RxDoctor Payments Data

Nathalie Bousader Armstrong, MD

Internal Medicine · North Tonawanda, NYNPI 1023066388

Payments from drug & device makers

$13,996in general payments, 2019–2025

Across 382 payments — averaging $36.64 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Amgen$3K
  • AstraZeneca$2K
  • Novo Nordisk$1K
  • Boehringer Ingelheim$1K
  • Sanofi-aventis U.S. LLC$747
  • GSK$703
  • plus $5K from 29 others

What the payments were for

  • Food & beverage$13,987100%
  • Education$80%

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.

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

$13,996 in reported general payments places this provider in the 90th percentile of 9,771 internal medicine providers in New York.

See all internal medicine providers in New York

Medicare billing

Part B allowed, 2024
$18,631
Medicare patients
67
Services billed
212

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
EliquisApixaban19$23,490
OzempicSemaglutide13$13,348
Breztri AerosphereBudesonide/Glycopyr/Formoterol13$9,562
Repatha SureclickEvolocumab14$8,842
Atorvastatin Calcium64$1,023
Rosuvastatin Calcium40$662
Metoprolol Succinate27$639
Omeprazole34$570
Levothyroxine Sodium39$477
Lisinopril45$401
Metformin Hcl33$401
Losartan Potassium23$334
Amlodipine Besylate36$327
Sertraline Hcl14$233
SynthroidLevothyroxine Sodium11$208

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
PfizerEliquis$186$23,49019 claims
Novo NordiskOzempic$1,342$13,34813 claims
AstraZenecaBreztri Aerosphere$2,012$9,56213 claims
AbbVieSynthroid$526$20811 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 9,771 internal medicine providers in New York.

Other internal medicine in North Tonawanda

See the full list for New York

Where these figures come from

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