RxDoctor Payments Data

Joseph Ciszewski, DO

Internal Medicine · Clearwater, FLNPI 1366937856

Payments from drug & device makers

$1,901in general payments, 2019–2025

Across 78 payments — averaging $24.38 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • AbbVie$349
  • Renalytix AI, Inc.$157
  • GSK$156
  • Insmed, Inc.$139
  • Johnson & Johnson$100
  • E.r. Squibb & Sons, L.L.C.$97
  • plus $904 from 21 others

What the payments were for

  • Food & beverage$1,901100%

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

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

$1,901 in reported general payments places this provider in the 75th percentile of 8,530 internal medicine providers in Florida.

See all internal medicine providers in Florida

Medicare billing

Part B allowed, 2024
$38,123
Medicare patients
149
Services billed
443

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
MounjaroTirzepatide18$26,438
OzempicSemaglutide25$24,046
EliquisApixaban17$16,502
Trelegy ElliptaFluticasone/Umeclidin/Vilanter22$16,418
RexultiBrexpiprazole11$15,636
RybelsusSemaglutide12$13,827
MyrbetriqMirabegron11$5,047
Lantus SolostarInsulin Glargine,hum.Rec.Anlog14$2,866
Gabapentin119$2,768
Sildenafil Citrate12$2,422
Albuterol Sulfate HfaAlbuterol Sulfate51$1,151
Rosuvastatin Calcium58$1,114
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen20$988
Atorvastatin Calcium123$985
Omeprazole51$774

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, Rybelsus$93$37,87337 claims
Lilly USA, LLCMounjaro$18$26,43818 claims
PfizerEliquis$14$16,50217 claims
GSKTrelegy Ellipta$156$16,41822 claims
Otsuka America Pharmaceutical, Inc.Rexulti$82$15,63611 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 75th percentile of 8,530 internal medicine providers in Florida.

Other internal medicine in Clearwater

See the full list for Florida

Where these figures come from

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