Mikhail Grzhibek, MD
Internal Medicine · East Patchogue, NYNPI 1629033709
Payments from drug & device makers
Across 139 payments — averaging $27.31 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Boehringer Ingelheim$685
- AstraZeneca$555
- Lilly USA, LLC$545
- Johnson & Johnson$411
- Novo Nordisk$375
- Pfizer$304
- plus $921 from 18 others
What the payments were for
- Food & beverage$3,784100%
- 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 |
|---|---|---|
| Boehringer Ingelheim | 23 | $685 |
| AstraZeneca | 13 | $555 |
| Lilly USA, LLC | 15 | $545 |
| Johnson & Johnson | 19 | $411 |
| Novo Nordisk | 20 | $375 |
| Pfizer | 15 | $304 |
| Novartis | 5 | $168 |
| Regeneron Healthcare Solutions, Inc. | 2 | $149 |
| Bayer | 1 | $100 |
| Exact Sciences | 5 | $99 |
| Amarin Pharma, Inc. | 4 | $74 |
| AbbVie | 2 | $51 |
| Inspire Medical Systems, Inc. | 2 | $46 |
| GSK | 2 | $35 |
| Abbott | 2 | $31 |
| Boston Scientific | 1 | $22 |
| Astellas Pharma US Inc | 1 | $20 |
| Axsome Therapeutics, Inc. | 1 | $20 |
| Renalytix AI, Inc. | 1 | $20 |
| Eisai Inc. | 1 | $20 |
| Nevro Corp. | 1 | $19 |
| Shield Therapeutics Inc | 1 | $19 |
| Avanir Pharmaceuticals, Inc. | 1 | $15 |
| Otsuka America Pharmaceutical, Inc. | 1 | $14 |
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
$3,796 in reported general payments places this provider in the 85th percentile of 9,771 internal medicine providers in New York.
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 | 69 | $82,024 |
| EliquisApixaban | 75 | $80,926 |
| JardianceEmpagliflozin | 92 | $70,603 |
| XareltoRivaroxaban | 53 | $52,804 |
| JanuviaSitagliptin Phosphate | 47 | $42,758 |
| MyrbetriqMirabegron | 27 | $16,956 |
| FarxigaDapagliflozin Propanediol | 28 | $14,411 |
| Repatha SureclickEvolocumab | 17 | $9,013 |
| EntrestoSacubitril/Valsartan | 12 | $7,849 |
| OxycontinOxycodone Hcl | 12 | $6,807 |
| Memantine Hcl ErMemantine Hcl | 29 | $4,852 |
| Levothyroxine Sodium | 256 | $4,461 |
| Metoprolol Succinate | 230 | $3,614 |
| Atorvastatin Calcium | 349 | $3,106 |
| Irbesartan | 21 | $2,288 |
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 | $375 | $82,02469 claims |
| PfizerEliquis | $304 | $80,92675 claims |
| Boehringer IngelheimJardiance | $685 | $70,60392 claims |
| Johnson & JohnsonXarelto | $411 | $52,80453 claims |
| Astellas Pharma US IncMyrbetriq | $20 | $16,95627 claims |
| AstraZenecaFarxiga | $555 | $14,41128 claims |
| NovartisEntresto | $168 | $7,84912 claims |
| AbbVieSynthroid | $51 | $84023 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 9,771 internal medicine providers in New York.
Other internal medicine in East Patchogue
- Helena YuNew York$50.9M
- Neha KordeNew York$21.2M
- Karen AutioNew York$18.5M
- Ingo MellinghoffNew York$16.1M
- Gopakumar IyerNew York$12.4M
- David DoveEast Hampton$12.3M
- Robert CupeloEast Syracuse$10.6M
- Patrick ReaganRochester$9.4M
- Sally LauNew York$8.4M
- Angela BrancheRochester$7.9M
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.