RxDoctor Payments Data

Jeffrey Holmes, MD

Internal Medicine · Dunbar, WVNPI 1982665329

Payments from drug & device makers

What this record shows

Almost everything reported here is food and beverage — 90.2% of the total across 463 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 48 manufacturers, the largest accounting for just 13.3% — the pattern of someone who eats at a lot of different presentations. 2025 is the largest year on record at $2,784, 2.2 times the $1,260 reported in 2019. Among internal medicine clinicians in WV with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.

$8,820in general payments, 2019–2025

Across 463 payments — averaging $19.05 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Smith+Nephew$1K
  • Novo Nordisk$992
  • AstraZeneca$818
  • Lilly USA, LLC$761
  • AbbVie$673
  • Bayer$399
  • plus $4K from 42 others

What the payments were for

  • Travel & lodging$7879%
  • Food & beverage$7,95890%
  • Education$751%

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

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.

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

$8,820 in reported general payments places this provider in the 95th percentile of 573 internal medicine providers in West Virginia.

See all internal medicine providers in West Virginia

Medicare billing

Part B allowed, 2024
$187,259
Medicare patients
544
Services billed
1,984

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
EliquisApixaban360$169,417
OzempicSemaglutide131$156,467
JardianceEmpagliflozin206$146,514
Enbrel SureclickEtanercept36$71,245
TrulicityDulaglutide88$68,739
MounjaroTirzepatide60$62,215
JanuviaSitagliptin Phosphate79$61,718
EntrestoSacubitril/Valsartan139$54,388
Tresiba Flextouch U-100Insulin Degludec46$50,596
XareltoRivaroxaban71$45,219
MyrbetriqMirabegron116$41,144
LinzessLinaclotide53$34,740
FarxigaDapagliflozin Propanediol45$23,183
Breo ElliptaFluticasone/Vilanterol37$18,964
OxycontinOxycodone Hcl14$17,764

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
PfizerEliquis, Effexor Xr$233$182,912371 claims
Novo NordiskOzempic, Rybelsus$992$173,828144 claims
Boehringer IngelheimJardiance, Tradjenta$293$152,723224 claims
Lilly USA, LLCTrulicity, Mounjaro$761$130,954148 claims
MerckJanuvia, Dulera$251$66,86797 claims
NovartisEntresto$272$54,388139 claims
Johnson & JohnsonXarelto$196$45,21971 claims
AbbVieLinzess, Namzaric$673$41,15975 claims
Astellas Pharma US IncMyrbetriq$173$41,144116 claims
AstraZenecaFarxiga, Symbicort$818$28,73357 claims
GSKBreo Ellipta$146$18,96437 claims
Sanofi-aventis U.S. LLCLantus$150$6,17061 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 573 internal medicine providers in West Virginia.

Other internal medicine in Dunbar

See the full list for West Virginia

Where these figures come from

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