RxDoctor Payments Data

Michael Fangerow, DO

Internal Medicine · San Diego, CANPI 1952697740

Payments from drug & device makers

$1,071in general payments, 2019–2025

Across 49 payments — averaging $21.85 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Novo Nordisk$159
  • Pfizer$152
  • Exact Sciences$146
  • Abbott$76
  • Gilead$76
  • Viiv Healthcare Company$67
  • plus $396 from 13 others

What the payments were for

  • Food & beverage$1,071100%

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

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.

How this compares

$1,071 in reported general payments places this provider in the 75th percentile of 13,581 internal medicine providers in California.

See all internal medicine providers in California

Medicare billing

Part B allowed, 2024
$21,759
Medicare patients
66
Services billed
215

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
OzempicSemaglutide57$56,373
BiktarvyBictegrav/Emtricit/Tenofov Ala11$43,089
EliquisApixaban27$38,440
JardianceEmpagliflozin22$25,434
TrulicityDulaglutide25$23,845
XareltoRivaroxaban11$10,560
Breo ElliptaFluticasone/Vilanterol13$6,654
Lantus SolostarInsulin Glargine,hum.Rec.Anlog13$1,850
Gabapentin87$1,491
Atorvastatin Calcium129$1,411
Levothyroxine Sodium78$1,020
Albuterol Sulfate HfaAlbuterol Sulfate44$920
Pantoprazole Sodium29$810
Valsartan26$795
Losartan Potassium74$788

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$159$56,37357 claims
GileadBiktarvy$76$43,08911 claims
PfizerEliquis$152$38,44027 claims
Boehringer IngelheimJardiance$18$25,43422 claims
Lilly USA, LLCTrulicity$50$23,84525 claims
GSKBreo Ellipta$60$6,65413 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 75th percentile of 13,581 internal medicine providers in California.

Other internal medicine in San Diego

See the full list for California

Where these figures come from

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