RxDoctor Payments Data

Musib Gappy, MD

Internal Medicine · Hazel Park, MINPI 1477544088

Payments from drug & device makers

$11,732in general payments, 2019–2025

Across 632 payments — averaging $18.56 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Amgen$1K
  • Teva Pharmaceuticals USA, Inc.$1K
  • AstraZeneca$875
  • Novo Nordisk$764
  • Ironwood Pharmaceuticals, Inc$717
  • GSK$644
  • plus $6K from 53 others

What the payments were for

  • Food & beverage$11,726100%
  • Education$60%

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

19
20
21
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.

CompanyPaymentsTotal
Amgen(2 entities)83$1,239
Teva Pharmaceuticals USA, Inc.49$1,016
AstraZeneca51$875
Novo Nordisk42$764
Ironwood Pharmaceuticals, Inc39$717
GSK23$644
AbbVie(2 entities)36$597
Boehringer Ingelheim31$543
Lilly USA, LLC28$422
Pfizer26$398
Amarin Pharma, Inc.24$375
Johnson & Johnson24$365
Madrigal Pharmaceuticals11$275
Merck17$272
Agios Pharmaceuticals, Inc.2$241
Nestle Healthcare Nutrition Inc.13$224
Novartis10$207
Astellas Pharma US Inc6$185
Phathom Pharmaceuticals, Inc.4$166
Exact Sciences9$160
Biohaven Pharmaceuticals, Inc.9$150
Esperion Therapeutics, Inc.2$145
Actelion Pharmaceuticals US, Inc.1$126
Sanofi-aventis U.S. LLC7$125
Sumitomo Pharma America, Inc.7$118
Bristol Myers Squibb6$111
E.r. Squibb & Sons, L.L.C.7$107
Dexcom, Inc.6$101
Romark Laboratories, LC1$92
Bayer5$86
Salix Pharmaceuticals, A Division Of Bausch Health US, LLC5$81
Abbott4$76
Ardelyx, Inc.4$75
Otsuka America Pharmaceutical, Inc.4$57
ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.)3$54
Ipsen Biopharmaceuticals, Inc2$51
BD3$46
Viatris Specialty LLC2$43
Biohaven Pharmaceutical Holding Company Ltd.3$41
Lundbeck LLC2$37
Avanir Pharmaceuticals, Inc.2$36
Shield Therapeutics Inc2$33
Vivaquant Inc, Dba Rhythm Express1$26
Boston Scientific1$22
Concordia Pharmaceuticals Inc.1$20
Scpharmaceuticals Inc.1$18
Axsome Therapeutics, Inc.1$17
Capsovision, Inc.1$16
Ferring Pharmaceuticals Inc.1$15
Aimmune Therapeutics, Inc.1$14
Metuchen Pharmaceuticals1$14
Halozyme Inc1$14
Kowa Pharmaceuticals America, Inc.1$13
Takeda Pharmaceuticals U.S.A., Inc.1$12
Sunovion Pharmaceuticals Inc.1$12
Evoke Pharma, Inc.1$12
Xeris Pharmaceuticals, Inc.1$12
Eyevance Pharmaceuticals LLC1$11
Hikma Pharmaceuticals USA1$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

$11,732 in reported general payments places this provider in the 95th percentile of 4,567 internal medicine providers in Michigan.

See all internal medicine providers in Michigan

Medicare billing

Part B allowed, 2024
$142,947
Medicare patients
391
Services billed
3,056

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
JardianceEmpagliflozin405$440,333
TradjentaLinagliptin319$277,615
EliquisApixaban289$244,748
OzempicSemaglutide212$211,134
JanuviaSitagliptin Phosphate240$210,682
TrulicityDulaglutide134$156,152
Trelegy ElliptaFluticasone/Umeclidin/Vilanter158$121,575
XareltoRivaroxaban83$77,676
LinzessLinaclotide87$70,737
JanumetSitagliptin Phos/Metformin Hcl82$61,205
FarxigaDapagliflozin Propanediol71$60,770
EntrestoSacubitril/Valsartan45$57,171
ProliaDenosumab30$51,731
MounjaroTirzepatide33$41,580
JentaduetoLinagliptin/Metformin Hcl52$35,277

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
Boehringer IngelheimJardiance, Tradjenta, Jentadueto, Spiriva Respimat$543$766,324800 claims
MerckJanuvia, Janumet$272$271,887322 claims
PfizerEliquis$398$244,748289 claims
Novo NordiskOzempic$764$211,134212 claims
Lilly USA, LLCTrulicity, Mounjaro$422$197,732167 claims
GSKTrelegy Ellipta, Breo Ellipta, Incruse Ellipta$644$148,743222 claims
Johnson & JohnsonXarelto, Invokana$365$98,842113 claims
AstraZenecaFarxiga, Breztri Aerosphere, Symbicort$875$81,351120 claims
AbbVieLinzess$597$70,73787 claims
NovartisEntresto$207$57,17145 claims
AmgenProlia$1,239$51,73130 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 95th percentile of 4,567 internal medicine providers in Michigan.

Other internal medicine in Hazel Park

See the full list for Michigan

Where these figures come from

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