Sarah Lim
Internal Medicine · Lexington, SCNPI 1891051959
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 318 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 36 manufacturers, the largest accounting for just 16.9% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2024 at $1,589 and has fallen 56.4% since, to $693 in 2025. Among internal medicine clinicians in SC 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 318 payments — averaging $15.63 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novo Nordisk$839
- AbbVie$756
- Lilly USA, LLC$633
- Pfizer$407
- AstraZeneca$367
- Amgen$302
- plus $2K from 30 others
What the payments were for
- Food & beverage$4,970100%
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 |
|---|---|---|
| Novo Nordisk | 55 | $839 |
| AbbVie | 58 | $756 |
| Lilly USA, LLC | 48 | $633 |
| Pfizer | 28 | $407 |
| AstraZeneca | 21 | $367 |
| Amgen | 18 | $302 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 13 | $218 |
| Boehringer Ingelheim | 8 | $151 |
| Dexcom, Inc. | 6 | $118 |
| Novartis | 6 | $112 |
| GSK | 7 | $105 |
| Esperion Therapeutics, Inc. | 5 | $90 |
| Biohaven Pharmaceutical Holding Company Ltd. | 4 | $81 |
| Neurocrine Biosciences, Inc. | 3 | $79 |
| Sanofi-aventis U.S. LLC | 4 | $74 |
| Axsome Therapeutics, Inc. | 3 | $67 |
| Bayer | 4 | $63 |
| Exact Sciences | 4 | $62 |
| Astellas Pharma US Inc | 3 | $58 |
| Sumitomo Pharma America, Inc. | 2 | $49 |
| Daiichi Sankyo Inc. | 2 | $41 |
| Phathom Pharmaceuticals, Inc. | 2 | $30 |
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $27 |
| Otsuka America Pharmaceutical, Inc. | 1 | $27 |
| Atricure, Inc. | 1 | $25 |
| Corium, LLC | 1 | $21 |
| Stryker | 1 | $19 |
| Abbott | 1 | $19 |
| Halozyme Inc | 1 | $19 |
| Bausch Health US, LLC | 1 | $18 |
| Supernus Pharmaceuticals, Inc. | 1 | $18 |
| Aimmune Therapeutics, Inc. | 1 | $17 |
| Nestle Healthcare Nutrition Inc. | 1 | $17 |
| Ascensia Diabetes Care US Inc. | 1 | $15 |
| Shield Therapeutics Inc | 1 | $14 |
| Amneal Pharmaceuticals LLC | 1 | $11 |
How this compares
$4,970 in reported general payments places this provider in the 90th percentile of 1,498 internal medicine providers in South Carolina.
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 | 72 | $105,136 |
| MounjaroTirzepatide | 59 | $93,164 |
| EliquisApixaban | 74 | $68,051 |
| TrulicityDulaglutide | 49 | $67,050 |
| JardianceEmpagliflozin | 20 | $29,087 |
| JanuviaSitagliptin Phosphate | 19 | $25,855 |
| FarxigaDapagliflozin Propanediol | 22 | $20,025 |
| XareltoRivaroxaban | 16 | $18,716 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 14 | $8,969 |
| Buprenorphine | 12 | $5,218 |
| Lantus SolostarInsulin Glargine,hum.Rec.Anlog | 35 | $4,466 |
| Arnuity ElliptaFluticasone Furoate | 14 | $2,871 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 89 | $2,529 |
| SynthroidLevothyroxine Sodium | 30 | $2,273 |
| Levothyroxine Sodium | 208 | $2,238 |
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 |
|---|---|---|
| Lilly USA, LLCMounjaro, Trulicity | $633 | $160,214108 claims |
| Novo NordiskOzempic | $839 | $105,13672 claims |
| PfizerEliquis | $407 | $68,05174 claims |
| Boehringer IngelheimJardiance | $151 | $29,08720 claims |
| AstraZenecaFarxiga | $367 | $20,02522 claims |
| GSKTrelegy Ellipta, Arnuity Ellipta | $105 | $11,84028 claims |
| AbbVieSynthroid | $756 | $2,27330 claims |
| Amneal Pharmaceuticals LLCLevothyroxine Sodium | $11 | $2,238208 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 1,498 internal medicine providers in South Carolina.
Other internal medicine in Lexington
- Jerry BackNorth Charleston$322K
- Jan BasileCharleston$278K
- Mark PurcellGreenville$165K
- John CleekCharleston$136K
- William BunnHilton Head Island$125K
- Zion LammGreenville$118K
- Bruce GrayGreenville$111K
- Leonard AlsfeldCharleston$91K
- Edward Botse-BaidooMyrtle Beach$90K
- Lisa DarbyGreenville$43K
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.