RxDoctor Payments Data

John Buse, MD

Endocrinology, Diabetes & Metabolism · Chapel Hill, NCNPI 1336164680

Payments from drug & device makers

What this record shows

This record is dominated by consulting fees: $322,195 of the $459,508 with a category attached, or 70.1%. 20 manufacturers reported payments, led by Novo Nordisk AS at 34.3% of the total. Among endocrinology, diabetes & metabolism clinicians in NC 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.

$459,508in general payments, 2019–2025

Across 329 payments — averaging $1396.68 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Novo Nordisk AS$158K
  • Novo Nordisk$81K
  • Eli Lilly$58K
  • AstraZeneca$34K
  • Corcept Therapeutics$27K
  • Vertex$18K
  • plus $84K from 14 others
$3,321,801in research payments, 2019–2025

Across 3,894 payments — averaging $853.06 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.

  • Novo Nordisk AS$2.7M
  • Insulet Corporation$338K
  • Sanofi US Services Inc.$222K
  • Lexicon Pharmaceuticals, Inc.$37K
  • Novo Nordisk$3K
  • Lilly USA, LLC$2K
  • plus $4K from 3 others

What the payments were for

  • Consulting fees$322,19570%
  • Speaking & faculty fees$72,23016%
  • Travel & lodging$60,44913%
  • Food & beverage$4,5791%
  • Education$560%

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

$459,508 in reported general payments places this provider in the 95th percentile of 232 endocrinology, diabetes & metabolism providers in North Carolina.

See all endocrinology, diabetes & metabolism providers in North Carolina

Medicare billing

Part B allowed, 2024
$15,257
Medicare patients
56
Services billed
248

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
OzempicSemaglutide92$180,098
JardianceEmpagliflozin66$94,973
MounjaroTirzepatide50$85,910
Tresiba Flextouch U-200Insulin Degludec19$62,117
Tresiba Flextouch U-100Insulin Degludec41$34,340
Omnipod 5 Dexg7g6 Pods (Gen 5)Insulin Pump Cart,auto,bt,g6/720$16,462
Lantus SolostarInsulin Glargine,hum.Rec.Anlog30$10,237
FarxigaDapagliflozin Propanediol12$8,192
Novolog FlexpenInsulin Aspart15$4,526
Humalog Kwikpen U-100Insulin Lispro12$3,802
Ultra-Fine Short Pen NeedlePen Needle, Diabetic19$3,319
Nano 2nd Gen Pen NeedlePen Needle, Diabetic25$3,221
HumalogInsulin Lispro11$2,774
Atorvastatin Calcium112$1,638
LantusInsulin Glargine,hum.Rec.Anlog12$1,369

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$81,149$180,09892 claims
Lilly USA, LLCMounjaro, Humalog, Insulin Lispro$3,000$89,99072 claims
AstraZenecaFarxiga$33,723$8,19212 claims
Sanofi-aventis U.S. LLCLantus$3,404$1,36912 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 232 endocrinology, diabetes & metabolism providers in North Carolina.

Other endocrinology, diabetes & metabolism in Chapel Hill

See the full list for North Carolina

Where these figures come from

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