Michael Snyder, MD
Internal Medicine · Johnson City, TNNPI 1649519869
Payments from drug & device makers
Across 284 payments — averaging $18.25 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$1K
- Novo Nordisk$701
- Lilly USA, LLC$686
- AstraZeneca$627
- Pfizer$470
- Bayer$302
- plus $1K from 30 others
What the payments were for
- Food & beverage$5,172100%
- Education$120%
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 |
|---|---|---|
| AbbVie | 61 | $1,023 |
| Novo Nordisk | 57 | $701 |
| Lilly USA, LLC | 34 | $686 |
| AstraZeneca | 17 | $627 |
| Pfizer | 31 | $470 |
| Bayer | 11 | $302 |
| GSK | 10 | $178 |
| Esperion Therapeutics, Inc. | 10 | $148 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 6 | $124 |
| Eisai Inc. | 1 | $98 |
| Exact Sciences | 6 | $92 |
| Intuitive Surgical | 1 | $82 |
| Novartis | 5 | $80 |
| Xeris Pharmaceuticals, Inc. | 2 | $48 |
| Dexcom, Inc. | 2 | $44 |
| E.r. Squibb & Sons, L.L.C. | 3 | $41 |
| Astellas Pharma US Inc | 2 | $35 |
| Amgen | 2 | $35 |
| Sunovion Pharmaceuticals Inc. | 2 | $34 |
| Phathom Pharmaceuticals, Inc. | 4 | $33 |
| Dynavax Technologies Corporation | 2 | $27 |
| C. R. Bard, Inc. & Subsidiaries | 1 | $25 |
| Lundbeck LLC | 1 | $23 |
| Inspire Medical Systems, Inc. | 1 | $22 |
| Avanir Pharmaceuticals, Inc. | 1 | $22 |
| Axsome Therapeutics, Inc. | 1 | $20 |
| Merck | 1 | $20 |
| Sanofi Pasteur Inc. | 1 | $20 |
| Boehringer Ingelheim | 1 | $19 |
| Philips North America LLC | 1 | $18 |
| Irhythm Technologies, Inc. | 1 | $17 |
| Corcept Therapeutics | 1 | $16 |
| Corium, LLC | 1 | $15 |
| Johnson & Johnson | 1 | $14 |
| Seqirus USA Inc | 1 | $13 |
| Sumitomo Pharma America, Inc. | 1 | $10 |
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
$5,184 in reported general payments places this provider in the 85th percentile of 2,216 internal medicine providers in Tennessee.
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 |
|---|---|---|
| EliquisApixaban | 164 | $149,761 |
| OzempicSemaglutide | 91 | $116,879 |
| FarxigaDapagliflozin Propanediol | 56 | $65,421 |
| MounjaroTirzepatide | 49 | $49,420 |
| JardianceEmpagliflozin | 26 | $33,300 |
| TrulicityDulaglutide | 27 | $33,181 |
| MyrbetriqMirabegron | 29 | $25,042 |
| XareltoRivaroxaban | 28 | $22,594 |
| Repatha SureclickEvolocumab | 14 | $13,699 |
| JanuviaSitagliptin Phosphate | 12 | $10,510 |
| ShingrixVaricella-Zoster Ge/As01b/Pf | 39 | $8,596 |
| Tresiba Flextouch U-100Insulin Degludec | 19 | $7,773 |
| Omeprazole | 345 | $7,258 |
| EntrestoSacubitril/Valsartan | 12 | $7,086 |
| NovologInsulin Aspart | 16 | $4,925 |
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 |
|---|---|---|
| PfizerEliquis | $470 | $149,761164 claims |
| Novo NordiskOzempic, Novolog | $701 | $121,804107 claims |
| Lilly USA, LLCMounjaro, Trulicity | $686 | $82,60176 claims |
| AstraZenecaFarxiga | $627 | $65,42156 claims |
| Boehringer IngelheimJardiance | $19 | $33,30026 claims |
| Astellas Pharma US IncMyrbetriq | $35 | $25,04229 claims |
| Johnson & JohnsonXarelto | $14 | $22,59428 claims |
| MerckJanuvia | $20 | $10,51012 claims |
| GSKShingrix | $178 | $8,59639 claims |
| NovartisEntresto | $80 | $7,08612 claims |
| AbbVieSynthroid | $1,023 | $2,76541 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 85th percentile of 2,216 internal medicine providers in Tennessee.
Other internal medicine in Johnson City
- Frank JohnsonJohnson City$445K
- Mouna AbouamaraJohnson City$47K
- Mark McKenzieChattanooga$11.9M
- Bernard GrunstraBristol$6.4M
- Jewel WhiteKingsport$5.7M
- Judith WhiteKingsport$5.6M
- Obadias MarquezOoltewah$2.8M
- Amanda Moore MillerKnoxville$2.3M
- Rick WhilesBristol$1.5M
- John AndersonNashville$1.5M
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.