RxDoctor Payments Data

Mark Diehl, DO

Rheumatology · Gettysburg, PANPI 1982667754

Payments from drug & device makers

What this record shows

This record is dominated by speaking fees: $111,529 of the $121,895 with a category attached, or 91.5%. Amgen accounts for 98.0% of it on its own, with 12 other manufacturers making up the rest. Reporting peaked in 2019 at $51,748 and has fallen 76.5% since, to $12,182 in 2025. Among rheumatology clinicians in PA 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.

$121,895in general payments, 2019–2025

Across 206 payments — averaging $591.72 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Amgen$120K
  • AstraZeneca$720
  • GSK$348
  • Novartis$219
  • Johnson & Johnson$209
  • Lilly USA, LLC$198
  • plus $699 from 7 others

What the payments were for

  • Consulting fees$4830%
  • Speaking & faculty fees$111,52991%
  • Travel & lodging$3,4443%
  • Food & beverage$6,1975%
  • Education$2430%

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.

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

$121,895 in reported general payments places this provider in the 90th percentile of 351 rheumatology providers in Pennsylvania.

See all rheumatology providers in Pennsylvania

Medicare billing

Part B allowed, 2024
$501,958
Medicare patients
584
Services billed
24,173

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
Enbrel SureclickEtanercept158$1,225,607
Humira(Cf) PenAdalimumab84$748,702
Cosentyx Sensoready (2 Pens)Secukinumab46$505,244
OtezlaApremilast91$486,737
TremfyaGuselkumab22$301,039
Cosentyx Unoready PenSecukinumab23$260,273
Taltz AutoinjectorIxekizumab34$230,211
Xeljanz XrTofacitinib Citrate31$172,847
Cimzia (2 Pack)Certolizumab Pegol19$135,926
XeljanzTofacitinib Citrate24$129,102
Enbrel MiniEtanercept15$108,419
Orencia ClickjectAbatacept18$100,732
Humira(Cf)Adalimumab13$87,254
Humira PenAdalimumab12$81,738
SimponiGolimumab13$77,824

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
AmgenOtezla, Prolia, Rayos$119,502$547,301121 claims
Johnson & JohnsonTremfya, Simponi$209$378,86235 claims
UCB, Inc.Cimzia (2 Pack)$140$135,92619 claims
PfizerXeljanz$177$129,10224 claims
AbbVieHumira(Cf)$148$87,25413 claims
Radius Health, Inc.Tymlos$15$41,34916 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 351 rheumatology providers in Pennsylvania.

Other rheumatology in Gettysburg

See the full list for Pennsylvania

Where these figures come from

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