RxDoctor Payments Data

Rolando Estupigan

Internal Medicine · Troy, MINPI 1841208592

Payments from drug & device makers

$480in general payments, 2019–2025

Across 23 payments — averaging $20.87 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Novo Nordisk$139
  • Pfizer$109
  • GSK$67
  • Bayer$22
  • Johnson & Johnson$19
  • IBSA Pharma Inc.$18
  • plus $108 from 7 others

What the payments were for

  • Food & beverage$480100%

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
20
21
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

$480 in reported general payments places this provider in the 65th percentile of 4,567 internal medicine providers in Michigan.

See all internal medicine providers in Michigan

Medicare billing

Part B allowed, 2024
$215,344
Medicare patients
176
Services billed
3,354

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
EliquisApixaban105$89,847
OzempicSemaglutide50$63,453
JanuviaSitagliptin Phosphate33$33,934
TradjentaLinagliptin36$31,369
JardianceEmpagliflozin24$19,116
FarxigaDapagliflozin Propanediol22$18,602
RybelsusSemaglutide15$17,396
MultaqDronedarone Hcl12$15,726
SynthroidLevothyroxine Sodium85$10,078
Metoprolol Succinate190$4,078
Atorvastatin Calcium279$3,511
Levothyroxine Sodium290$3,342
Lantus SolostarInsulin Glargine,hum.Rec.Anlog16$3,333
Losartan Potassium236$3,035
PremarinEstrogens, Conjugated17$3,028

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, Premarin$109$92,875122 claims
Novo NordiskOzempic, Rybelsus$139$80,84965 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 65th percentile of 4,567 internal medicine providers in Michigan.

Other internal medicine in Troy

See the full list for Michigan

Where these figures come from

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