Miranda Binion
Internal Medicine · Grayson, KYNPI 1093041139
Payments from drug & device makers
Across 117 payments — averaging $12.92 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- GSK$327
- AstraZeneca$206
- Merck$190
- Novo Nordisk$137
- Lilly USA, LLC$133
- AbbVie$65
- plus $455 from 13 others
What the payments were for
- Food & beverage$1,49099%
- Education$211%
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 |
|---|---|---|
| GSK | 21 | $327 |
| AstraZeneca | 8 | $206 |
| Merck | 19 | $190 |
| Novo Nordisk | 17 | $137 |
| Lilly USA, LLC | 15 | $133 |
| AbbVie(2 entities) | 4 | $65 |
| Sunovion Pharmaceuticals Inc. | 6 | $65 |
| Teva Pharmaceuticals USA, Inc. | 4 | $55 |
| Astellas Pharma US Inc | 3 | $49 |
| Amarin Pharma, Inc. | 3 | $42 |
| Sanofi-aventis U.S. LLC | 3 | $39 |
| Boehringer Ingelheim | 3 | $39 |
| Daiichi Sankyo Inc. | 2 | $35 |
| Pfizer | 2 | $35 |
| Genentech USA, Inc. | 2 | $33 |
| Supernus Pharmaceuticals, Inc. | 2 | $29 |
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $13 |
| Kowa Pharmaceuticals America, Inc. | 1 | $11 |
| Amgen | 1 | $11 |
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
$1,511 in reported general payments places this provider in the 70th percentile of 1,284 internal medicine providers in Kentucky.
Other internal medicine in Grayson
- Sanjiv GuptaGrayson$51K
- Mark AdamsLondon$15.4M
- Matthew WenkerErlanger$12.8M
- Jason ChesneyLouisville$6.3M
- Neil FarrisLexington$3M
- David JohnsonOwensboro$787K
- Hollis ClarkMurray$780K
- Fares KhaterWhitesburg$412K
- Christopher PhillipsPaducah$315K
- Cynthia Bowman-StroudPaducah$234K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.