Michael Rubalsky
Physician Assistant · Hamden, CTNPI 1407473697
Payments from drug & device makers
Across 215 payments — averaging $19.46 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novo Nordisk$611
- GSK$600
- AstraZeneca$481
- Pfizer$450
- Lilly USA, LLC$352
- AbbVie$287
- plus $1K from 27 others
What the payments were for
- Food & beverage$4,183100%
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 |
|---|---|---|
| Novo Nordisk | 34 | $611 |
| GSK | 31 | $600 |
| AstraZeneca | 21 | $481 |
| Pfizer | 28 | $450 |
| Lilly USA, LLC | 17 | $352 |
| AbbVie | 13 | $287 |
| Exact Sciences | 10 | $191 |
| Novartis | 5 | $109 |
| Otsuka America Pharmaceutical, Inc. | 6 | $106 |
| Amgen | 5 | $94 |
| Lundbeck LLC | 4 | $83 |
| Astellas Pharma US Inc | 4 | $78 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 4 | $76 |
| Ardelyx, Inc. | 3 | $71 |
| Merck | 3 | $64 |
| Boehringer Ingelheim | 3 | $63 |
| Abbott | 3 | $62 |
| Collegium Pharmaceutical, Inc. | 3 | $49 |
| Bayer | 2 | $45 |
| Lucid Diagnostics Inc. | 2 | $37 |
| Inspire Medical Systems, Inc. | 1 | $33 |
| Endo Pharmaceuticals Inc. | 2 | $32 |
| Gilead | 1 | $30 |
| Axsome Therapeutics, Inc. | 1 | $28 |
| Seqirus USA Inc | 1 | $23 |
| Ironwood Pharmaceuticals, Inc | 1 | $21 |
| Corcept Therapeutics | 1 | $20 |
| Biohaven Pharmaceutical Holding Company Ltd. | 1 | $18 |
| Medtronic | 1 | $18 |
| Kowa Pharmaceuticals America, Inc. | 1 | $16 |
| Johnson & Johnson | 1 | $15 |
| Biohaven Pharmaceuticals, Inc. | 1 | $12 |
| Echosens North America, Inc. | 1 | $8 |
How this compares
$4,183 in reported general payments places this provider in the 90th percentile of 1,795 physician assistant providers in Connecticut.
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 |
|---|---|---|
| OzempicSemaglutide | 36 | $52,011 |
| TrulicityDulaglutide | 28 | $36,861 |
| FarxigaDapagliflozin Propanediol | 27 | $33,616 |
| EliquisApixaban | 18 | $25,089 |
| JanuviaSitagliptin Phosphate | 12 | $20,028 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 26 | $19,700 |
| Atorvastatin Calcium | 152 | $1,636 |
| Fluoxetine Hcl | 12 | $1,495 |
| Nano 2nd Gen Pen NeedlePen Needle, Diabetic | 14 | $1,386 |
| Levothyroxine Sodium | 61 | $1,317 |
| Rosuvastatin Calcium | 102 | $1,076 |
| Lantus SolostarInsulin Glargine,hum.Rec.Anlog | 13 | $1,063 |
| Losartan Potassium | 71 | $798 |
| Amlodipine Besylate | 89 | $790 |
| LantusInsulin Glargine,hum.Rec.Anlog | 11 | $692 |
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 |
|---|---|---|
| Novo NordiskOzempic | $611 | $52,01136 claims |
| Lilly USA, LLCTrulicity | $352 | $36,86128 claims |
| AstraZenecaFarxiga | $481 | $33,61627 claims |
| PfizerEliquis | $450 | $25,08918 claims |
| MerckJanuvia | $64 | $20,02812 claims |
| GSKTrelegy Ellipta | $600 | $19,70026 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 1,795 physician assistant providers in Connecticut.
Other physician assistant in Hamden
- Sara BalakrishnanHamden$13K
- Franklin DedominicisHamden$10K
- Jessica NursickHamden$10K
- Jenna LangelloWaterbury$345K
- Gary SpinnerBridgeport$123K
- Jordan MarcouTrumbull$44K
- Mary ElliottGuilford$43K
- Christopher ThompsonGroton$42K
- Michael LalondeNew Haven$35K
- Kristine LaneMiddletown$30K
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.