Malisa Agard
Internal Medicine · Orlando, FLNPI 1366708323
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (51.8%), travel and lodging and food and beverage — rather than concentrated in one kind of arrangement. 10 manufacturers reported payments, led by Novo Nordisk at 51.8% of the total. 2025 is the largest year on record at $12,593, more than ten times the $40 reported in 2019. Among internal medicine clinicians in FL 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 40 payments — averaging $463.52 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novo Nordisk$10K
- Eli Lilly$5K
- F. Hoffmann-la Roche AG$2K
- Sage Therapeutics, LLC$1K
- E.r. Squibb & Sons, L.L.C.$271
- Biogen$246
- plus $207 from 4 others
Across 413 payments — averaging $29,739 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.
- Eli Lilly$6.6M
- Amgen$1.5M
- Genentech, Inc.$1.2M
- Eisai Inc.$1.1M
- Pfizer$891K
- Boehringer Ingelheim International GmbH$268K
- plus $703K from 9 others
What the payments were for
- Consulting fees$9,60652%
- Travel & lodging$7,36040%
- Food & beverage$1,5758%
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 | 5 | $9,598 |
| Eli Lilly | 15 | $5,172 |
| F. Hoffmann-la Roche AG | 3 | $1,735 |
| Sage Therapeutics, LLC | 8 | $1,312 |
| E.r. Squibb & Sons, L.L.C. | 2 | $271 |
| Biogen | 2 | $246 |
| Eisai Inc. | 2 | $135 |
| Pfizer | 1 | $32 |
| Astellas Pharma US Inc | 1 | $24 |
| Gilead | 1 | $16 |
How this compares
$18,541 in reported general payments places this provider in the 95th percentile of 8,530 internal medicine providers in Florida.
Other internal medicine in Orlando
- Haytham ElgammalMiami$2.2M
- Keith RubinFort Lauderdale$2M
- Michael SensionFort Lauderdale$1M
- Quang NguyenOcala$434K
- Luis Correa LunaSanford$412K
- Michael OleksykFort Myers$365K
- Andrew KuykendallTampa$322K
- Howard FederoffCoconut Grove$302K
- Bianka EperjesiovaGainesville$260K
- Julio ConradoFort Myers$247K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.