Shirley Noronha, MD
Internal Medicine · Lake Havasu City, AZNPI 1467566141
Payments from drug & device makers
Across 252 payments — averaging $16.68 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Johnson & Johnson$726
- Novo Nordisk$717
- Pfizer$682
- AbbVie$424
- Amgen$421
- Astellas Pharma US Inc$280
- plus $954 from 20 others
What the payments were for
- Food & beverage$4,198100%
- Education$50%
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 |
|---|---|---|
| Johnson & Johnson | 24 | $726 |
| Novo Nordisk | 45 | $717 |
| Pfizer | 58 | $682 |
| AbbVie | 27 | $424 |
| Amgen | 25 | $421 |
| Astellas Pharma US Inc | 16 | $280 |
| GSK | 9 | $137 |
| Boston Scientific | 5 | $104 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 7 | $102 |
| Lilly USA, LLC | 5 | $70 |
| Boehringer Ingelheim | 3 | $69 |
| Merck | 4 | $63 |
| Sanofi-aventis U.S. LLC | 4 | $56 |
| Novartis | 2 | $50 |
| Biohaven Pharmaceuticals, Inc. | 3 | $47 |
| Bayer | 3 | $44 |
| Biohaven Pharmaceutical Holding Company Ltd. | 2 | $37 |
| Exact Sciences | 2 | $33 |
| Abbott | 1 | $23 |
| Edwards Lifesciences | 1 | $22 |
| Esperion Therapeutics, Inc. | 1 | $18 |
| E.r. Squibb & Sons, L.L.C. | 1 | $18 |
| Aimmune Therapeutics, Inc. | 1 | $17 |
| Itamar Medical Inc | 1 | $15 |
| Corcept Therapeutics | 1 | $15 |
| Dexcom, Inc. | 1 | $15 |
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.
- XARELTO$466
How this compares
$4,203 in reported general payments places this provider in the 90th percentile of 2,212 internal medicine providers in Arizona.
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 | 123 | $190,810 |
| JardianceEmpagliflozin | 62 | $108,306 |
| TrulicityDulaglutide | 41 | $68,203 |
| EliquisApixaban | 49 | $55,380 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 30 | $47,248 |
| XareltoRivaroxaban | 46 | $43,661 |
| MyrbetriqMirabegron | 28 | $36,719 |
| FarxigaDapagliflozin Propanediol | 26 | $34,282 |
| Breo ElliptaFluticasone/Vilanterol | 31 | $26,439 |
| JanuviaSitagliptin Phosphate | 16 | $24,345 |
| Repatha SureclickEvolocumab | 12 | $19,104 |
| EntrestoSacubitril/Valsartan | 11 | $17,452 |
| Repatha SyringeEvolocumab | 14 | $17,088 |
| Toujeo SolostarInsulin Glargine,hum.Rec.Anlog | 15 | $16,802 |
| Aimovig AutoinjectorErenumab-Aooe | 15 | $16,373 |
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 | $717 | $190,810123 claims |
| Boehringer IngelheimJardiance | $69 | $108,30662 claims |
| GSKTrelegy Ellipta, Breo Ellipta | $137 | $73,68861 claims |
| Lilly USA, LLCTrulicity | $70 | $68,20341 claims |
| PfizerEliquis | $682 | $55,38049 claims |
| Johnson & JohnsonXarelto | $726 | $43,66146 claims |
| Astellas Pharma US IncMyrbetriq | $280 | $36,71928 claims |
| MerckJanuvia | $63 | $24,34516 claims |
| NovartisEntresto | $50 | $17,45211 claims |
| AbbVieSynthroid | $424 | $2,25348 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 2,212 internal medicine providers in Arizona.
Other internal medicine in Lake Havasu City
- Yessica SachdevaMesa$13.7M
- Louise TaberPhoenix$8.5M
- Janelle WeyerChandler$5.5M
- Robert MutterperlTucson$5.3M
- Jalal AbbasSun City West$4.8M
- Nebojsa SkrepnikTucson$4.7M
- Philip MathewTempe$4.1M
- Justin MoserScottsdale$3.9M
- Franz RischardTucson$3.7M
- Randall SeveranceChandler$3.1M
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.