Nicholas Lytle
Rheumatology · West Columbia, SCNPI 1588050652
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $6,849 of the $11,413 with a category attached, or 60.0%. 29 manufacturers reported payments, led by AbbVie at 45.7% of the total. 2025 is the largest year on record at $6,312, more than ten times the $194 reported in 2019.
Across 263 payments — averaging $43.40 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$5K
- Amgen$1K
- Johnson & Johnson$875
- Octapharma USA, Inc.$574
- Novartis$461
- GSK$400
- plus $3K from 23 others
What the payments were for
- Consulting fees$3,40030%
- Travel & lodging$9668%
- Food & beverage$6,84960%
- Education$1982%
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 | 35 | $5,216 |
| Amgen(2 entities) | 51 | $1,173 |
| Johnson & Johnson | 24 | $875 |
| Octapharma USA, Inc. | 4 | $574 |
| Novartis | 15 | $461 |
| GSK | 10 | $400 |
| AstraZeneca(2 entities) | 19 | $363 |
| Lilly USA, LLC | 18 | $344 |
| UCB, Inc. | 14 | $311 |
| Aurinia Pharma U.S., Inc. | 10 | $229 |
| Janssen Scientific Affairs, LLC | 2 | $186 |
| Boehringer Ingelheim | 9 | $141 |
| Sobi, Inc | 5 | $140 |
| Fresenius Kabi USA, LLC | 6 | $138 |
| Pfizer | 8 | $125 |
| Organon | 5 | $124 |
| ANI Pharmaceuticals, Inc. | 4 | $99 |
| Sanofi | 4 | $98 |
| Genentech USA, Inc. | 5 | $95 |
| Sandoz | 4 | $82 |
| Radius Health, Inc. | 2 | $57 |
| Almatica Pharma LLC | 2 | $31 |
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $28 |
| Mallinckrodt Hospital Products Inc. | 1 | $26 |
| Kiniksa Pharmaceuticals International, PLC | 1 | $23 |
| Mylan Institutional Inc. | 1 | $23 |
| Scilex Pharmaceuticals Inc. | 1 | $19 |
| Bristol Myers Squibb | 1 | $18 |
| Azurity Pharmaceuticals, 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
$11,413 in reported general payments places this provider in the 70th percentile of 123 rheumatology providers in South Carolina.
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 |
|---|---|---|
| Humira(Cf) PenAdalimumab | 108 | $810,485 |
| Enbrel SureclickEtanercept | 29 | $256,823 |
| RinvoqUpadacitinib | 32 | $219,280 |
| Cosentyx Sensoready PenSecukinumab | 20 | $165,567 |
| Orencia ClickjectAbatacept | 18 | $141,468 |
| Taltz AutoinjectorIxekizumab | 12 | $137,152 |
| Cosentyx Sensoready (2 Pens)Secukinumab | 12 | $107,020 |
| ActemraTocilizumab | 19 | $105,513 |
| Hydroxychloroquine Sulfate | 304 | $18,313 |
| MethotrexateMethotrexate Sodium | 218 | $6,582 |
| Mycophenolate Mofetil | 45 | $5,236 |
| Febuxostat | 11 | $4,216 |
| Leflunomide | 50 | $2,218 |
| Prednisone | 280 | $1,555 |
| Allopurinol | 91 | $1,335 |
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 |
|---|---|---|
| AbbVieRinvoq | $5,216 | $219,28032 claims |
| Scilex Pharmaceuticals Inc.Colchicine | $19 | $1,26829 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 70th percentile of 123 rheumatology providers in South Carolina.
Other rheumatology in West Columbia
- Fernando CastroWest Columbia$6K
- Frederick TalipWest Columbia$5K
- Colin EdgertonSummerville$3.5M
- Gregory NiemerSummerville$2.9M
- Gary FinkSummerville$2.9M
- Clarence LegertonSummerville$2.9M
- Jennifer MurphySummerville$2.8M
- William EdwardsSummerville$1.3M
- Alan BrownGreenville$947K
- Douglas ConawayMyrtle Beach$500K
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.