James Railey, MD
Internal Medicine · Louisville, KYNPI 1760446579
Payments from drug & device makers
Across 111 payments — averaging $26.82 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Amgen$459
- Pfizer$338
- Novo Nordisk$301
- AstraZeneca$236
- Idorsia Pharmaceuticals US Inc$217
- AbbVie$156
- plus $1K from 22 others
What the payments were for
- Food & beverage$2,89597%
- Education$823%
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 |
|---|---|---|
| Amgen | 11 | $459 |
| Pfizer | 15 | $338 |
| Novo Nordisk | 15 | $301 |
| AstraZeneca | 4 | $236 |
| Idorsia Pharmaceuticals US Inc | 1 | $217 |
| AbbVie(2 entities) | 5 | $156 |
| Lilly USA, LLC | 8 | $142 |
| Edwards Lifesciences | 1 | $131 |
| Abbott | 1 | $121 |
| Boehringer Ingelheim | 10 | $120 |
| GSK | 8 | $103 |
| Bayer | 1 | $101 |
| Inspire Medical Systems, Inc. | 1 | $93 |
| Stimwave Technologies Incorporated | 1 | $70 |
| Novartis | 5 | $69 |
| Johnson & Johnson | 4 | $51 |
| Takeda Pharmaceuticals U.S.A., Inc. | 4 | $46 |
| Genentech USA, Inc. | 3 | $37 |
| Sanofi-aventis U.S. LLC | 2 | $30 |
| Astellas Pharma US Inc | 2 | $30 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 2 | $25 |
| E.r. Squibb & Sons, L.L.C. | 1 | $19 |
| Shire North American Group Inc | 1 | $16 |
| Medtronic | 1 | $15 |
| Amarin Pharma, Inc. | 1 | $14 |
| Teva Pharmaceuticals USA, Inc. | 1 | $12 |
| Flowonix Medical Incorporated | 1 | $12 |
| Merck | 1 | $11 |
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.
- ELIQUIS$228
- Repatha$227
- QUVIVIQ$217
- Edwards SAPIEN 3 Ultra Transcatheter Heart Valve$131
- Proclaim Family of SCS IPGs$121
- Otezla$120
- QULIPTA$102
- Kerendia$101
How this compares
$2,977 in reported general payments places this provider in the 80th percentile of 1,284 internal medicine providers in Kentucky.
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 |
|---|---|---|
| OzempicSemaglutide | 100 | $137,213 |
| MounjaroTirzepatide | 97 | $100,249 |
| EliquisApixaban | 118 | $97,958 |
| JardianceEmpagliflozin | 60 | $65,442 |
| TrulicityDulaglutide | 49 | $63,226 |
| JanuviaSitagliptin Phosphate | 21 | $33,463 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 41 | $31,640 |
| JanumetSitagliptin Phos/Metformin Hcl | 18 | $28,764 |
| TradjentaLinagliptin | 24 | $21,304 |
| Tresiba Flextouch U-200Insulin Degludec | 22 | $20,680 |
| Soliqua 100-33Insulin Glargine/Lixisenatide | 22 | $18,877 |
| FarxigaDapagliflozin Propanediol | 12 | $18,665 |
| Praluent PenAlirocumab | 34 | $17,674 |
| Tresiba Flextouch U-100Insulin Degludec | 18 | $12,363 |
| SymbicortBudesonide/Formoterol Fumarate | 31 | $9,920 |
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 | $142 | $163,475146 claims |
| Novo NordiskOzempic | $301 | $137,213100 claims |
| PfizerEliquis | $338 | $97,958118 claims |
| Boehringer IngelheimJardiance, Tradjenta | $120 | $86,74684 claims |
| MerckJanuvia, Janumet, Janumet Xr, Lagevrio (Eua) | $11 | $74,62463 claims |
| GSKTrelegy Ellipta | $103 | $31,64041 claims |
| AstraZenecaFarxiga, Symbicort | $236 | $28,58543 claims |
| Sanofi-aventis U.S. LLCSoliqua 100-33 | $30 | $18,87722 claims |
| Takeda Pharmaceuticals U.S.A., Inc.Dexilant | $46 | $5,54519 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 80th percentile of 1,284 internal medicine providers in Kentucky.
Other internal medicine in Louisville
- Jason ChesneyLouisville$6.3M
- Robert SasserLouisville$62K
- Kelley McIntyreLouisville$48K
- Lal TanwaniLouisville$38K
- Mark WilliamsLouisville$33K
- Scott YoungLouisville$24K
- Frank SimonLouisville$22K
- Walter BruningLouisville$22K
- Brian ParadowskiLouisville$20K
- Suresh NairLouisville$20K
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.