Joel Ingrim, MD
Internal Medicine · Dallas, TXNPI 1235471657
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 99.3% of the total across 254 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 23 manufacturers, the largest accounting for just 12.2% — the pattern of someone who eats at a lot of different presentations. Among internal medicine clinicians in TX with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 254 payments — averaging $21.41 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$662
- Johnson & Johnson$653
- Pfizer$602
- Salix Pharmaceuticals, A Division Of Bausch Health US, LLC$549
- CSL Behring$483
- Boehringer Ingelheim$381
- plus $2K from 17 others
What the payments were for
- Food & beverage$5,39999%
- Education$401%
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 |
|---|---|---|
| AstraZeneca(2 entities) | 30 | $662 |
| Johnson & Johnson | 27 | $653 |
| Pfizer | 26 | $602 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 28 | $549 |
| CSL Behring | 22 | $483 |
| Boehringer Ingelheim | 23 | $381 |
| Merck | 23 | $364 |
| E.r. Squibb & Sons, L.L.C. | 11 | $283 |
| Shionogi Inc | 12 | $257 |
| AbbVie | 9 | $254 |
| Vifor Pharma, Inc. | 11 | $240 |
| Ferring Pharmaceuticals Inc. | 7 | $217 |
| Aimmune Therapeutics, Inc. | 5 | $119 |
| Novartis | 6 | $103 |
| Astellas Pharma US Inc | 5 | $102 |
| Mylan Specialty L.p. | 2 | $27 |
| Insmed, Inc. | 1 | $27 |
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 1 | $26 |
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $24 |
| EUSA Pharma (US) LLC | 1 | $19 |
| Paratek Pharmaceuticals, Inc. | 1 | $19 |
| Vertex | 1 | $17 |
| Cumberland Pharmaceuticals, Inc. | 1 | $11 |
How this compares
$5,439 in reported general payments places this provider in the 90th percentile of 7,675 internal medicine providers in Texas.
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.
Other internal medicine in Dallas
- Marc TribbleDallas$693K
- Gary SinclairDallas$599K
- Han SchmidlyDallas$465K
- Athica VatanapradithDallas$164K
- Nicholaos BellosDallas$113K
- Steven HeldDallas$65K
- Amit VermaDallas$53K
- Spencer BerthelsenSugar Land$891K
- Hameed AliTemple$773K
- Mohammed Al-NajjarEl Paso$586K
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.