Kirtida Ringwala, MD
Internal Medicine · Oshkosh, WINPI 1356376966
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 99.5% of the total across 411 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 35 manufacturers, the largest accounting for just 22.3% — the pattern of someone who eats at a lot of different presentations. Among internal medicine clinicians in WI with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 411 payments — averaging $13.95 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$1K
- AstraZeneca$761
- Lilly USA, LLC$718
- Boehringer Ingelheim$443
- Novo Nordisk$321
- Takeda Pharmaceuticals U.S.A., Inc.$313
- plus $2K from 29 others
What the payments were for
- Food & beverage$5,70299%
- Education$321%
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 |
|---|---|---|
| AbbVie(2 entities) | 108 | $1,280 |
| AstraZeneca | 45 | $761 |
| Lilly USA, LLC | 56 | $718 |
| Boehringer Ingelheim | 31 | $443 |
| Novo Nordisk | 28 | $321 |
| Takeda Pharmaceuticals U.S.A., Inc. | 18 | $313 |
| Johnson & Johnson | 26 | $275 |
| Amgen | 10 | $160 |
| Sanofi-aventis U.S. LLC | 9 | $131 |
| Pfizer | 7 | $123 |
| Merck | 8 | $113 |
| Nestle Healthcare Nutrition Inc. | 6 | $112 |
| Amarin Pharma, Inc. | 6 | $100 |
| Alkermes, Inc. | 4 | $80 |
| Exact Sciences | 4 | $80 |
| Eisai Inc. | 4 | $77 |
| Sumitomo Pharma America, Inc. | 4 | $74 |
| Novartis | 4 | $68 |
| Dexcom, Inc. | 3 | $51 |
| Mylan Specialty L.p. | 4 | $49 |
| Ultragenyx Pharmaceutical Inc. | 3 | $45 |
| Biohaven Pharmaceutical Holding Company Ltd. | 2 | $43 |
| Shire North American Group Inc | 3 | $41 |
| E.r. Squibb & Sons, L.L.C. | 2 | $32 |
| Phathom Pharmaceuticals, Inc. | 2 | $29 |
| Esperion Therapeutics, Inc. | 2 | $28 |
| Gilead | 2 | $28 |
| Boston Scientific | 2 | $26 |
| Biohaven Pharmaceuticals, Inc. | 2 | $24 |
| Almatica Pharma LLC | 1 | $21 |
| Sanofi | 1 | $20 |
| Travere Therapeutics, Inc. | 1 | $19 |
| Bayer | 1 | $18 |
| GSK | 1 | $15 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 1 | $15 |
How this compares
$5,733 in reported general payments places this provider in the 95th percentile of 1,411 internal medicine providers in Wisconsin.
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 | 78 | $67,624 |
| FarxigaDapagliflozin Propanediol | 31 | $36,797 |
| XareltoRivaroxaban | 30 | $30,951 |
| JardianceEmpagliflozin | 27 | $28,496 |
| JanuviaSitagliptin Phosphate | 18 | $25,784 |
| OzempicSemaglutide | 25 | $23,105 |
| Lantus SolostarInsulin Glargine,hum.Rec.Anlog | 72 | $9,759 |
| SymbicortBudesonide/Formoterol Fumarate | 23 | $7,898 |
| Fluticasone-SalmeterolFluticasone Propion/Salmeterol | 39 | $7,712 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 281 | $4,603 |
| Simvastatin | 355 | $4,207 |
| Omeprazole | 264 | $4,141 |
| Pentazocine-Naloxone HclPentazocine Hcl/Naloxone Hcl | 13 | $4,056 |
| Levemir FlexpenInsulin Detemir | 15 | $3,884 |
| Potassium Chloride | 106 | $3,742 |
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 | $123 | $67,62478 claims |
| AstraZenecaFarxiga, Symbicort | $761 | $44,69554 claims |
| Johnson & JohnsonXarelto | $275 | $30,95130 claims |
| Boehringer IngelheimJardiance | $443 | $28,49627 claims |
| MerckJanuvia | $113 | $25,78418 claims |
| Novo NordiskOzempic | $321 | $23,10525 claims |
| AbbVieSynthroid | $1,280 | $1,68825 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 1,411 internal medicine providers in Wisconsin.
Other internal medicine in Oshkosh
- Lisa AnthonyOshkosh$19K
- Jeremiah DeptaMilwaukee$723K
- James KuplicSheboygan$201K
- Erik StilpMilwaukee$116K
- Christopher WeberGermantown$113K
- Alejandro EismaWinnebago$84K
- Hammam ShereefMilwaukee$55K
- Brian SchreiberNeenah$49K
- Kaye-Eileen WillardRacine$47K
- Haroon ZubairWauwatosa$40K
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.