Peter Dichiara, MD
Internal Medicine · Troy, ALNPI 1548227127
Payments from drug & device makers
Across 441 payments — averaging $14.78 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Lilly USA, LLC$773
- Novo Nordisk$736
- Amgen$501
- Pfizer$495
- AstraZeneca$404
- Bayer$373
- plus $3K from 30 others
What the payments were for
- Food & beverage$6,44099%
- Education$801%
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 |
|---|---|---|
| Lilly USA, LLC | 61 | $773 |
| Novo Nordisk | 47 | $736 |
| Amgen(2 entities) | 35 | $501 |
| Pfizer | 54 | $495 |
| AstraZeneca | 27 | $404 |
| Bayer | 24 | $373 |
| Takeda Pharmaceuticals U.S.A., Inc. | 17 | $363 |
| GSK | 16 | $304 |
| AbbVie | 19 | $301 |
| Merck | 21 | $271 |
| Novartis | 13 | $218 |
| Corium, LLC | 8 | $191 |
| Avanir Pharmaceuticals, Inc. | 11 | $160 |
| Johnson & Johnson | 12 | $149 |
| Boehringer Ingelheim | 10 | $121 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 7 | $121 |
| Otsuka America Pharmaceutical, Inc. | 6 | $115 |
| Lundbeck LLC | 5 | $105 |
| Vanda Pharmaceuticals Inc. | 7 | $102 |
| Dexcom, Inc. | 5 | $88 |
| Astellas Pharma US Inc | 1 | $80 |
| E.r. Squibb & Sons, L.L.C. | 6 | $79 |
| Neurocrine Biosciences, Inc. | 3 | $65 |
| Shire North American Group Inc | 3 | $53 |
| Abbott | 3 | $52 |
| Genentech USA, Inc. | 3 | $44 |
| Optinose US, Inc. | 3 | $44 |
| Tris Pharma Inc | 3 | $43 |
| Biohaven Pharmaceuticals, Inc. | 2 | $34 |
| Kowa Pharmaceuticals America, Inc. | 2 | $27 |
| Eisai Inc. | 2 | $23 |
| Irhythm Technologies, Inc. | 1 | $19 |
| Pharmacosmos Therapeutics Inc. | 1 | $18 |
| Philips North America LLC | 1 | $18 |
| Ironshore Pharmaceuticals Inc. | 1 | $17 |
| Mylan Specialty L.p. | 1 | $15 |
How this compares
$6,520 in reported general payments places this provider in the 85th percentile of 1,533 internal medicine providers in Alabama.
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 |
|---|---|---|
| RexultiBrexpiprazole | 39 | $55,276 |
| JanuviaSitagliptin Phosphate | 58 | $45,252 |
| EliquisApixaban | 70 | $43,257 |
| TrulicityDulaglutide | 36 | $35,267 |
| LinzessLinaclotide | 52 | $27,582 |
| FanaptIloperidone | 14 | $21,741 |
| OzempicSemaglutide | 13 | $17,964 |
| XareltoRivaroxaban | 22 | $14,606 |
| Pantoprazole Sodium | 244 | $12,866 |
| Gabapentin | 408 | $6,433 |
| FarxigaDapagliflozin Propanediol | 13 | $6,334 |
| MyrbetriqMirabegron | 14 | $6,039 |
| Memantine Hcl | 88 | $5,096 |
| JanumetSitagliptin Phos/Metformin Hcl | 12 | $4,301 |
| Atorvastatin Calcium | 271 | $4,278 |
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 |
|---|---|---|
| Otsuka America Pharmaceutical, Inc.Rexulti | $115 | $55,27639 claims |
| MerckJanuvia, Janumet | $271 | $49,55370 claims |
| PfizerEliquis | $495 | $43,25770 claims |
| Lilly USA, LLCTrulicity | $773 | $35,26736 claims |
| AbbVieLinzess | $301 | $27,58252 claims |
| Vanda Pharmaceuticals Inc.Fanapt | $102 | $21,74114 claims |
| Novo NordiskOzempic | $736 | $17,96413 claims |
| Johnson & JohnsonXarelto | $149 | $14,60622 claims |
| AstraZenecaFarxiga, Symbicort | $404 | $10,06529 claims |
| Astellas Pharma US IncMyrbetriq | $80 | $6,03914 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 1,533 internal medicine providers in Alabama.
Other internal medicine in Troy
- Harry StuddardMobile$12.9M
- Almena FreeAnniston$12.7M
- Hayes WilliamsVestavia$10.4M
- David DeatkineBirmingham$8M
- James SullivanBirmingham$6M
- Ramy TomaBirmingham$5.1M
- Barry McLeanHomewood$4M
- William KirbyBirmingham$2.3M
- Saadat AnsariHuntsville$2.1M
- Gregory FlippoTrussville$1.6M
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.