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Rossitza Hristoskova, MD

Family Medicine · Bentonville, ARNPI 1477501518

Payments from drug & device makers

$13,537in general payments, 2019–2025

Across 938 payments — averaging $14.43 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • AbbVie$2K
  • Pfizer$1K
  • Amgen$896
  • Novo Nordisk$891
  • AstraZeneca$884
  • GSK$832
  • plus $7K from 53 others

What the payments were for

  • Food & beverage$13,46399%
  • Education$741%

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.

CompanyPaymentsTotal
AbbVie(2 entities)155$1,887
Pfizer90$1,062
Amgen53$896
Novo Nordisk62$891
AstraZeneca38$884
GSK87$832
Lilly USA, LLC60$831
Abbott50$591
Johnson & Johnson43$507
Bayer20$393
Kowa Pharmaceuticals America, Inc.30$345
Boehringer Ingelheim19$339
Astellas Pharma US Inc18$337
Verona Pharma, Inc.12$237
Dexcom, Inc.6$223
Merck15$223
Genentech USA, Inc.7$220
Esperion Therapeutics, Inc.7$203
Salix Pharmaceuticals, A Division Of Bausch Health US, LLC12$201
Exact Sciences10$172
Teva Pharmaceuticals USA, Inc.10$162
Mylan Specialty L.p.10$160
Amarin Pharma, Inc.8$159
Radius Health, Inc.9$151
Biohaven Pharmaceuticals, Inc.10$147
Takeda Pharmaceuticals U.S.A., Inc.11$137
E.r. Squibb & Sons, L.L.C.9$123
Sumitomo Pharma America, Inc.7$115
Biohaven Pharmaceutical Holding Company Ltd.7$100
Vanda Pharmaceuticals Inc.4$94
Sanofi-aventis U.S. LLC6$71
Dynavax Technologies Corporation4$62
Novartis5$60
Arbor Pharmaceuticals, Inc.4$59
Phathom Pharmaceuticals, Inc.4$55
Sunovion Pharmaceuticals Inc.3$50
Ironshore Pharmaceuticals Inc.3$49
Eisai Inc.3$48
Sanofi Pasteur Inc.2$46
Amneal Pharmaceuticals LLC3$40
Bausch Health US, LLC1$29
Currax Pharmaceuticals LLC2$29
Avanir Pharmaceuticals, Inc.2$27
Therapeuticsmd, Inc.2$27
Daiichi Sankyo Inc.1$24
Averitas Pharma Inc.1$23
Hikma Pharmaceuticals USA1$22
ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.)1$21
Inspire Medical Systems, Inc.1$20
Travere Therapeutics, Inc.1$19
Boston Scientific1$19
Antares Pharma, Inc.1$18
Supernus Pharmaceuticals, Inc.1$18
Viatris Specialty LLC1$16
Alfasigma USA, Inc.1$15
Ironwood Pharmaceuticals, Inc1$14
Grifols USA, LLC1$13
Dermira, Inc.1$12
Idorsia Pharmaceuticals US Inc1$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

$13,537 in reported general payments places this provider in the 95th percentile of 1,347 family medicine providers in Arkansas.

See all family medicine providers in Arkansas

Medicare billing

Part B allowed, 2024
$157,980
Medicare patients
359
Services billed
9,347

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
OzempicSemaglutide128$152,422
EliquisApixaban64$57,487
TrulicityDulaglutide46$52,892
MounjaroTirzepatide46$50,545
JardianceEmpagliflozin47$49,121
Trelegy ElliptaFluticasone/Umeclidin/Vilanter73$46,584
JanuviaSitagliptin Phosphate22$26,994
RybelsusSemaglutide16$23,677
XareltoRivaroxaban15$20,636
MyrbetriqMirabegron19$20,275
Tresiba Flextouch U-200Insulin Degludec22$15,576
Breztri AerosphereBudesonide/Glycopyr/Formoterol12$9,957
BelsomraSuvorexant21$8,872
Toujeo SolostarInsulin Glargine,hum.Rec.Anlog14$8,205
GlyxambiEmpagliflozin/Linagliptin11$6,459

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
Novo NordiskOzempic, Rybelsus$891$176,099144 claims
Lilly USA, LLCTrulicity, Mounjaro$831$103,43792 claims
PfizerEliquis$1,062$57,48764 claims
GSKTrelegy Ellipta, Breo Ellipta, Arnuity Ellipta$832$56,459109 claims
Boehringer IngelheimJardiance, Glyxambi$339$55,57958 claims
MerckJanuvia, Belsomra$223$35,86543 claims
Johnson & JohnsonXarelto$507$20,63615 claims
Astellas Pharma US IncMyrbetriq$337$20,27519 claims
AstraZenecaBreztri Aerosphere, Nexium, Symbicort$884$15,82536 claims
Amneal Pharmaceuticals LLCLevothyroxine Sodium$40$4,052536 claims
AbbVieSynthroid$1,887$3,02157 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 95th percentile of 1,347 family medicine providers in Arkansas.

Other family medicine in Bentonville

See the full list for Arkansas

Where these figures come from

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