RxDoctor Payments Data

Paul Provance, MD

Internal Medicine · Mountain Home, TNNPI 1760429740

Payments from drug & device makers

$5,970in general payments, 2019–2025

Across 366 payments — averaging $16.31 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • AbbVie$654
  • AstraZeneca$647
  • Lilly USA, LLC$513
  • Bayer$399
  • Novo Nordisk$374
  • Pfizer$352
  • plus $3K from 37 others

What the payments were for

  • Speaking & faculty fees$451%
  • Food & beverage$5,92499%

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

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.

How this compares

$5,970 in reported general payments places this provider in the 85th percentile of 2,216 internal medicine providers in Tennessee.

See all internal medicine providers in Tennessee

Medicare billing

Part B allowed, 2024
$146,989
Medicare patients
235
Services billed
2,114

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
MounjaroTirzepatide102$110,572
EliquisApixaban107$97,062
OzempicSemaglutide65$77,571
JardianceEmpagliflozin59$68,001
FarxigaDapagliflozin Propanediol66$55,819
TrulicityDulaglutide50$49,615
Breztri AerosphereBudesonide/Glycopyr/Formoterol56$44,758
Trelegy ElliptaFluticasone/Umeclidin/Vilanter57$43,840
RybelsusSemaglutide32$39,374
Nurtec OdtRimegepant Sulfate29$28,115
LinzessLinaclotide50$27,300
XareltoRivaroxaban19$25,389
JanuviaSitagliptin Phosphate17$24,678
Soliqua 100-33Insulin Glargine/Lixisenatide14$23,150
Spiriva RespimatTiotropium Bromide38$20,243

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
Lilly USA, LLCMounjaro, Trulicity$513$160,187152 claims
PfizerEliquis, Nurtec Odt$352$125,177136 claims
Novo NordiskOzempic, Rybelsus$374$116,94597 claims
AstraZenecaFarxiga, Breztri Aerosphere, Nexium$647$109,269138 claims
Boehringer IngelheimJardiance, Spiriva Respimat, Stiolto Respimat$90$93,230108 claims
GSKTrelegy Ellipta, Breo Ellipta, Anoro Ellipta$320$62,29295 claims
AbbVieLinzess, Ubrelvy, Synthroid$654$41,80889 claims
MerckJanuvia, Janumet Xr$15$39,26343 claims
Johnson & JohnsonXarelto$16$25,38919 claims
Sanofi-aventis U.S. LLCSoliqua 100-33$43$23,15014 claims
Astellas Pharma US IncMyrbetriq$118$13,58616 claims
Esperion Therapeutics, Inc.Nexletol$278$11,27821 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 85th percentile of 2,216 internal medicine providers in Tennessee.

Other internal medicine in Mountain Home

See the full list for Tennessee

Where these figures come from

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