Pablo Perez, MD
Internal Medicine · Dalton, GANPI 1942218086
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $12,562 of the $15,738 with a category attached, or 79.8%. It is spread thinly across 54 manufacturers, the largest accounting for just 20.9% — the pattern of someone who eats at a lot of different presentations. 2025 is the largest year on record at $4,628, 2.4 times the $1,916 reported in 2019. Among internal medicine clinicians in GA with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 573 payments — averaging $27.47 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novo Nordisk$3K
- AstraZeneca$2K
- Lilly USA, LLC$1K
- AbbVie$1K
- Amgen$924
- Sanofi-aventis U.S. LLC$613
- plus $6K from 48 others
Across 86 payments — averaging $2558.03 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Endo Pharmaceuticals Inc.$101K
- Bausch Health US, LLC$49K
- Boehringer Ingelheim$31K
- Boehringer Ingelheim Canada Ltd.ltee$22K
- Karyopharm Therapeutics Inc.$15K
- Eli Lilly$2K
What the payments were for
- Consulting fees$2,99719%
- Food & beverage$12,56280%
- Education$1611%
- Gifts$180%
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.
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
$15,738 in reported general payments places this provider in the 95th percentile of 3,311 internal medicine providers in Georgia.
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 | 377 | $536,821 |
| FarxigaDapagliflozin Propanediol | 399 | $476,291 |
| JardianceEmpagliflozin | 246 | $334,905 |
| TrulicityDulaglutide | 187 | $329,958 |
| RybelsusSemaglutide | 102 | $181,597 |
| JanuviaSitagliptin Phosphate | 124 | $160,474 |
| Tresiba Flextouch U-200Insulin Degludec | 160 | $156,274 |
| EliquisApixaban | 126 | $138,765 |
| Toujeo Max SolostarInsulin Glargine,hum.Rec.Anlog | 141 | $135,420 |
| JanumetSitagliptin Phos/Metformin Hcl | 104 | $130,765 |
| VascepaIcosapent Ethyl | 162 | $127,714 |
| Tresiba Flextouch U-100Insulin Degludec | 210 | $120,608 |
| Toujeo SolostarInsulin Glargine,hum.Rec.Anlog | 142 | $113,784 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 127 | $107,373 |
| MounjaroTirzepatide | 85 | $96,642 |
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, Rybelsus | $3,292 | $718,418479 claims |
| AstraZenecaFarxiga, Breztri Aerosphere, Symbicort, Brilinta | $2,469 | $556,818533 claims |
| Lilly USA, LLCTrulicity, Mounjaro | $1,427 | $426,600272 claims |
| Boehringer IngelheimJardiance, Tradjenta, Spiriva Respimat | $343 | $390,262304 claims |
| MerckJanuvia, Janumet, Janumet Xr | $197 | $337,550266 claims |
| PfizerEliquis | $83 | $138,765126 claims |
| GSKTrelegy Ellipta, Breo Ellipta | $327 | $133,800164 claims |
| AbbVieLinzess | $1,331 | $84,09581 claims |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLCXifaxan | $234 | $74,02822 claims |
| AmgenProlia | $924 | $68,36539 claims |
| Sumitomo Pharma America, Inc.Gemtesa | $89 | $66,43094 claims |
| NovartisEntresto | $70 | $38,22525 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 3,311 internal medicine providers in Georgia.
Other internal medicine in Dalton
- Brian PearlmanDalton$199K
- Michael GibsonSmyrna$2.2M
- Eduard FatakhovAlpharetta$376K
- Tracey HenryAtlanta$305K
- Sharon TuckettVilla Rica$265K
- Ebon BourneMarietta$242K
- Jennifer WoehlerSavannah$207K
- Julian HutchinsGreensboro$201K
- Scott ParryAtlanta$162K
- Jennifer GilliganAtlanta$162K
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.