Jiji Syamala, MD
Internal Medicine · Philadelphia, PANPI 1679778062
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 192 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 20 manufacturers reported payments, led by Johnson & Johnson at 32.9% of the total. Reporting peaked in 2024 at $752 and has fallen 83.9% since, to $121 in 2025.
Across 192 payments — averaging $18.71 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Johnson & Johnson$1K
- E.r. Squibb & Sons, L.L.C.$807
- AstraZeneca$470
- AbbVie$166
- Boehringer Ingelheim$142
- Pfizer$117
- plus $708 from 14 others
What the payments were for
- Food & beverage$3,592100%
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 |
|---|---|---|
| Johnson & Johnson | 60 | $1,183 |
| E.r. Squibb & Sons, L.L.C. | 54 | $807 |
| AstraZeneca(2 entities) | 21 | $470 |
| AbbVie | 7 | $166 |
| Boehringer Ingelheim | 6 | $142 |
| Pfizer | 7 | $117 |
| Merck | 5 | $112 |
| Aimmune Therapeutics, Inc. | 5 | $110 |
| La Jolla Pharmaceutical Company | 5 | $109 |
| Novartis | 6 | $91 |
| Shionogi Inc | 4 | $70 |
| Tetraphase Pharmaceuticals, Inc. | 2 | $45 |
| Smith+Nephew | 3 | $44 |
| Ceribell, Inc. | 1 | $25 |
| UCB, Inc. | 1 | $20 |
| Daiichi Sankyo Inc. | 1 | $19 |
| Tactile Systems Technology Inc | 1 | $19 |
| Lilly USA, LLC | 1 | $17 |
| Gilead | 1 | $16 |
| Vapotherm 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.
- XARELTO$114
How this compares
$3,592 in reported general payments places this provider in the 85th percentile of 5,705 internal medicine providers in Pennsylvania.
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 |
|---|---|---|
| Diltiazem 24hr Er (Cd)Diltiazem Hcl | 17 | $343 |
| Metoprolol Succinate | 22 | $173 |
| Pantoprazole Sodium | 28 | $157 |
| Prednisone | 21 | $90 |
| Famotidine | 14 | $79 |
| CefuroximeCefuroxime Axetil | 13 | $69 |
| Furosemide | 26 | $64 |
| Amlodipine Besylate | 13 | $51 |
| Doxycycline Hyclate | 13 | $40 |
| Metformin Hcl | 11 | $34 |
Paid to pharmacies, not to this prescriber.
Other internal medicine in Philadelphia
- Jonathan EpsteinPhiladelphia$13.1M
- Pitamber DevgonPhiladelphia$7.5M
- Daniel RaderPhiladelphia$1.7M
- David GoldmannPhiladelphia$525K
- Eyob FeyssaPhiladelphia$328K
- Emil AbramianPhiladelphia$199K
- Michael KnightPhiladelphia$178K
- James BlakePhiladelphia$164K
- Gina SimonciniPhiladelphia$158K
- James LewisPhiladelphia$106K
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.