RxDoctor Payments Data

Steven Clemenson, MD

Internal Medicine · Fargo, NDNPI 1174541874

Payments from drug & device makers

What this record shows

Almost everything reported here is food and beverage — 100.0% of the total across 30 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 19 manufacturers, the largest accounting for just 21.2% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2020 at $238 and has fallen 56.7% since, to $103 in 2021.

$572in general payments, 2019–2025

Across 30 payments — averaging $19.08 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Novo Nordisk$121
  • Esperion Therapeutics, Inc.$81
  • Merck$69
  • Nevro Corp.$41
  • Lilly USA, LLC$28
  • Sanofi-aventis U.S. LLC$24
  • plus $209 from 13 others

What the payments were for

  • Food & beverage$572100%

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

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.

How this compares

$572 in reported general payments places this provider in the 75th percentile of 159 internal medicine providers in North Dakota.

See all internal medicine providers in North Dakota

Medicare billing

Part B allowed, 2024
$47,100
Medicare patients
182
Services billed
587

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
JardianceEmpagliflozin29$33,870
RybelsusSemaglutide16$26,879
EliquisApixaban17$21,520
FarxigaDapagliflozin Propanediol13$17,885
Lantus SolostarInsulin Glargine,hum.Rec.Anlog32$5,569
Rosuvastatin Calcium59$1,361
Tamsulosin Hcl71$1,240
Albuterol Sulfate HfaAlbuterol Sulfate23$1,236
Omeprazole93$1,102
Metformin Hcl83$930
Metoprolol Succinate87$878
Levothyroxine Sodium115$876
Atorvastatin Calcium124$845
Gabapentin55$828
Lisinopril120$727

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$16$33,87029 claims
Novo NordiskRybelsus$121$26,87916 claims
AstraZenecaFarxiga$12$17,88513 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 75th percentile of 159 internal medicine providers in North Dakota.

Other internal medicine in Fargo

See the full list for North Dakota

Where these figures come from

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