RxDoctor Payments Data

Mark Lastarza, MD

Internal Medicine · Ormond Beach, FLNPI 1831165448

Payments from drug & device makers

$2,352in general payments, 2019–2025

Across 134 payments — averaging $17.55 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Novo Nordisk$571
  • GSK$251
  • Lilly USA, LLC$247
  • Bayer$190
  • Pfizer$138
  • Amgen$127
  • plus $829 from 16 others

What the payments were for

  • Food & beverage$2,352100%

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

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.

How this compares

$2,352 in reported general payments places this provider in the 80th percentile of 8,530 internal medicine providers in Florida.

See all internal medicine providers in Florida

Medicare billing

Part B allowed, 2024
$381,338
Medicare patients
918
Services billed
5,680

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
OzempicSemaglutide134$154,587
MounjaroTirzepatide44$60,299
JardianceEmpagliflozin38$56,944
EliquisApixaban50$56,844
RybelsusSemaglutide19$38,270
JanuviaSitagliptin Phosphate12$18,452
WegovySemaglutide11$15,542
FarxigaDapagliflozin Propanediol20$15,031
Breo ElliptaFluticasone/Vilanterol15$10,901
Atorvastatin Calcium986$10,043
Rosuvastatin Calcium531$8,874
SynthroidLevothyroxine Sodium119$8,203
Levothyroxine Sodium667$7,733
SymbicortBudesonide/Formoterol Fumarate21$5,799
Amlodipine Besylate768$5,525

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
Novo NordiskOzempic, Rybelsus, Wegovy$571$208,399164 claims
Lilly USA, LLCMounjaro, Humalog$247$63,27455 claims
Boehringer IngelheimJardiance$48$56,94438 claims
PfizerEliquis$138$56,84450 claims
MerckJanuvia$124$18,45212 claims
GSKBreo Ellipta$251$10,90115 claims
AbbVieSynthroid$86$8,203119 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 80th percentile of 8,530 internal medicine providers in Florida.

Other internal medicine in Ormond Beach

See the full list for Florida

Where these figures come from

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