Lewis Holmes, MD
Hospitalist · Greeneville, TNNPI 1134173768
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $1,975 of the $2,232 with a category attached, or 88.5%. It is spread thinly across 22 manufacturers, the largest accounting for just 21.6% — the pattern of someone who eats at a lot of different presentations. 2023 is the largest year on record at $738, 2.1 times the $350 reported in 2019. Among hospitalist clinicians in TN 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 98 payments — averaging $22.78 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Amgen$482
- AstraZeneca$285
- Mallinckrodt Hospital Products Inc.$280
- Otsuka America Pharmaceutical, Inc.$222
- Daiichi Sankyo Inc.$128
- Calliditas Therapeutics US Inc.$125
- plus $710 from 16 others
What the payments were for
- Food & beverage$1,97588%
- Education$25712%
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 |
|---|---|---|
| Amgen(2 entities) | 23 | $482 |
| AstraZeneca(2 entities) | 16 | $285 |
| Mallinckrodt Hospital Products Inc. | 9 | $280 |
| Otsuka America Pharmaceutical, Inc. | 6 | $222 |
| Daiichi Sankyo Inc. | 7 | $128 |
| Calliditas Therapeutics US Inc. | 1 | $125 |
| Vifor Pharma, Inc. | 4 | $106 |
| GSK | 5 | $100 |
| Bayer | 5 | $97 |
| Fresenius USA Marketing, Inc. | 4 | $66 |
| Nxstage Medical, Inc. | 2 | $57 |
| Akebia Therapeutics Inc | 2 | $44 |
| Travere Therapeutics, Inc. | 2 | $40 |
| Aurinia Pharma U.S., Inc. | 2 | $35 |
| Takeda Pharmaceuticals U.S.A., Inc. | 2 | $33 |
| Shire North American Group Inc | 2 | $31 |
| Sanofi | 1 | $19 |
| OPKO Pharmaceuticals, LLC | 1 | $19 |
| Kyowa Kirin, Inc. | 1 | $18 |
| Mallinckrodt Enterprises LLC | 1 | $16 |
| Baxter Healthcare | 1 | $15 |
| Medtronic | 1 | $14 |
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.
- TARPEYO$125
How this compares
$2,232 in reported general payments places this provider in the 90th percentile of 349 hospitalist providers in Tennessee.
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 |
|---|---|---|
| Methylprednisolone | 11 | $79 |
Paid to pharmacies, not to this prescriber.
Other hospitalist in Greeneville
- Douglas AdkissonGreeneville$2K
- Gerald OnuohaNashville$37K
- Sunil KripalaniNashville$23K
- Ankur SethMemphis$13K
- Eugene ScobeyMemphis$6K
- Monico BanezJackson$6K
- Omar AlsharifKnoxville$6K
- Matthew JosephNashville$5K
- Courtney TafesseMurfreesboro$5K
- Arnel PaneloNashville$5K
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.