Irina Avruchevskaya, MD
Internal Medicine · Brooklyn, NYNPI 1194740506
Payments from drug & device makers
Across 317 payments — averaging $20.25 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$1K
- AstraZeneca$766
- GSK$551
- E.r. Squibb & Sons, L.L.C.$507
- Amgen$499
- Amarin Pharma, Inc.$498
- plus $3K from 26 others
What the payments were for
- Food & beverage$6,418100%
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 |
|---|---|---|
| AbbVie(2 entities) | 56 | $1,088 |
| AstraZeneca | 38 | $766 |
| GSK | 23 | $551 |
| E.r. Squibb & Sons, L.L.C. | 30 | $507 |
| Amgen | 22 | $499 |
| Amarin Pharma, Inc. | 24 | $498 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 21 | $365 |
| Ardelyx, Inc. | 9 | $294 |
| Novartis | 11 | $258 |
| Merck | 14 | $230 |
| Lilly USA, LLC | 11 | $223 |
| Novo Nordisk | 10 | $187 |
| Pfizer | 8 | $145 |
| Nestle Healthcare Nutrition Inc. | 6 | $139 |
| Endo Pharmaceuticals Inc. | 6 | $91 |
| Vivus LLC | 4 | $75 |
| Aimmune Therapeutics, Inc. | 3 | $70 |
| Takeda Pharmaceuticals U.S.A., Inc. | 3 | $52 |
| Ironwood Pharmaceuticals, Inc | 2 | $43 |
| Astellas Pharma US Inc | 2 | $39 |
| Kowa Pharmaceuticals America, Inc. | 2 | $36 |
| Phathom Pharmaceuticals, Inc. | 1 | $34 |
| Sumitomo Pharma America, Inc. | 1 | $30 |
| Vistapharm, Inc. | 2 | $29 |
| Boston Scientific | 1 | $27 |
| Axsome Therapeutics, Inc. | 1 | $25 |
| Boehringer Ingelheim | 1 | $25 |
| Esperion Therapeutics, Inc. | 1 | $21 |
| Assertio Therapeutics, Inc. | 1 | $20 |
| Genentech USA, Inc. | 1 | $19 |
| Arbor Pharmaceuticals, Inc. | 1 | $17 |
| Biohaven Pharmaceuticals, Inc. | 1 | $17 |
How this compares
$6,418 in reported general payments places this provider in the 90th percentile of 9,771 internal medicine providers in New York.
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 |
|---|---|---|
| ZenpepLipase/Protease/Amylase | 94 | $152,408 |
| Diclofenac Sodium | 281 | $123,376 |
| OzempicSemaglutide | 119 | $122,204 |
| JardianceEmpagliflozin | 146 | $113,479 |
| LinzessLinaclotide | 205 | $111,856 |
| EliquisApixaban | 139 | $100,244 |
| CreonLipase/Protease/Amylase | 88 | $77,154 |
| VascepaIcosapent Ethyl | 180 | $58,552 |
| FarxigaDapagliflozin Propanediol | 83 | $57,952 |
| MyrbetriqMirabegron | 118 | $52,193 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 69 | $45,082 |
| JanuviaSitagliptin Phosphate | 64 | $40,414 |
| XareltoRivaroxaban | 60 | $39,285 |
| Dexlansoprazole DrDexlansoprazole | 205 | $33,277 |
| DapagliflozinDapagliflozin Propanediol | 49 | $33,151 |
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 |
|---|---|---|
| AbbVieLinzess, Creon, Synthroid | $1,088 | $200,163557 claims |
| Aimmune Therapeutics, Inc.Zenpep | $70 | $152,40894 claims |
| Novo NordiskOzempic | $187 | $122,204119 claims |
| Boehringer IngelheimJardiance, Tradjenta | $25 | $121,220162 claims |
| PfizerEliquis, Protonix | $145 | $105,368151 claims |
| MerckJanuvia, Janumet, Janumet Xr | $230 | $71,590109 claims |
| AstraZenecaFarxiga, Nexium | $766 | $65,568108 claims |
| GSKTrelegy Ellipta, Breo Ellipta, Incruse Ellipta | $551 | $58,249103 claims |
| Astellas Pharma US IncMyrbetriq | $39 | $52,193118 claims |
| Lilly USA, LLCMounjaro | $223 | $25,07219 claims |
| AmgenProlia | $499 | $18,88811 claims |
| NovartisEntresto | $258 | $16,38019 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 9,771 internal medicine providers in New York.
Other internal medicine in Brooklyn
- Bruce BergerBrooklyn$3.4M
- Nelly CohenBrooklyn$2.8M
- Jorge SerjeBrooklyn$1.3M
- Helena YuNew York$50.9M
- Neha KordeNew York$21.2M
- Karen AutioNew York$18.5M
- Ingo MellinghoffNew York$16.1M
- Gopakumar IyerNew York$12.4M
- David DoveEast Hampton$12.3M
- Robert CupeloEast Syracuse$10.6M
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.