Joseph James, MD
Internal Medicine · North Chesterfield, VANPI 1699761221
Payments from drug & device makers
Across 658 payments — averaging $1373.90 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Ironwood Pharmaceuticals, Inc$446K
- Eisai Inc.$367K
- AbbVie$56K
- Avanir Pharmaceuticals, Inc.$22K
- AstraZeneca$5K
- Novartis$3K
- plus $5K from 30 others
What the payments were for
- Food & beverage$4,035100%
- Education$200%
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 |
|---|---|---|
| Ironwood Pharmaceuticals, Inc | 160 | $446,203 |
| Eisai Inc. | 216 | $366,707 |
| AbbVie(2 entities) | 39 | $56,082 |
| Avanir Pharmaceuticals, Inc. | 7 | $21,817 |
| AstraZeneca | 38 | $4,501 |
| Novartis | 3 | $3,409 |
| Swedish Orphan Biovitrum AB | 3 | $2,181 |
| Novo Nordisk | 35 | $518 |
| Lilly USA, LLC | 23 | $339 |
| Abbott | 12 | $302 |
| Pfizer | 22 | $248 |
| GSK | 14 | $244 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 11 | $171 |
| Amgen | 11 | $159 |
| Biohaven Pharmaceutical Holding Company Ltd. | 7 | $149 |
| Astellas Pharma US Inc | 8 | $124 |
| Boehringer Ingelheim | 7 | $119 |
| Sanofi-aventis U.S. LLC | 5 | $111 |
| Bayer | 7 | $94 |
| Dynavax Technologies Corporation | 3 | $80 |
| Exact Sciences | 3 | $68 |
| Amarin Pharma, Inc. | 4 | $67 |
| Boston Scientific | 2 | $51 |
| Merck | 3 | $41 |
| Takeda Pharmaceuticals U.S.A., Inc. | 2 | $31 |
| Scilex Pharmaceuticals Inc. | 2 | $31 |
| Biohaven Pharmaceuticals, Inc. | 1 | $28 |
| Esperion Therapeutics, Inc. | 2 | $26 |
| Dexcom, Inc. | 1 | $20 |
| Edwards Lifesciences | 1 | $18 |
| Watermark Medical, Inc. | 1 | $18 |
| Biogen | 1 | $16 |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 1 | $15 |
| Adlon Therapeutics L.p. | 1 | $13 |
| Sanofi Pasteur Inc. | 1 | $12 |
| Johnson & Johnson | 1 | $11 |
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.
- PROCLAIM$105
How this compares
$904,024 in reported general payments places this provider in the 95th percentile of 2,724 internal medicine providers in Virginia.
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 |
|---|---|---|
| OzempicSemaglutide | 12 | $11,429 |
| JanuviaSitagliptin Phosphate | 12 | $9,692 |
| EliquisApixaban | 11 | $8,614 |
| Lantus SolostarInsulin Glargine,hum.Rec.Anlog | 14 | $2,087 |
| Atorvastatin Calcium | 60 | $557 |
| Losartan Potassium | 43 | $407 |
| Celecoxib | 14 | $389 |
| Losartan-HydrochlorothiazideLosartan/Hydrochlorothiazide | 38 | $383 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 18 | $374 |
| Levothyroxine Sodium | 33 | $367 |
| Amlodipine Besylate | 97 | $360 |
| Colchicine | 11 | $342 |
| Metoprolol Succinate | 34 | $305 |
| Rosuvastatin Calcium | 35 | $296 |
| Simvastatin | 21 | $260 |
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 |
|---|---|---|
| Novo NordiskOzempic | $518 | $11,42912 claims |
| MerckJanuvia | $41 | $9,69212 claims |
| PfizerEliquis | $248 | $8,61411 claims |
| Scilex Pharmaceuticals Inc.Colchicine | $31 | $34211 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 2,724 internal medicine providers in Virginia.
Other internal medicine in North Chesterfield
- Brian WassermanNorth Chesterfield$75K
- Leroy VaughanRichmond$20.8M
- James ClarkCharlottesville$16.2M
- Nabil AndrawisBurke$8.5M
- Mary BlumbergNorfolk$6.5M
- David RamstadSuffolk$5.8M
- Andrew PoklepovicRichmond$4.6M
- Nashwa GabraBurke$4.3M
- Michael DevittCharlottesville$3.5M
- Richard JacksonRichmond$2.5M
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.