RxDoctor Payments Data

Sami Nafoosi, MD

Internal Medicine · Lancaster, CANPI 1164713244

Payments from drug & device makers

$24,049in general payments, 2019–2025

Across 770 payments — averaging $31.23 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Novo Nordisk$3K
  • AstraZeneca$3K
  • AbbVie$2K
  • Amgen$2K
  • GSK$2K
  • Boehringer Ingelheim$2K
  • plus $11K from 39 others

What the payments were for

  • Food & beverage$23,960100%
  • Education$890%

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.

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

$24,049 in reported general payments places this provider in the 95th percentile of 13,581 internal medicine providers in California.

See all internal medicine providers in California

Medicare billing

Part B allowed, 2024
$12,745
Medicare patients
56
Services billed
115

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
OzempicSemaglutide169$209,370
JardianceEmpagliflozin168$191,819
FarxigaDapagliflozin Propanediol196$181,989
EliquisApixaban181$141,437
XareltoRivaroxaban58$70,335
KerendiaFinerenone59$66,596
EntrestoSacubitril/Valsartan49$47,517
RybelsusSemaglutide37$46,235
Synjardy XrEmpagliflozin/Metformin Hcl38$42,800
Trelegy ElliptaFluticasone/Umeclidin/Vilanter59$39,444
Soliqua 100-33Insulin Glargine/Lixisenatide30$34,553
TrulicityDulaglutide29$31,837
Toujeo Max SolostarInsulin Glargine,hum.Rec.Anlog23$31,633
LinzessLinaclotide31$30,256
Stiolto RespimatTiotropium Br/Olodaterol Hcl47$22,943

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
Boehringer IngelheimJardiance, Synjardy Xr, Stiolto Respimat, Tradjenta$1,621$264,056265 claims
Novo NordiskOzempic, Rybelsus$2,784$255,606206 claims
AstraZenecaFarxiga, Breztri Aerosphere$2,692$189,575210 claims
PfizerEliquis$409$141,437181 claims
Johnson & JohnsonXarelto$723$70,33558 claims
BayerKerendia$742$66,59659 claims
GSKTrelegy Ellipta, Anoro Ellipta$1,719$50,79375 claims
NovartisEntresto$256$47,51749 claims
Sanofi-aventis U.S. LLCSoliqua 100-33$1,039$34,55330 claims
Lilly USA, LLCTrulicity$1,111$31,83729 claims
AbbVieLinzess$2,101$30,25631 claims
Astellas Pharma US IncMyrbetriq$13$15,92016 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 13,581 internal medicine providers in California.

Other internal medicine in Lancaster

See the full list for California

Where these figures come from

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