Luis Carpio, MD
Internal Medicine · Chesapeake, VANPI 1518919695
Payments from drug & device makers
Across 592 payments — averaging $22.51 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$3K
- Novo Nordisk$2K
- Boehringer Ingelheim$2K
- Lilly USA, LLC$1K
- Amgen$819
- Pfizer$674
- plus $4K from 24 others
What the payments were for
- Food & beverage$13,10398%
- Education$2232%
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 |
|---|---|---|
| AstraZeneca | 99 | $3,491 |
| Novo Nordisk | 90 | $2,050 |
| Boehringer Ingelheim | 91 | $1,628 |
| Lilly USA, LLC | 39 | $1,068 |
| Amgen | 26 | $819 |
| Pfizer | 47 | $674 |
| Amarin Pharma, Inc. | 37 | $583 |
| Bayer | 26 | $494 |
| AbbVie(2 entities) | 13 | $374 |
| Astellas Pharma US Inc | 10 | $280 |
| GSK | 15 | $263 |
| Mannkind Corporation | 17 | $247 |
| Exact Sciences | 7 | $222 |
| Merck | 20 | $201 |
| Radius Health, Inc. | 11 | $181 |
| Esperion Therapeutics, Inc. | 9 | $162 |
| Sanofi-aventis U.S. LLC | 11 | $156 |
| Novartis | 5 | $90 |
| Abbott | 3 | $63 |
| Shield Therapeutics Inc | 1 | $37 |
| Dexcom, Inc. | 2 | $37 |
| Kowa Pharmaceuticals America, Inc. | 2 | $29 |
| Lupin Inc. | 1 | $28 |
| Corcept Therapeutics | 2 | $26 |
| Hikma Pharmaceuticals USA | 2 | $26 |
| Mylan Specialty L.p. | 2 | $26 |
| Idorsia Pharmaceuticals US Inc | 1 | $25 |
| Nestle Healthcare Nutrition Inc. | 1 | $23 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 1 | $13 |
| Ironwood Pharmaceuticals, Inc | 1 | $13 |
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
$13,325 in reported general payments places this provider in the 95th percentile of 2,724 internal medicine providers in Virginia.
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 |
|---|---|---|
| JardianceEmpagliflozin | 172 | $223,997 |
| FarxigaDapagliflozin Propanediol | 112 | $123,797 |
| EliquisApixaban | 81 | $75,286 |
| RybelsusSemaglutide | 30 | $73,807 |
| JanuviaSitagliptin Phosphate | 21 | $34,221 |
| Soliqua 100-33Insulin Glargine/Lixisenatide | 14 | $32,779 |
| OzempicSemaglutide | 21 | $31,665 |
| MounjaroTirzepatide | 24 | $31,168 |
| VascepaIcosapent Ethyl | 51 | $29,355 |
| EntrestoSacubitril/Valsartan | 29 | $28,050 |
| Breztri AerosphereBudesonide/Glycopyr/Formoterol | 22 | $24,289 |
| MyrbetriqMirabegron | 30 | $23,747 |
| TradjentaLinagliptin | 19 | $18,334 |
| Spiriva RespimatTiotropium Bromide | 21 | $15,319 |
| Tresiba Flextouch U-100Insulin Degludec | 17 | $15,139 |
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 |
|---|---|---|
| Boehringer IngelheimJardiance, Tradjenta, Spiriva Respimat, Stiolto Respimat, Synjardy Xr | $1,628 | $286,458252 claims |
| AstraZenecaFarxiga, Breztri Aerosphere, Symbicort | $3,491 | $153,521146 claims |
| Novo NordiskRybelsus, Ozempic | $2,050 | $105,47251 claims |
| PfizerEliquis | $674 | $75,28681 claims |
| MerckJanuvia, Janumet Xr | $201 | $46,57433 claims |
| Sanofi-aventis U.S. LLCSoliqua 100-33 | $156 | $32,77914 claims |
| Lilly USA, LLCMounjaro | $1,068 | $31,16824 claims |
| NovartisEntresto | $90 | $28,05029 claims |
| Astellas Pharma US IncMyrbetriq | $280 | $23,74730 claims |
| GSKTrelegy Ellipta | $263 | $12,77811 claims |
| AbbVieLinzess | $374 | $8,92717 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 2,724 internal medicine providers in Virginia.
Other internal medicine in Chesapeake
- Leroy VaughanRichmond$20.8M
- James ClarkCharlottesville$16.2M
- Nabil AndrawisBurke$8.5M
- Mary BlumbergNorfolk$6.5M
- David RamstadSuffolk$5.8M
- Andrew PoklepovicRichmond$4.6M
- Nashwa GabraBurke$4.3M
- Michael DevittCharlottesville$3.5M
- Richard JacksonRichmond$2.5M
- Sue BrownCharlottesville$2.4M
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.