Michael Akpeke, MD
Internal Medicine · Orlando, FLNPI 1386722403
Payments from drug & device makers
Across 479 payments — averaging $3940.75 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Exeltis, USA Inc.$1.7M
- GSK$151K
- Chiesi USA, Inc.$58K
- Genentech, Inc.$17K
- AstraZeneca$1K
- Bayer$661
- plus $3K from 33 others
What the payments were for
- Food & beverage$6,209100%
- Education$60%
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 |
|---|---|---|
| Exeltis, USA Inc. | 183 | $1,656,153 |
| GSK | 29 | $150,575 |
| Chiesi USA, Inc. | 11 | $58,332 |
| Genentech, Inc. | 6 | $17,000 |
| AstraZeneca | 67 | $1,485 |
| Bayer | 24 | $661 |
| Lilly USA, LLC | 29 | $569 |
| Amgen | 18 | $299 |
| Johnson & Johnson | 8 | $241 |
| AbbVie(2 entities) | 15 | $220 |
| Pfizer | 12 | $211 |
| Kowa Pharmaceuticals America, Inc. | 12 | $194 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 11 | $168 |
| Evoke Pharma, Inc. | 2 | $144 |
| Esperion Therapeutics, Inc. | 7 | $143 |
| Gilead | 1 | $121 |
| Vertex | 1 | $120 |
| Sanofi | 1 | $114 |
| Daiichi Sankyo Inc. | 6 | $112 |
| Renalytix AI, Inc. | 5 | $88 |
| Medtronic | 1 | $84 |
| Boehringer Ingelheim | 4 | $84 |
| Paratek Pharmaceuticals, Inc. | 4 | $75 |
| Eisai Inc. | 3 | $60 |
| Phathom Pharmaceuticals, Inc. | 2 | $52 |
| Abbott | 2 | $37 |
| Inspire Medical Systems, Inc. | 1 | $35 |
| Novo Nordisk | 2 | $32 |
| Shield Therapeutics Inc | 2 | $29 |
| Atricure, Inc. | 1 | $26 |
| E.r. Squibb & Sons, L.L.C. | 1 | $26 |
| Corcept Therapeutics | 1 | $23 |
| Biohaven Pharmaceutical Holding Company Ltd. | 1 | $22 |
| Nestle Healthcare Nutrition Inc. | 1 | $17 |
| Bardy Diagnostics, Inc. | 1 | $15 |
| Merck | 1 | $15 |
| Amarin Pharma, Inc. | 1 | $15 |
| Nabriva Therapeutics, PLC | 1 | $13 |
| Mannkind Corporation | 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
$1,887,620 in reported general payments places this provider in the 95th percentile of 8,530 internal medicine providers in Florida.
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 |
|---|---|---|
| MounjaroTirzepatide | 129 | $203,781 |
| EliquisApixaban | 151 | $164,628 |
| JardianceEmpagliflozin | 105 | $115,226 |
| FarxigaDapagliflozin Propanediol | 88 | $83,494 |
| OzempicSemaglutide | 49 | $52,393 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 35 | $31,230 |
| TrulicityDulaglutide | 21 | $26,661 |
| Toujeo SolostarInsulin Glargine,hum.Rec.Anlog | 11 | $24,309 |
| Synjardy XrEmpagliflozin/Metformin Hcl | 20 | $22,976 |
| JanuviaSitagliptin Phosphate | 22 | $15,838 |
| Xigduo XrDapaglifloz Propaned/Metformin | 12 | $13,903 |
| EntrestoSacubitril/Valsartan | 23 | $13,682 |
| MyrbetriqMirabegron | 11 | $12,260 |
| Humalog Kwikpen U-200Insulin Lispro | 16 | $11,223 |
| Lantus SolostarInsulin Glargine,hum.Rec.Anlog | 35 | $7,783 |
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 |
|---|---|---|
| Lilly USA, LLCMounjaro, Trulicity | $569 | $230,442150 claims |
| PfizerEliquis | $211 | $164,628151 claims |
| Boehringer IngelheimJardiance, Synjardy Xr, Synjardy | $84 | $144,889138 claims |
| AstraZenecaFarxiga | $1,485 | $83,49488 claims |
| Novo NordiskOzempic | $32 | $52,39349 claims |
| GSKTrelegy Ellipta | $150,575 | $31,23035 claims |
| MerckJanuvia | $15 | $15,83822 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 8,530 internal medicine providers in Florida.
Other internal medicine in Orlando
- Kwabena AyesuOrlando$27.6M
- Malisa AgardOrlando$12.2M
- Alfonso Gonzalez-RodriguezOrlando$4.7M
- Tatyana MiroshnikovaOrlando$4.2M
- Yaneicy Gonzalez RojasCoral Gables$93.5M
- Juan Carlos RondonHollywood$66.8M
- Jaynier MoyaPembroke Pines$45.4M
- Mark KutnerMiami$35.7M
- Gilberto JimenezHialeah$35.6M
- Mira BaronWest Palm Beach$29.6M
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.