James Mulinda, MD
Endocrinology, Diabetes & Metabolism · Roanoke, VANPI 1093797094
Payments from drug & device makers
Across 2,540 payments — averaging $310.33 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Lilly USA, LLC$342K
- Novo Nordisk$138K
- Sanofi-aventis U.S. LLC$61K
- Dexcom, Inc.$44K
- Merck$40K
- Boehringer Ingelheim$35K
- plus $127K from 53 others
What the payments were for
- Consulting fees$27,3193%
- Speaking & faculty fees$673,71085%
- Travel & lodging$46,3596%
- Food & beverage$40,6295%
- Education$1000%
- Gifts$1190%
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.
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.
- TRULICITY$154,040
- MOUNJARO$143,935
- RYBELSUS$68,811
- JARDIANCE$60,484
- Ozempic$42,441
- SOLIQUA 100/33$40,936
- STEGLATRO$39,092
- Vascepa$33,588
- DEXCOM G7 GSS (161)$30,362
- FARXIGA$24,692
- DEXCOM STELO GLUCOSE BIOSENSOR$21,368
- FREESTYLE LIBRE 3$19,404
- TOUJEO$13,539
- Tresiba$13,420
- AFREZZA$8,491
- INVOKANA$8,231
- DEXCOM CGM$6,775
- DISEASE STATE$6,108
- Xultophy 100/3.6$4,845
- DEXCOM G6 CGM SYSTEM$4,552
How this compares
$788,236 in reported general payments places this provider in the 95th percentile of 223 endocrinology, diabetes & metabolism providers in Virginia.
See all endocrinology, diabetes & metabolism 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 |
|---|---|---|
| JardianceEmpagliflozin | 781 | $838,438 |
| OzempicSemaglutide | 523 | $748,593 |
| TrulicityDulaglutide | 421 | $647,526 |
| MounjaroTirzepatide | 335 | $478,075 |
| FarxigaDapagliflozin Propanediol | 238 | $286,646 |
| RybelsusSemaglutide | 116 | $227,770 |
| Tresiba Flextouch U-100Insulin Degludec | 188 | $155,774 |
| Toujeo SolostarInsulin Glargine,hum.Rec.Anlog | 184 | $149,557 |
| Soliqua 100-33Insulin Glargine/Lixisenatide | 83 | $99,722 |
| Humalog Kwikpen U-100Insulin Lispro | 235 | $98,836 |
| Novolog FlexpenInsulin Aspart | 270 | $91,765 |
| Lantus SolostarInsulin Glargine,hum.Rec.Anlog | 457 | $86,546 |
| ProliaDenosumab | 47 | $82,284 |
| Toujeo Max SolostarInsulin Glargine,hum.Rec.Anlog | 72 | $81,950 |
| Fiasp FlextouchInsulin Aspart (Niacinamide) | 69 | $78,564 |
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, LLCTrulicity, Mounjaro, Humalog, Lyumjev | $342,327 | $1,181,113850 claims |
| Novo NordiskOzempic, Rybelsus, Novolog, Fiasp | $138,311 | $1,044,842735 claims |
| Boehringer IngelheimJardiance, Synjardy, Tradjenta, Glyxambi | $35,362 | $921,761878 claims |
| AstraZenecaFarxiga | $27,742 | $286,646238 claims |
| Sanofi-aventis U.S. LLCSoliqua 100-33 | $61,018 | $99,72283 claims |
| MerckJanuvia, Janumet | $40,259 | $89,76995 claims |
| AmgenProlia | $2,079 | $82,28447 claims |
| Radius Health, Inc.Tymlos | $898 | $56,67214 claims |
| Mannkind CorporationAfrezza | $10,117 | $50,00517 claims |
| Johnson & JohnsonInvokana | $8,461 | $31,06430 claims |
| AbbVieSynthroid | $765 | $27,472397 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 95th percentile of 223 endocrinology, diabetes & metabolism providers in Virginia.
Other endocrinology, diabetes & metabolism in Roanoke
- Dewey BaileyRoanoke$645K
- Michael KochRoanoke$55K
- Carl BivensRoanoke$14K
- Domenica RubinoArlington$3M
- Suzanne Jan de BeurCharlottesville$1.5M
- Farhad ZangenehSterling$1.2M
- Ali IranmaneshSalem$1.1M
- Elias SirajNorfolk$884K
- Jeffrey SicatGlen Allen$657K
- James la RocqueChesapeake$576K
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.