Ronnie Diem, PA
Physician Assistant · Dover, DENPI 1932164324
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 230 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 27 manufacturers reported payments, led by AstraZeneca at 24.2% of the total. Among physician assistant clinicians in DE with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 230 payments — averaging $16.85 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$938
- Novo Nordisk$710
- AbbVie$472
- GSK$346
- Lilly USA, LLC$235
- Biohaven Pharmaceutical Holding Company Ltd.$209
- plus $964 from 21 others
What the payments were for
- Food & beverage$3,875100%
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 |
|---|---|---|
| AstraZeneca | 39 | $938 |
| Novo Nordisk | 50 | $710 |
| AbbVie | 28 | $472 |
| GSK | 18 | $346 |
| Lilly USA, LLC | 13 | $235 |
| Biohaven Pharmaceutical Holding Company Ltd. | 16 | $209 |
| Biohaven Pharmaceuticals, Inc. | 19 | $185 |
| Pfizer | 7 | $128 |
| Amgen | 6 | $93 |
| Astellas Pharma US Inc | 5 | $75 |
| Genentech USA, Inc. | 3 | $54 |
| Boehringer Ingelheim | 3 | $52 |
| Exact Sciences | 2 | $43 |
| Alkermes, Inc. | 3 | $40 |
| Dexcom, Inc. | 2 | $40 |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 2 | $38 |
| Verona Pharma, Inc. | 2 | $36 |
| Phathom Pharmaceuticals, Inc. | 2 | $28 |
| Abbott | 2 | $24 |
| Cipher Pharmaceuticals US LLC | 1 | $21 |
| Xeris Pharmaceuticals, Inc. | 1 | $20 |
| Otsuka America Pharmaceutical, Inc. | 1 | $20 |
| Novartis | 1 | $15 |
| Esperion Therapeutics, Inc. | 1 | $15 |
| Amarin Pharma, Inc. | 1 | $14 |
| Philips North America LLC | 1 | $12 |
| Eisai 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.
How this compares
$3,875 in reported general payments places this provider in the 90th percentile of 527 physician assistant providers in Delaware.
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 |
|---|---|---|
| OzempicSemaglutide | 11 | $10,919 |
| Basaglar Kwikpen U-100Insulin Glargine,hum.Rec.Anlog | 12 | $3,462 |
| Cefdinir | 87 | $1,525 |
| Fluticasone Propionate | 121 | $1,289 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 56 | $1,135 |
| Levothyroxine Sodium | 51 | $706 |
| Omeprazole | 29 | $563 |
| Atorvastatin Calcium | 30 | $501 |
| Lisinopril | 40 | $440 |
| Gabapentin | 31 | $437 |
| Azithromycin | 87 | $437 |
| Duloxetine Hcl | 18 | $391 |
| Mupirocin | 35 | $376 |
| Prednisone | 161 | $310 |
| Amoxicillin | 59 | $304 |
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 |
|---|---|---|
| Novo NordiskOzempic | $710 | $10,91911 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 90th percentile of 527 physician assistant providers in Delaware.
Other physician assistant in Dover
- James LustDover$30K
- Dana FioriDover$5K
- Anastazia AcevedoDover$5K
- Xzyla DownesDover$5K
- Allison RabeDover$3K
- Gabriella MalacariDover$3K
- Todd BrandtDover$2K
- Dennis HoranDover$2K
- Jenny XiaoDover$2K
- Jennifer RahnLewes$13K
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.