virginia.

See all neurology providers in Virginia

Medicare billing

Part B allowed, 2024
$17,093
Medicare patients
74
Services billed
199

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
Teriflunomide12$37,831
Glatiramer Acetate25$34,725
Nurtec OdtRimegepant Sulfate11$19,999
Ajovy SyringeFremanezumab-Vfrm13$9,869
Gabapentin68$1,731
Cyclobenzaprine Hcl13$415
Duloxetine Hcl21$361
Tizanidine Hcl15$353
Levetiracetam12$170
Baclofen13$108
Prednisone11$41

Paid to pharmacies, not to this prescriber.

Other neurology in Norfolk

See the full list for Virginia

Where these figures come from

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