Ravi Iyer, MD
Internal Medicine · Sterling, VANPI 1467425876
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 141 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 24 manufacturers reported payments, led by Novo Nordisk at 35.1% of the total.
Across 141 payments — averaging $18.67 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novo Nordisk$924
- Lilly USA, LLC$306
- Amgen$225
- Pfizer$172
- Novartis$139
- AbbVie$127
- plus $740 from 18 others
Across 10 payments — averaging $3532.55 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.
- AstraZeneca$18K
- Novo Nordisk AS$11K
- Astrazeneca UK Limited$6K
What the payments were for
- Food & beverage$2,633100%
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 |
|---|---|---|
| Novo Nordisk | 57 | $924 |
| Lilly USA, LLC | 12 | $306 |
| Amgen | 9 | $225 |
| Pfizer | 9 | $172 |
| Novartis | 8 | $139 |
| AbbVie | 7 | $127 |
| AstraZeneca | 6 | $124 |
| Bayer | 4 | $82 |
| Phathom Pharmaceuticals, Inc. | 3 | $68 |
| Johnson & Johnson | 3 | $62 |
| Amarin Pharma, Inc. | 3 | $47 |
| Biogen | 3 | $45 |
| Boehringer Ingelheim | 2 | $41 |
| Mylan Specialty L.p. | 2 | $40 |
| Esperion Therapeutics, Inc. | 2 | $36 |
| Genentech USA, Inc. | 2 | $29 |
| Inspire Medical Systems, Inc. | 1 | $27 |
| Merck | 2 | $26 |
| Exact Sciences | 1 | $23 |
| Abbott | 1 | $21 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 1 | $20 |
| Kowa Pharmaceuticals America, Inc. | 1 | $19 |
| Hikma Pharmaceuticals USA | 1 | $18 |
| Avanir Pharmaceuticals, Inc. | 1 | $12 |
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.
- MOUNJARO$116
How this compares
$2,633 in reported general payments places this provider in the 85th percentile of 2,724 internal medicine providers in Virginia.
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 |
|---|---|---|
| EliquisApixaban | 17 | $22,213 |
| MounjaroTirzepatide | 11 | $14,475 |
| Losartan Potassium | 121 | $1,239 |
| Levothyroxine Sodium | 118 | $1,073 |
| Atorvastatin Calcium | 96 | $1,014 |
| Amlodipine Besylate | 97 | $734 |
| Metformin Hcl | 133 | $723 |
| CefuroximeCefuroxime Axetil | 33 | $670 |
| Metoprolol Succinate | 36 | $543 |
| Glimepiride | 40 | $519 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 17 | $499 |
| Simvastatin | 50 | $495 |
| Montelukast Sodium | 53 | $467 |
| ClopidogrelClopidogrel Bisulfate | 16 | $399 |
| Omeprazole | 28 | $393 |
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 |
|---|---|---|
| PfizerEliquis | $172 | $22,21317 claims |
| Lilly USA, LLCMounjaro | $306 | $14,47511 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 2,724 internal medicine providers in Virginia.
Other internal medicine in Sterling
- Kumar AbhishekMechanicsville$1M
- Amit MahajanFalls Church$1M
- Kevin DonohueFalls Church$655K
- Denise BrunerArlington$227K
- Anjali KaloreMidlothian$215K
- Scott GerrishVienna$207K
- Lawrence SchwartzRichmond$205K
- Wally SmithRichmond$177K
- Gautam GulatiMc Lean$136K
- Francesse BatailleDumfries$109K
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.