John Vance, MD
Internal Medicine · Leesburg, GANPI 1841301496
Payments from drug & device makers
Across 220 payments — averaging $16.68 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novo Nordisk$644
- AstraZeneca$517
- Lilly USA, LLC$483
- GSK$405
- Bayer$347
- Pfizer$263
- plus $1K from 24 others
What the payments were for
- Food & beverage$3,665100%
- Education$50%
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 |
|---|---|---|
| Novo Nordisk | 37 | $644 |
| AstraZeneca | 33 | $517 |
| Lilly USA, LLC | 31 | $483 |
| GSK | 24 | $405 |
| Bayer | 12 | $347 |
| Pfizer | 19 | $263 |
| Merck | 12 | $169 |
| Johnson & Johnson | 12 | $164 |
| Sanofi Pasteur Inc. | 6 | $89 |
| Boehringer Ingelheim | 4 | $66 |
| Astellas Pharma US Inc | 3 | $58 |
| Dexcom, Inc. | 3 | $55 |
| Sanofi-aventis U.S. LLC | 3 | $55 |
| Vanda Pharmaceuticals Inc. | 2 | $44 |
| AbbVie | 2 | $35 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 2 | $32 |
| Idorsia Pharmaceuticals US Inc | 2 | $25 |
| Novavax Inc | 1 | $24 |
| Averitas Pharma Inc. | 1 | $20 |
| Abbott | 1 | $19 |
| Amgen | 1 | $18 |
| Corcept Therapeutics | 1 | $18 |
| Esperion Therapeutics, Inc. | 1 | $18 |
| Exact Sciences | 1 | $17 |
| Teva Pharmaceuticals USA, Inc. | 1 | $17 |
| Athena Bioscience, LLC | 1 | $17 |
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $15 |
| Watermark Medical, Inc. | 1 | $15 |
| Corium, LLC | 1 | $11 |
| Ultragenyx Pharmaceutical Inc. | 1 | $9 |
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.
- Kerendia$125
How this compares
$3,670 in reported general payments places this provider in the 80th percentile of 3,311 internal medicine providers in Georgia.
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 |
|---|---|---|
| MounjaroTirzepatide | 165 | $195,048 |
| OzempicSemaglutide | 86 | $109,652 |
| JardianceEmpagliflozin | 91 | $106,979 |
| FarxigaDapagliflozin Propanediol | 85 | $101,518 |
| EliquisApixaban | 84 | $99,141 |
| JanuviaSitagliptin Phosphate | 97 | $98,907 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 71 | $87,257 |
| RybelsusSemaglutide | 21 | $52,405 |
| TrulicityDulaglutide | 34 | $51,696 |
| AbrysvoRsv Vacc, Pref A And Pref B/Pf | 145 | $45,896 |
| XareltoRivaroxaban | 20 | $31,360 |
| Tresiba Flextouch U-200Insulin Degludec | 18 | $28,620 |
| MyrbetriqMirabegron | 37 | $27,453 |
| JanumetSitagliptin Phos/Metformin Hcl | 22 | $22,459 |
| ShingrixVaricella-Zoster Ge/As01b/Pf | 95 | $21,161 |
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.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| Lilly USA, LLCMounjaro, Trulicity | $483 | $246,744199 claims |
| Novo NordiskOzempic, Rybelsus | $644 | $162,057107 claims |
| PfizerEliquis, Abrysvo | $263 | $145,037229 claims |
| AstraZenecaFarxiga, Breztri Aerosphere, Symbicort | $517 | $132,100130 claims |
| GSKTrelegy Ellipta, Shingrix, Breo Ellipta, Incruse Ellipta | $405 | $127,962202 claims |
| MerckJanuvia, Janumet | $169 | $121,366119 claims |
| Boehringer IngelheimJardiance, Spiriva Respimat | $66 | $117,098102 claims |
| Johnson & JohnsonXarelto | $164 | $31,36020 claims |
| Astellas Pharma US IncMyrbetriq | $58 | $27,45337 claims |
| Sanofi-aventis U.S. LLCLantus | $55 | $3,88622 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 80th percentile of 3,311 internal medicine providers in Georgia.
Other internal medicine in Leesburg
- Paul BradleySavannah$76.4M
- Kimball JohnsonAtlanta$51.1M
- Bram WieskopfWoodstock$21.9M
- Dwight BlakeUnion City$13.3M
- Charlotte Grayson-MathisFayetteville$9.6M
- Christopher RecknorGainesville$9.2M
- James HarperJohns Creek$9.2M
- Robert Springer IiiAtlanta$5.3M
- Thomas MoriaritySavannah$4.6M
- Charles KempAlbany$2.7M
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.