Joshua Frame, DO
Internal Medicine · St George, UTNPI 1437143443
Payments from drug & device makers
Across 1,848 payments — averaging $115.80 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novo Nordisk AS$204K
- AbbVie$1K
- Novartis$973
- AstraZeneca$911
- Pfizer$700
- Novo Nordisk$597
- plus $5K from 52 others
What the payments were for
- Food & beverage$10,086100%
- Education$70%
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.
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.
- FARXIGA$103
- BREZTRI AEROSPHERE$103
- SYMBICORT$103
How this compares
$214,004 in reported general payments places this provider in the 95th percentile of 496 internal medicine providers in Utah.
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 |
|---|---|---|
| EliquisApixaban | 129 | $135,051 |
| XareltoRivaroxaban | 111 | $101,013 |
| OzempicSemaglutide | 69 | $100,963 |
| JardianceEmpagliflozin | 40 | $69,362 |
| ShingrixVaricella-Zoster Ge/As01b/Pf | 236 | $52,215 |
| JanuviaSitagliptin Phosphate | 31 | $44,692 |
| MounjaroTirzepatide | 22 | $39,394 |
| Toujeo Max SolostarInsulin Glargine,hum.Rec.Anlog | 19 | $23,805 |
| MyrbetriqMirabegron | 30 | $19,482 |
| TradjentaLinagliptin | 31 | $19,209 |
| FarxigaDapagliflozin Propanediol | 18 | $18,246 |
| VraylarCariprazine Hcl | 11 | $15,235 |
| Omeprazole | 583 | $9,138 |
| AbrysvoRsv Vacc, Pref A And Pref B/Pf | 28 | $8,964 |
| Levothyroxine Sodium | 705 | $7,191 |
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 |
|---|---|---|
| PfizerEliquis, Abrysvo, Premarin | $700 | $149,167174 claims |
| Johnson & JohnsonXarelto | $296 | $101,013111 claims |
| Novo NordiskOzempic | $597 | $100,96369 claims |
| Boehringer IngelheimJardiance, Tradjenta | $500 | $88,57271 claims |
| GSKShingrix | $116 | $52,215236 claims |
| MerckJanuvia | $181 | $44,69231 claims |
| Lilly USA, LLCMounjaro | $549 | $39,39422 claims |
| AbbVieVraylar, Synthroid | $1,473 | $19,90682 claims |
| AstraZenecaFarxiga | $911 | $18,24618 claims |
| Almatica Pharma LLCSertraline Hcl | $39 | $4,335457 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 496 internal medicine providers in Utah.
Other internal medicine in St George
- John PowellSt George$7K
- Ahad SabetSalt Lake City$34.5M
- Barbara RizzardiSandy$27.8M
- Willard DereSalt Lake City$4.7M
- Joseph WoolleySaint George$3.6M
- Justin MansfieldOgden$3.1M
- Michael KillpackSandy$2M
- Cuper Martinez SantibanezWest Valley City$1M
- Joshua OaksBountiful$973K
- Brandon WebbSalt Lake City$544K
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.