RxDoctor Payments Data

Stephen Hsieh, MD

Internal Medicine · Lexington, NCNPI 1982664678

Payments from drug & device makers

$16,821in general payments, 2019–2025

Across 997 payments — averaging $16.87 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Novo Nordisk$2K
  • AbbVie$2K
  • AstraZeneca$1K
  • Pfizer$1K
  • Lilly USA, LLC$1K
  • GSK$826
  • plus $9K from 54 others

What the payments were for

  • Food & beverage$16,68399%
  • Education$1381%

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
Novo Nordisk112$1,724
AbbVie(2 entities)125$1,543
AstraZeneca63$1,489
Pfizer84$1,260
Lilly USA, LLC80$1,194
GSK48$826
Salix Pharmaceuticals, A Division Of Bausch Health US, LLC46$778
Otsuka America Pharmaceutical, Inc.32$678
Boehringer Ingelheim39$584
Astellas Pharma US Inc23$501
Biohaven Pharmaceuticals, Inc.20$483
Amgen29$447
Sanofi-aventis U.S. LLC24$392
Bayer12$373
Merck24$359
Biohaven Pharmaceutical Holding Company Ltd.18$311
Eisai Inc.19$285
Daiichi Sankyo Inc.15$272
Philips North America LLC13$226
Mylan Specialty L.p.12$207
ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.)14$205
Kowa Pharmaceuticals America, Inc.17$201
Takeda Pharmaceuticals U.S.A., Inc.13$200
Preventric Diagnostics, Inc.2$200
Grifols USA, LLC5$126
Baxter Healthcare4$113
Exact Sciences6$110
Nestle Healthcare Nutrition Inc.6$109
Johnson & Johnson8$96
Nevro Corp.5$95
Genentech USA, Inc.6$92
Paratek Pharmaceuticals, Inc.1$84
Abbott5$83
Amarin Pharma, Inc.5$83
Medtronic(2 entities)4$78
Ironwood Pharmaceuticals, Inc4$73
Sunovion Pharmaceuticals Inc.5$67
Boston Scientific3$65
Lundbeck LLC3$63
E.r. Squibb & Sons, L.L.C.3$53
Novartis3$47
Sumitomo Pharma America, Inc.2$45
Axsome Therapeutics, Inc.2$44
Idorsia Pharmaceuticals US Inc2$40
Avanir Pharmaceuticals, Inc.3$40
Phathom Pharmaceuticals, Inc.3$40
Sanofi Pasteur Inc.3$39
Scilex Pharmaceuticals Inc.2$38
Forte Bio-pharma LLC1$33
Xeris Pharmaceuticals, Inc.2$31
Strongbridge US Inc.2$26
Masimo Corporation1$26
Cvrx, Inc.1$25
Dexcom, Inc.1$22
Esperion Therapeutics, Inc.1$22
Corcept Therapeutics1$21
Vanda Pharmaceuticals Inc.1$20
Si-bone, Inc.1$19
Intra-sana Laboratories1$17
Supernus Pharmaceuticals, Inc.1$16

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

$16,821 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
$180,197
Medicare patients
226
Services billed
2,724

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
MounjaroTirzepatide120$139,843
JardianceEmpagliflozin110$100,454
CreonLipase/Protease/Amylase20$81,224
EliquisApixaban92$62,810
RybelsusSemaglutide42$59,648
OzempicSemaglutide63$59,069
Trelegy ElliptaFluticasone/Umeclidin/Vilanter76$56,522
FarxigaDapagliflozin Propanediol76$55,121
Breztri AerosphereBudesonide/Glycopyr/Formoterol63$42,051
VraylarCariprazine Hcl28$41,543
LinzessLinaclotide57$38,174
XareltoRivaroxaban30$38,091
Xtampza ErOxycodone Myristate59$35,777
JanuviaSitagliptin Phosphate38$29,103
TrulicityDulaglutide17$25,113

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
AbbVieCreon, Vraylar, Linzess, Qulipta$1,543$174,126117 claims
Lilly USA, LLCMounjaro, Trulicity, Humalog$1,194$174,118159 claims
Boehringer IngelheimJardiance, Spiriva Respimat, Stiolto Respimat$584$143,080170 claims
Novo NordiskRybelsus, Ozempic$1,724$118,717105 claims
AstraZenecaFarxiga, Breztri Aerosphere, Symbicort$1,489$103,987164 claims
PfizerEliquis$1,260$62,81092 claims
GSKTrelegy Ellipta, Anoro Ellipta$826$61,65887 claims
MerckJanuvia, Janumet, Janumet Xr$359$43,35063 claims
Johnson & JohnsonXarelto$96$38,09130 claims
Sanofi-aventis U.S. LLCSoliqua 100-33, Lantus$392$21,19941 claims
Astellas Pharma US IncMyrbetriq$501$18,77242 claims
Avanir Pharmaceuticals, Inc.Nuedexta$40$18,52612 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 Lexington

See the full list for North Carolina

Where these figures come from

Is this you, or does something look wrong? →