RxDoctor Payments Data

Marie Malinchak, MD

Family Medicine · Roanoke, VANPI 1871577015

Payments from drug & device makers

$10,273in general payments, 2019–2025

Across 596 payments — averaging $17.24 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Novo Nordisk$1K
  • Lilly USA, LLC$1K
  • AbbVie$813
  • AstraZeneca$750
  • Pfizer$665
  • Otsuka America Pharmaceutical, Inc.$646
  • plus $5K from 53 others

What the payments were for

  • Food & beverage$10,261100%
  • Education$120%

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.

CompanyPaymentsTotal
Novo Nordisk67$1,212
Lilly USA, LLC88$1,064
AbbVie(2 entities)42$813
AstraZeneca47$750
Pfizer46$665
Otsuka America Pharmaceutical, Inc.30$646
Amgen27$491
Abbott18$352
Takeda Pharmaceuticals U.S.A., Inc.19$344
GSK15$334
Salix Pharmaceuticals, A Division Of Bausch Health US, LLC21$317
Johnson & Johnson16$294
Dexcom, Inc.18$289
Biohaven Pharmaceutical Holding Company Ltd.10$240
Novartis13$230
Boehringer Ingelheim8$155
Bausch Health US, LLC6$118
Amarin Pharma, Inc.6$117
Lundbeck LLC6$115
Teva Pharmaceuticals USA, Inc.7$115
Bayer6$113
Merck7$102
Exact Sciences4$92
Astellas Pharma US Inc6$87
Biohaven Pharmaceuticals, Inc.4$87
Inspire Medical Systems, Inc.2$78
Sanofi Pasteur Inc.3$78
Xeris Pharmaceuticals, Inc.4$70
Mylan Specialty L.p.2$63
Esperion Therapeutics, Inc.2$58
Corium, LLC2$44
Idorsia Pharmaceuticals US Inc3$43
Acella Pharmaceuticals, LLC2$41
Supernus Pharmaceuticals, Inc.2$39
Kowa Pharmaceuticals America, Inc.3$38
Eisai Inc.2$37
Sanofi-aventis U.S. LLC3$37
Tandem Diabetes Care, Inc.2$36
Avanir Pharmaceuticals, Inc.2$36
Itamar Medical Inc1$35
Aytu Biopharma, Inc.2$32
Shire North American Group Inc2$31
Amneal Pharmaceuticals LLC2$29
Mannkind Corporation2$29
Currax Pharmaceuticals LLC2$28
Sumitomo Pharma America, Inc.1$25
BETA Bionics, Inc.1$22
Medtronic1$22
Shield Therapeutics Inc1$22
Antares Pharma, Inc.1$20
Genentech USA, Inc.1$18
Jazz Pharmaceuticals Inc.1$17
Axsome Therapeutics, Inc.1$16
Orapharma, A Division Of Bausch Health US, LLC1$16
E.r. Squibb & Sons, L.L.C.1$16
ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.)1$15
Collegium Pharmaceutical, Inc.1$15
Therapeuticsmd, Inc.1$13
Arbor 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

$10,273 in reported general payments places this provider in the 90th percentile of 2,553 family medicine providers in Virginia.

See all family medicine providers in Virginia

Medicare billing

Part B allowed, 2024
$149,688
Medicare patients
379
Services billed
1,503

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
EliquisApixaban46$50,540
OzempicSemaglutide21$41,418
JardianceEmpagliflozin30$39,632
MounjaroTirzepatide28$32,368
XareltoRivaroxaban12$17,518
Trelegy ElliptaFluticasone/Umeclidin/Vilanter11$14,289
Repatha SureclickEvolocumab13$14,261
Breztri AerosphereBudesonide/Glycopyr/Formoterol11$13,228
Zolpidem Tartrate64$5,423
Wixela InhubFluticasone Propion/Salmeterol17$4,047
SynthroidLevothyroxine Sodium59$3,609
Valsartan163$3,347
Atorvastatin Calcium304$2,727
Fluticasone-SalmeterolFluticasone Propion/Salmeterol15$2,582
Duloxetine Hcl57$2,463

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, Paxlovid$665$51,97058 claims
Novo NordiskOzempic$1,212$41,41821 claims
Boehringer IngelheimJardiance$155$39,63230 claims
Lilly USA, LLCMounjaro$1,064$32,36828 claims
Johnson & JohnsonXarelto$294$17,51812 claims
GSKTrelegy Ellipta$334$14,28911 claims
AstraZenecaBreztri Aerosphere$750$13,22811 claims
AbbVieSynthroid$813$3,60959 claims
Amneal Pharmaceuticals LLCLevothyroxine Sodium$29$1,815231 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 2,553 family medicine providers in Virginia.

Other family medicine in Roanoke

See the full list for Virginia

Where these figures come from

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