RxDoctor Payments Data

Rodger Lefler, MD

Internal Medicine · Gastonia, NCNPI 1447382379

Payments from drug & device makers

$1,882in general payments, 2019–2025

Across 112 payments — averaging $16.80 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • AbbVie$382
  • Novo Nordisk$227
  • AstraZeneca$226
  • Lilly USA, LLC$218
  • Pfizer$152
  • Novartis$136
  • plus $540 from 16 others

What the payments were for

  • Food & beverage$1,80796%
  • Education$754%

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

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

$1,882 in reported general payments places this provider in the 80th percentile of 3,302 internal medicine providers in North Carolina.

See all internal medicine providers in North Carolina

Medicare billing

Part B allowed, 2024
$36,913
Medicare patients
184
Services billed
599

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
EliquisApixaban221$159,387
JardianceEmpagliflozin140$141,516
OzempicSemaglutide51$57,648
XareltoRivaroxaban43$33,537
Trelegy ElliptaFluticasone/Umeclidin/Vilanter29$25,610
JanuviaSitagliptin Phosphate24$18,742
Tresiba Flextouch U-200Insulin Degludec19$17,238
MyrbetriqMirabegron22$14,172
FarxigaDapagliflozin Propanediol14$13,539
TrulicityDulaglutide12$11,542
Bydureon BciseExenatide Microspheres14$11,038
Atorvastatin Calcium769$8,038
KerendiaFinerenone11$7,061
Novolog FlexpenInsulin Aspart12$6,584
Levothyroxine Sodium627$6,175

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
PfizerEliquis$152$159,387221 claims
Boehringer IngelheimJardiance$75$141,516140 claims
Novo NordiskOzempic$227$57,64851 claims
GSKTrelegy Ellipta$15$25,61029 claims
MerckJanuvia$23$18,74224 claims
AstraZenecaFarxiga, Symbicort$226$16,95329 claims
Astellas Pharma US IncMyrbetriq$90$14,17222 claims
Lilly USA, LLCTrulicity$218$11,54212 claims
AbbVieSynthroid$382$4,57757 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 80th percentile of 3,302 internal medicine providers in North Carolina.

Other internal medicine in Gastonia

See the full list for North Carolina

Where these figures come from

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