Joshua Grube, MD
Family Medicine · Port Orange, FLNPI 1669852984
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 264 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 30 manufacturers, the largest accounting for just 15.4% — the pattern of someone who eats at a lot of different presentations. Among family medicine clinicians in FL with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 264 payments — averaging $19.04 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novo Nordisk$774
- Pfizer$605
- AbbVie$598
- GSK$552
- Amgen$374
- AstraZeneca$245
- plus $2K from 24 others
What the payments were for
- Food & beverage$5,027100%
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 |
|---|---|---|
| Novo Nordisk | 39 | $774 |
| Pfizer | 32 | $605 |
| AbbVie(2 entities) | 36 | $598 |
| GSK | 36 | $552 |
| Amgen | 21 | $374 |
| AstraZeneca | 7 | $245 |
| Bayer | 11 | $228 |
| Renalytix AI, Inc. | 11 | $203 |
| Phathom Pharmaceuticals, Inc. | 4 | $183 |
| Boehringer Ingelheim | 10 | $181 |
| Lilly USA, LLC | 7 | $136 |
| Corium, LLC | 7 | $134 |
| Exact Sciences | 6 | $120 |
| Myriad Women's Health, Inc. | 2 | $107 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 6 | $91 |
| Novartis | 5 | $87 |
| Astellas Pharma US Inc | 4 | $65 |
| E.r. Squibb & Sons, L.L.C. | 3 | $48 |
| Amneal Pharmaceuticals LLC | 3 | $45 |
| Sanofi Pasteur Inc. | 2 | $33 |
| Kowa Pharmaceuticals America, Inc. | 2 | $30 |
| Medtronic | 2 | $29 |
| Nevro Corp. | 1 | $25 |
| Amarin Pharma, Inc. | 1 | $25 |
| Dynavax Technologies Corporation | 1 | $25 |
| Otsuka America Pharmaceutical, Inc. | 1 | $20 |
| Abbott | 1 | $19 |
| Biohaven Pharmaceuticals, Inc. | 1 | $16 |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 1 | $16 |
| Johnson & Johnson | 1 | $15 |
How this compares
$5,027 in reported general payments places this provider in the 90th percentile of 7,282 family medicine providers in Florida.
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 | 157 | $189,055 |
| OzempicSemaglutide | 67 | $88,007 |
| XareltoRivaroxaban | 55 | $61,640 |
| JardianceEmpagliflozin | 22 | $36,109 |
| EntrestoSacubitril/Valsartan | 30 | $35,090 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 40 | $27,904 |
| JanuviaSitagliptin Phosphate | 15 | $25,187 |
| MounjaroTirzepatide | 21 | $18,418 |
| Bydureon BciseExenatide Microspheres | 12 | $13,323 |
| TrulicityDulaglutide | 13 | $12,780 |
| Breztri AerosphereBudesonide/Glycopyr/Formoterol | 11 | $9,714 |
| Atorvastatin Calcium | 869 | $8,533 |
| Anoro ElliptaUmeclidinium Brm/Vilanterol Tr | 17 | $8,017 |
| SymbicortBudesonide/Formoterol Fumarate | 24 | $7,577 |
| Tresiba Flextouch U-100Insulin Degludec | 13 | $5,270 |
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 | $605 | $189,055157 claims |
| Novo NordiskOzempic | $774 | $88,00767 claims |
| Johnson & JohnsonXarelto | $15 | $61,64055 claims |
| Boehringer IngelheimJardiance | $181 | $36,10922 claims |
| GSKTrelegy Ellipta, Anoro Ellipta | $552 | $35,92157 claims |
| NovartisEntresto | $87 | $35,09030 claims |
| Lilly USA, LLCMounjaro, Trulicity | $136 | $31,19834 claims |
| AstraZenecaBreztri Aerosphere, Symbicort | $245 | $17,29135 claims |
| Amneal Pharmaceuticals LLCLevothyroxine Sodium | $45 | $3,082275 claims |
| AbbVieSynthroid | $598 | $2,86640 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 90th percentile of 7,282 family medicine providers in Florida.
Other family medicine in Port Orange
- Noah LeeOakland Park$1.2M
- Angela RosselotBelle Isle$977K
- Richard LappOrlando$702K
- Hal BrownVero Beach$477K
- Lisa EvansBoca Raton$473K
- Giovana Rene CrooksBoca Raton$407K
- Edward BraunSt Petersburg$364K
- Samuel GreenleePensacola$235K
- Kevin FitzgeraldStuart$198K
- Louis KuritzkyGainesville$186K
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.