RxDoctor Payments Data

Joseph Kulpeksa, MD

Internal Medicine · Bay St Louis, MSNPI 1154388056

Payments from drug & device makers

$231in general payments, 2019–2025

Across 12 payments — averaging $19.21 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Novo Nordisk$65
  • Dexcom, Inc.$53
  • Takeda Pharmaceuticals U.S.A., Inc.$48
  • Exact Sciences$19
  • Purdue Pharma L.p.$17
  • Novartis$16
  • plus $11 from 1 others

What the payments were for

  • Food & beverage$231100%

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

20
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.

How this compares

$231 in reported general payments places this provider in the 35th percentile of 846 internal medicine providers in Mississippi.

See all internal medicine providers in Mississippi

Medicare billing

Part B allowed, 2024
$79,873
Medicare patients
301
Services billed
730

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
MounjaroTirzepatide45$48,767
OzempicSemaglutide51$48,623
EliquisApixaban50$32,945
XareltoRivaroxaban20$11,676
FarxigaDapagliflozin Propanediol16$9,349
Breztri AerosphereBudesonide/Glycopyr/Formoterol13$8,338
Tresiba Flextouch U-100Insulin Degludec14$6,781
MyrbetriqMirabegron12$6,171
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen205$5,421
SymbicortBudesonide/Formoterol Fumarate17$3,851
Albuterol Sulfate HfaAlbuterol Sulfate146$3,030
Ventolin HfaAlbuterol Sulfate53$2,965
Dexlansoprazole DrDexlansoprazole17$2,300
Lantus SolostarInsulin Glargine,hum.Rec.Anlog23$1,794
Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen56$1,756

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$65$48,62351 claims
AstraZenecaFarxiga, Breztri Aerosphere, Symbicort$11$21,53946 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 35th percentile of 846 internal medicine providers in Mississippi.

Other internal medicine in Bay St Louis

See the full list for Mississippi

Where these figures come from

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