RxDoctor Payments Data

Shandal Emanuel, MD

Internal Medicine · Nashville, NCNPI 1699777524

Payments from drug & device makers

$50,575in general payments, 2019–2025

Across 1,108 payments — averaging $45.65 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • AbbVie$38K
  • Novo Nordisk$2K
  • Pfizer$1K
  • Amgen$1K
  • AstraZeneca$876
  • Lilly USA, LLC$791
  • plus $7K from 51 others

What the payments were for

  • Speaking & faculty fees$34,07567%
  • Travel & lodging$8662%
  • Food & beverage$15,63331%
  • Education$10%

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)265$37,733
Novo Nordisk114$1,520
Pfizer113$1,416
Amgen(2 entities)92$1,250
AstraZeneca42$876
Lilly USA, LLC54$791
GSK50$731
Sanofi-aventis U.S. LLC45$617
Axsome Therapeutics, Inc.25$513
Corium, LLC22$429
Takeda Pharmaceuticals U.S.A., Inc.21$338
Boehringer Ingelheim17$294
Exact Sciences13$273
Sunovion Pharmaceuticals Inc.20$244
Teva Pharmaceuticals USA, Inc.13$229
Supernus Pharmaceuticals, Inc.21$218
Merck14$198
Ironwood Pharmaceuticals, Inc10$195
Corcept Therapeutics10$193
Tris Pharma Inc15$183
Aimmune Therapeutics, Inc.8$178
Mylan Specialty L.p.12$174
ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.)10$156
Otsuka America Pharmaceutical, Inc.9$156
Kowa Pharmaceuticals America, Inc.9$124
Medtronic6$119
Eisai Inc.7$114
Viatris Specialty LLC4$103
Salix Pharmaceuticals, A Division Of Bausch Health US, LLC6$99
Adlon Therapeutics L.p.6$94
Johnson & Johnson7$88
Baxter Healthcare2$75
Cequr Corporation2$69
Amarin Pharma, Inc.4$63
Insulet Corporation3$62
Advanced Respiratory, Inc3$57
Collegium Pharmaceutical, Inc.3$55
Ardelyx, Inc.3$55
BETA Bionics, Inc.2$52
Sumitomo Pharma America, Inc.3$48
Genentech USA, Inc.3$47
Nestle Healthcare Nutrition Inc.2$39
Aytu Biopharma, Inc.2$38
Neos Therapeutics, LP2$29
Xeris Pharmaceuticals, Inc.1$27
Bayer1$25
Arbor Pharmaceuticals, Inc.2$24
Grifols USA, LLC1$21
E.r. Squibb & Sons, L.L.C.1$21
Radius Health, Inc.1$19
Dermira, Inc.1$17
Lundbeck LLC1$17
Phadia US Inc.1$15
Phathom Pharmaceuticals, Inc.1$15
Sanofi Pasteur Inc.1$14
Shire North American Group Inc1$12
Paratek Pharmaceuticals, 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

$50,575 in reported general payments places this provider in the 95th percentile of 3,302 internal medicine providers in North Carolina.

See all internal medicine providers in North Carolina

Medicare billing

Part B allowed, 2024
$163,729
Medicare patients
660
Services billed
3,323

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
OzempicSemaglutide315$331,061
EliquisApixaban672$280,336
JardianceEmpagliflozin261$174,235
LinzessLinaclotide227$135,063
JanuviaSitagliptin Phosphate163$105,092
Trelegy ElliptaFluticasone/Umeclidin/Vilanter101$86,743
XareltoRivaroxaban84$75,200
Toujeo SolostarInsulin Glargine,hum.Rec.Anlog94$53,610
TrulicityDulaglutide54$48,987
Toujeo Max SolostarInsulin Glargine,hum.Rec.Anlog69$45,922
BiktarvyBictegrav/Emtricit/Tenofov Ala11$44,020
FarxigaDapagliflozin Propanediol112$42,021
JanumetSitagliptin Phos/Metformin Hcl49$40,364
EntrestoSacubitril/Valsartan84$34,986
Repatha SureclickEvolocumab41$31,186

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, Tresiba, Rybelsus$1,520$364,077385 claims
PfizerEliquis$1,416$280,336672 claims
Boehringer IngelheimJardiance, Tradjenta$294$195,151301 claims
AbbVieLinzess, Creon, Vraylar, Synthroid$37,733$186,122395 claims
MerckJanuvia, Janumet, Janumet Xr$198$165,332239 claims
GSKTrelegy Ellipta, Breo Ellipta$731$113,150164 claims
Johnson & JohnsonXarelto$88$75,20084 claims
AstraZenecaFarxiga, Symbicort, Breztri Aerosphere$876$71,019187 claims
Lilly USA, LLCTrulicity$791$48,98754 claims
Collegium Pharmaceutical, Inc.Nucynta$55$16,74412 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 3,302 internal medicine providers in North Carolina.

Other internal medicine in Nashville

See the full list for North Carolina

Where these figures come from

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