Ravi Titha, MD
Internal Medicine · Richlands, VANPI 1558452482
Payments from drug & device makers
Across 280 payments — averaging $14.05 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$2K
- GSK$561
- AstraZeneca$551
- ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.)$251
- Sunovion Pharmaceuticals Inc.$228
- Amarin Pharma, Inc.$111
- plus $684 from 15 others
What the payments were for
- Food & beverage$3,90499%
- Education$301%
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 |
|---|---|---|
| AbbVie(2 entities) | 129 | $1,547 |
| GSK | 31 | $561 |
| AstraZeneca | 33 | $551 |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 24 | $251 |
| Sunovion Pharmaceuticals Inc. | 17 | $228 |
| Amarin Pharma, Inc. | 7 | $111 |
| Novartis | 5 | $86 |
| Amgen | 4 | $78 |
| Vifor Pharma, Inc. | 4 | $76 |
| Biohaven Pharmaceuticals, Inc. | 3 | $65 |
| Scilex Pharmaceuticals Inc. | 4 | $56 |
| Pfizer | 3 | $54 |
| Axsome Therapeutics, Inc. | 3 | $49 |
| Biohaven Pharmaceutical Holding Company Ltd. | 3 | $49 |
| Eisai Inc. | 3 | $49 |
| Merck | 2 | $28 |
| Advanced Oxygen Therapy Inc. | 1 | $23 |
| Lilly USA, LLC | 1 | $21 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 1 | $18 |
| Lundbeck LLC | 1 | $18 |
| Teva Pharmaceuticals USA, Inc. | 1 | $15 |
How this compares
$3,934 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 |
|---|---|---|
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 277 | $182,218 |
| VraylarCariprazine Hcl | 90 | $132,327 |
| OzempicSemaglutide | 91 | $87,453 |
| TrulicityDulaglutide | 36 | $49,817 |
| JanuviaSitagliptin Phosphate | 75 | $48,320 |
| LinzessLinaclotide | 59 | $44,742 |
| FarxigaDapagliflozin Propanediol | 61 | $40,215 |
| UbrelvyUbrogepant | 25 | $38,167 |
| MounjaroTirzepatide | 28 | $31,762 |
| EliquisApixaban | 44 | $30,382 |
| Breztri AerosphereBudesonide/Glycopyr/Formoterol | 38 | $28,283 |
| Butalbital-Acetaminophen-CaffeButalb/Acetaminophen/Caffeine | 447 | $25,048 |
| SymbicortBudesonide/Formoterol Fumarate | 86 | $22,921 |
| JardianceEmpagliflozin | 35 | $19,823 |
| Combivent RespimatIpratropium/Albuterol Sulfate | 37 | $18,985 |
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 |
|---|---|---|
| AbbVieVraylar, Linzess, Ubrelvy | $1,547 | $215,236174 claims |
| GSKTrelegy Ellipta | $561 | $182,218277 claims |
| AstraZenecaFarxiga, Breztri Aerosphere, Symbicort, Brilinta | $551 | $97,516197 claims |
| Lilly USA, LLCTrulicity, Mounjaro | $21 | $81,57964 claims |
| MerckJanuvia | $28 | $48,32075 claims |
| PfizerEliquis, Premarin | $54 | $36,52374 claims |
| NovartisEntresto | $86 | $15,47821 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 Richlands
- Leroy VaughanRichmond$20.8M
- James ClarkCharlottesville$16.2M
- Nabil AndrawisBurke$8.5M
- Mary BlumbergNorfolk$6.5M
- David RamstadSuffolk$5.8M
- Andrew PoklepovicRichmond$4.6M
- Nashwa GabraBurke$4.3M
- Michael DevittCharlottesville$3.5M
- Richard JacksonRichmond$2.5M
- Sue BrownCharlottesville$2.4M
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.