RxDoctor Payments Data

Khalid Ahmed, MD

Internal Medicine · Flint, MINPI 1619965175

Payments from drug & device makers

What this record shows

This record is dominated by food and beverage: $5,817 of the $6,652 with a category attached, or 87.4%. It is spread thinly across 44 manufacturers, the largest accounting for just 23.5% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2024 at $1,942 and has fallen 70.8% since, to $567 in 2025. Among internal medicine clinicians in MI 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.

$6,652in general payments, 2019–2025

Across 268 payments — averaging $24.82 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Novartis$2K
  • AbbVie$740
  • Gilead$481
  • AstraZeneca$461
  • Otsuka America Pharmaceutical, Inc.$344
  • Boehringer Ingelheim$315
  • plus $3K from 38 others
$167,294in research payments, 2019–2025

Across 39 payments — averaging $4289.60 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.

  • Janssen Research & Development, LLC$76K
  • Novartis$57K
  • Pfizer$18K
  • Hikma Pharmaceuticals USA$9K
  • Boehringer Ingelheim$4K
  • GSK$4K

What the payments were for

  • Travel & lodging$82212%
  • Food & beverage$5,81787%
  • Education$140%

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

19
20
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

$6,652 in reported general payments places this provider in the 90th percentile of 4,567 internal medicine providers in Michigan.

See all internal medicine providers in Michigan

Medicare billing

Part B allowed, 2024
$83,550
Medicare patients
342
Services billed
1,045

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
EliquisApixaban105$67,355
Trelegy ElliptaFluticasone/Umeclidin/Vilanter36$24,508
TrulicityDulaglutide21$23,499
RybelsusSemaglutide13$21,739
OzempicSemaglutide20$21,054
JanuviaSitagliptin Phosphate27$20,079
EntrestoSacubitril/Valsartan21$16,727
XareltoRivaroxaban22$16,643
Atrovent HfaIpratropium Bromide19$12,575
FarxigaDapagliflozin Propanediol15$8,664
JardianceEmpagliflozin14$8,247
Breo ElliptaFluticasone/Vilanterol14$4,996
Budesonide-Formoterol FumarateBudesonide/Formoterol Fumarate19$3,833
Albuterol Sulfate HfaAlbuterol Sulfate115$3,598
AbrysvoRsv Vacc, Pref A And Pref B/Pf11$3,457

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
PfizerEliquis, Abrysvo$209$70,812116 claims
Novo NordiskRybelsus, Ozempic$142$42,79333 claims
GSKTrelegy Ellipta, Breo Ellipta, Incruse Ellipta, Shingrix$107$35,38373 claims
Lilly USA, LLCTrulicity$110$23,49921 claims
MerckJanuvia$81$20,07927 claims
NovartisEntresto$1,560$16,72721 claims
Johnson & JohnsonXarelto$229$16,64322 claims
AstraZenecaFarxiga, Symbicort$461$11,33227 claims
Boehringer IngelheimJardiance$315$8,24714 claims
Sanofi-aventis U.S. LLCLantus$91$1,27317 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 4,567 internal medicine providers in Michigan.

Other internal medicine in Flint

See the full list for Michigan

Where these figures come from

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