RxDoctor Payments Data

Jeremy Ravussin, MD

Internal Medicine · Midlothian, VANPI 1669747903

Payments from drug & device makers

$9,482in general payments, 2019–2025

Across 594 payments — averaging $15.96 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • AbbVie$1K
  • Novo Nordisk$770
  • Amgen$744
  • AstraZeneca$733
  • Lilly USA, LLC$657
  • Boehringer Ingelheim$461
  • plus $5K from 54 others

What the payments were for

  • Food & beverage$9,448100%
  • Education$340%

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.

CompanyPaymentsTotal
AbbVie(2 entities)83$1,150
Novo Nordisk54$770
Amgen(2 entities)49$744
AstraZeneca33$733
Lilly USA, LLC51$657
Boehringer Ingelheim28$461
Abbott18$377
GSK31$330
Pfizer22$321
Merck20$312
Exact Sciences13$253
Dexcom, Inc.11$211
Takeda Pharmaceuticals U.S.A., Inc.12$194
Astellas Pharma US Inc11$173
Amarin Pharma, Inc.9$164
Teva Pharmaceuticals USA, Inc.10$152
Sanofi-aventis U.S. LLC10$150
Salix Pharmaceuticals, A Division Of Bausch Health US, LLC9$150
Otsuka America Pharmaceutical, Inc.6$147
Esperion Therapeutics, Inc.7$125
Dynavax Technologies Corporation6$122
Bayer9$122
Actelion Pharmaceuticals US, Inc.6$121
Insightec,inc3$112
Novartis6$111
Inspire Medical Systems, Inc.4$109
Biogen6$98
Biohaven Pharmaceutical Holding Company Ltd.4$91
Daiichi Sankyo Inc.3$74
Corium, LLC4$65
Amneal Pharmaceuticals LLC4$64
Edwards Lifesciences3$61
Kowa Pharmaceuticals America, Inc.4$57
Genentech USA, Inc.4$50
Shire North American Group Inc4$49
Biohaven Pharmaceuticals, Inc.2$44
Currax Pharmaceuticals LLC3$44
Johnson & Johnson3$38
Medtronic(2 entities)2$37
Sumitomo Pharma America, Inc.2$37
Eisai Inc.2$33
Nestle Healthcare Nutrition Inc.2$32
Bausch Health US, LLC1$23
Avanir Pharmaceuticals, Inc.1$23
Clarus Therapeutics Inc.2$21
Sanofi1$19
IBSA Pharma Inc.1$19
Xeris Pharmaceuticals, Inc.1$18
Philips North America LLC1$18
Jazz Pharmaceuticals Inc.1$18
Scpharmaceuticals Inc.1$17
Idorsia Pharmaceuticals US Inc1$17
Assertio Therapeutics, Inc.1$16
Antares Pharma, Inc.1$16
Tactile Systems Technology Inc1$15
Ultragenyx Pharmaceutical Inc.1$15
Gilead1$14
Watermark Medical, Inc.1$14
E.r. Squibb & Sons, L.L.C.1$14
Cequr Corporation1$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.

How this compares

$9,482 in reported general payments places this provider in the 90th percentile of 2,724 internal medicine providers in Virginia.

See all internal medicine providers in Virginia

Medicare billing

Part B allowed, 2024
$106,907
Medicare patients
442
Services billed
1,068

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
OzempicSemaglutide94$149,200
EliquisApixaban119$127,573
JardianceEmpagliflozin67$78,813
TrulicityDulaglutide39$49,849
XareltoRivaroxaban30$31,438
JanuviaSitagliptin Phosphate24$31,001
FarxigaDapagliflozin Propanediol27$30,031
Tresiba Flextouch U-200Insulin Degludec28$18,236
TradjentaLinagliptin12$12,149
Soliqua 100-33Insulin Glargine/Lixisenatide12$11,198
Lantus SolostarInsulin Glargine,hum.Rec.Anlog58$7,106
Atorvastatin Calcium635$5,249
Pregabalin102$4,802
Rosuvastatin Calcium318$3,871
Levothyroxine Sodium355$3,438

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
Novo NordiskOzempic$770$149,20094 claims
PfizerEliquis$321$127,573119 claims
Boehringer IngelheimJardiance, Tradjenta$461$90,96279 claims
Lilly USA, LLCTrulicity$657$49,84939 claims
Johnson & JohnsonXarelto$38$31,43830 claims
MerckJanuvia$312$31,00124 claims
AstraZenecaFarxiga$733$30,03127 claims
Sanofi-aventis U.S. LLCSoliqua 100-33$150$11,19812 claims
Amneal Pharmaceuticals LLCLevothyroxine Sodium$64$3,438355 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 90th percentile of 2,724 internal medicine providers in Virginia.

Other internal medicine in Midlothian

See the full list for Virginia

Where these figures come from

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