RxDoctor Payments Data

Ralph Geiger, MD

Internal Medicine · Sebastian, FLNPI 1245294073

Payments from drug & device makers

$1,678in general payments, 2019–2025

Across 78 payments — averaging $21.51 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Lilly USA, LLC$272
  • Astellas Pharma US Inc$257
  • GSK$191
  • Amgen$127
  • Exact Sciences$114
  • AbbVie$108
  • plus $609 from 14 others

What the payments were for

  • Food & beverage$1,53792%
  • Education$1418%

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
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

$1,678 in reported general payments places this provider in the 75th percentile of 8,530 internal medicine providers in Florida.

See all internal medicine providers in Florida

Medicare billing

Part B allowed, 2024
$87,487
Medicare patients
363
Services billed
945

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
EliquisApixaban134$154,314
OzempicSemaglutide95$137,596
MounjaroTirzepatide53$75,922
JanuviaSitagliptin Phosphate28$43,812
RybelsusSemaglutide21$37,637
MyrbetriqMirabegron17$22,231
JardianceEmpagliflozin14$17,122
EntrestoSacubitril/Valsartan16$16,381
XareltoRivaroxaban15$14,604
PremarinEstrogens, Conjugated19$13,259
Trelegy ElliptaFluticasone/Umeclidin/Vilanter15$10,657
Lantus SolostarInsulin Glargine,hum.Rec.Anlog30$6,890
Metoprolol Succinate330$6,055
Duloxetine Hcl218$5,571
Stiolto RespimatTiotropium Br/Olodaterol Hcl12$5,520

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
Novo NordiskOzempic, Rybelsus, Levemir$82$178,059127 claims
PfizerEliquis, Premarin$56$167,573153 claims
Lilly USA, LLCMounjaro$272$75,92253 claims
Astellas Pharma US IncMyrbetriq$257$22,23117 claims
GSKTrelegy Ellipta$191$10,65715 claims
AbbVieSynthroid$108$2,57353 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 75th percentile of 8,530 internal medicine providers in Florida.

Other internal medicine in Sebastian

See the full list for Florida

Where these figures come from

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