RxDoctor Payments Data

Jonathan Appelbaum, MD

Geriatric Medicine · Monticello, FLNPI 1215975503

Payments from drug & device makers

What this record shows

This record is dominated by consulting fees: $52,660 of the $58,536 with a category attached, or 90.0%. Viiv Healthcare Company accounts for 60.1% of it on its own, with 8 other manufacturers making up the rest. Reporting peaked in 2019 at $20,862 and has fallen 99.2% since, to $165 in 2025. Among geriatric medicine clinicians in FL 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.

$58,536in general payments, 2019–2025

Across 79 payments — averaging $740.96 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Viiv Healthcare Company$35K
  • EMD Serono, Inc.$12K
  • Merck$9K
  • Theratechnologies Inc.$2K
  • Janssen Scientific Affairs, LLC$501
  • Janssen Products, LP$167
  • plus $94 from 3 others

What the payments were for

  • Consulting fees$52,66090%
  • Grants$5011%
  • Travel & lodging$3,0205%
  • Food & beverage$2,3444%
  • Education$110%

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

$58,536 in reported general payments places this provider in the 95th percentile of 305 geriatric medicine providers in Florida.

See all geriatric medicine providers in Florida

Medicare billing

Part B allowed, 2024
$4,916
Medicare patients
18
Services billed
68

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
DovatoDolutegravir Sodium/Lamivudine45$121,919
TriumeqAbacavir/Dolutegravir/Lamivudi26$86,172
BiktarvyBictegrav/Emtricit/Tenofov Ala23$82,535
DescovyEmtricitabine/Tenofov Alafenam32$67,515
TivicayDolutegravir Sodium32$65,958
EliquisApixaban49$36,733
RybelsusSemaglutide21$21,548
JanuviaSitagliptin Phosphate27$14,227
Bevespi AerosphereGlycopyrrolate/Formoterol Fum13$4,964
SymbicortBudesonide/Formoterol Fumarate11$3,116
EdarbiAzilsartan Medoxomil12$2,773
Albuterol Sulfate HfaAlbuterol Sulfate56$2,026
Estradiol Valerate15$1,377
Amlodipine Besylate126$857
Gabapentin33$803

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
Viiv Healthcare CompanyDovato, Triumeq, Tivicay$35,161$274,050103 claims
PfizerEliquis$38$36,73349 claims
Novo NordiskRybelsus$25$21,54821 claims
MerckJanuvia$8,561$14,22727 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 305 geriatric medicine providers in Florida.

Other geriatric medicine in Monticello

See the full list for Florida

Where these figures come from

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