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James Mulinda, MD

Endocrinology, Diabetes & Metabolism · Roanoke, VANPI 1093797094

Payments from drug & device makers

$788,236in general payments, 2019–2025

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

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.

CompanyPaymentsTotal
Lilly USA, LLC715$342,327
Novo Nordisk289$138,311
Sanofi-aventis U.S. LLC84$61,018
Dexcom, Inc.132$43,778
Merck65$40,259
Boehringer Ingelheim104$35,362
Amarin Pharma, Inc.80$34,840
Abbott141$29,542
AstraZeneca(2 entities)86$27,742
Mannkind Corporation129$10,117
Johnson & Johnson23$8,461
Corcept Therapeutics40$4,449
Amgen(2 entities)130$2,079
Tandem Diabetes Care, Inc.58$1,080
Radius Health, Inc.43$898
Xeris Pharmaceuticals, Inc.48$841
AbbVie66$765
IBSA Pharma Inc.29$658
Antares Pharma, Inc.35$532
Cequr Corporation1$480
Medtronic(2 entities)31$442
Insulet Corporation23$409
Recordati_rare_diseases_inc.17$379
Bayer21$360
BETA Bionics, Inc.7$255
Eisai Inc.11$247
Novartis14$242
Esperion Therapeutics, Inc.13$220
Nevro Corp.1$147
Amneal Pharmaceuticals LLC9$144
Ascendis Pharma Endocrinology Inc8$141
Acella Pharmaceuticals, LLC5$137
Tersera Therapeutics LLC4$126
Embecta Corp.4$120
Pfizer7$118
Sequel Med Tech, LLC4$112
Madrigal Pharmaceuticals4$112
Verity Pharmaceuticals Inc.5$95
Kyowa Kirin, Inc.4$78
Halozyme Inc4$77
GRT US Holding, Inc.4$73
Nestle Healthcare Nutrition Inc.5$69
EUSA Pharma (US) LLC3$65
Astellas Pharma US Inc4$60
Clarus Therapeutics Inc.5$52
Neurocrine Biosciences, Inc.2$48
Kowa Pharmaceuticals America, Inc.4$47
Ultragenyx Pharmaceutical Inc.3$46
Ionis Pharmaceuticals, Inc.2$41
Chiesi USA, Inc.2$34
Vifor Pharma, Inc.2$32
Ascensia Diabetes Care US Inc.1$31
Currax Pharmaceuticals LLC2$28
Gilead1$26
Shire North American Group Inc2$23
Lexicon Pharmaceuticals, Inc.1$18
RGH Enterprises LLC1$17
BD1$14
Endo Pharmaceuticals Inc.1$12

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

$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

Part B allowed, 2024
$679,391
Medicare patients
1,252
Services billed
25,661

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
JardianceEmpagliflozin781$838,438
OzempicSemaglutide523$748,593
TrulicityDulaglutide421$647,526
MounjaroTirzepatide335$478,075
FarxigaDapagliflozin Propanediol238$286,646
RybelsusSemaglutide116$227,770
Tresiba Flextouch U-100Insulin Degludec188$155,774
Toujeo SolostarInsulin Glargine,hum.Rec.Anlog184$149,557
Soliqua 100-33Insulin Glargine/Lixisenatide83$99,722
Humalog Kwikpen U-100Insulin Lispro235$98,836
Novolog FlexpenInsulin Aspart270$91,765
Lantus SolostarInsulin Glargine,hum.Rec.Anlog457$86,546
ProliaDenosumab47$82,284
Toujeo Max SolostarInsulin Glargine,hum.Rec.Anlog72$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.

CompanyPaid to this providerPart 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

See the full list for Virginia

Where these figures come from

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