Jamal Sahyouni, MD
Internal Medicine · Richlands, VANPI 1649261090
Payments from drug & device makers
Across 203 payments — averaging $22.15 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Bayer$2K
- Organogenesis Inc.$995
- Lilly USA, LLC$691
- Xeris Pharmaceuticals, Inc.$183
- Smith+Nephew$108
- Boehringer Ingelheim$95
- plus $659 from 20 others
What the payments were for
- Consulting fees$1,16926%
- Food & beverage$3,32874%
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 |
|---|---|---|
| Bayer | 41 | $1,767 |
| Organogenesis Inc. | 58 | $995 |
| Lilly USA, LLC | 42 | $691 |
| Xeris Pharmaceuticals, Inc. | 11 | $183 |
| Smith+Nephew | 5 | $108 |
| Boehringer Ingelheim | 5 | $95 |
| Abbott | 4 | $76 |
| Insulet Corporation | 4 | $66 |
| Dexcom, Inc. | 3 | $53 |
| Solventum Corporation | 3 | $50 |
| Tandem Diabetes Care, Inc. | 3 | $48 |
| Sanofi-aventis U.S. LLC | 3 | $43 |
| Johnson & Johnson | 3 | $42 |
| AstraZeneca | 3 | $39 |
| Kerecis Limited | 2 | $37 |
| KCI USA, Inc. | 2 | $37 |
| Merck | 2 | $24 |
| Advanced Oxygen Therapy Inc. | 1 | $20 |
| Esperion Therapeutics, Inc. | 1 | $20 |
| Cashflow Solutions, LLC | 1 | $18 |
| Ultragenyx Pharmaceutical Inc. | 1 | $15 |
| Medtronic | 1 | $15 |
| Integra Lifesciences Corporation | 1 | $15 |
| Paratek Pharmaceuticals, Inc. | 1 | $15 |
| Reprise Biomedical, Inc. | 1 | $14 |
| Hartmann USA, Inc. | 1 | $14 |
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.
- Kerendia$1,169
How this compares
$4,497 in reported general payments places this provider in the 85th percentile of 2,724 internal medicine providers in Virginia.
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 |
|---|---|---|
| MounjaroTirzepatide | 370 | $440,499 |
| TrulicityDulaglutide | 313 | $362,660 |
| JardianceEmpagliflozin | 378 | $292,138 |
| FarxigaDapagliflozin Propanediol | 289 | $210,306 |
| OzempicSemaglutide | 107 | $97,684 |
| KerendiaFinerenone | 102 | $83,075 |
| Tresiba Flextouch U-200Insulin Degludec | 57 | $65,781 |
| Omnipod Dash Pods (Gen 4)Insulin Pump Cart,cont Inf,bt | 60 | $65,770 |
| Omnipod 5 Dexg7g6 Pods (Gen 5)Insulin Pump Cart,auto,bt,g6/7 | 103 | $65,233 |
| Daptomycin | 31 | $53,618 |
| Toujeo Max SolostarInsulin Glargine,hum.Rec.Anlog | 40 | $51,255 |
| Humulin R U-500 KwikpenInsulin Regular, Human | 23 | $42,988 |
| Fiasp FlextouchInsulin Aspart (Niacinamide) | 24 | $37,344 |
| Tresiba Flextouch U-100Insulin Degludec | 30 | $33,222 |
| Lantus SolostarInsulin Glargine,hum.Rec.Anlog | 168 | $30,705 |
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 |
|---|---|---|
| Lilly USA, LLCMounjaro, Trulicity, Lyumjev | $691 | $810,182696 claims |
| Boehringer IngelheimJardiance | $95 | $292,138378 claims |
| AstraZenecaFarxiga | $39 | $210,306289 claims |
| BayerKerendia | $1,767 | $83,075102 claims |
| Johnson & JohnsonInvokana | $42 | $29,06727 claims |
| MerckJanuvia | $24 | $10,67219 claims |
| Sanofi-aventis U.S. LLCLantus | $43 | $7,56741 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 85th percentile of 2,724 internal medicine providers in Virginia.
Other internal medicine in Richlands
- Leroy VaughanRichmond$20.8M
- James ClarkCharlottesville$16.2M
- Nabil AndrawisBurke$8.5M
- Mary BlumbergNorfolk$6.5M
- David RamstadSuffolk$5.8M
- Andrew PoklepovicRichmond$4.6M
- Nashwa GabraBurke$4.3M
- Michael DevittCharlottesville$3.5M
- Richard JacksonRichmond$2.5M
- Sue BrownCharlottesville$2.4M
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.