RxDoctor Payments Data

Subir Guha, MD

Family Medicine · Gallatin, TNNPI 1104871029

Payments from drug & device makers

$12,661in general payments, 2019–2025

Across 693 payments — averaging $18.27 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Novo Nordisk$2K
  • Novartis$1K
  • AstraZeneca$765
  • AbbVie$694
  • GSK$690
  • Pfizer$575
  • plus $7K from 54 others

What the payments were for

  • Consulting fees$9247%
  • Food & beverage$11,58391%
  • Education$1531%

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 Nordisk135$1,845
Novartis28$1,397
AstraZeneca43$765
AbbVie(2 entities)54$694
GSK44$690
Pfizer36$575
Amgen28$412
Lilly USA, LLC23$367
Teva Pharmaceuticals USA, Inc.32$344
Astellas Pharma US Inc19$329
Amarin Pharma, Inc.21$325
BETA Bionics, Inc.2$291
Biohaven Pharmaceutical Holding Company Ltd.7$275
Abbott10$274
Boehringer Ingelheim14$271
Sanofi-aventis U.S. LLC15$263
Salix Pharmaceuticals, A Division Of Bausch Health US, LLC10$215
Mannkind Corporation9$209
Lundbeck LLC8$182
Corcept Therapeutics8$180
Merck13$179
Xeris Pharmaceuticals, Inc.9$176
Takeda Pharmaceuticals U.S.A., Inc.8$165
Biohaven Pharmaceuticals, Inc.7$149
Johnson & Johnson9$147
Dexcom, Inc.6$126
ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.)5$124
Idorsia Pharmaceuticals US Inc8$123
Medicure Pharma Inc.1$111
Insulet Corporation7$105
Kowa Pharmaceuticals America, Inc.7$104
Boston Scientific3$91
Sunovion Pharmaceuticals Inc.5$85
Phathom Pharmaceuticals, Inc.4$79
Ascensia Diabetes Care US Inc.3$69
Eisai Inc.4$66
Esperion Therapeutics, Inc.3$62
Shield Therapeutics Inc3$59
Verona Pharma, Inc.2$59
Seqirus USA Inc3$56
Exact Sciences3$49
Otsuka America Pharmaceutical, Inc.2$47
Amphastar Pharmaceuticals, Inc.2$41
Sumitomo Pharma America, Inc.2$38
E.r. Squibb & Sons, L.L.C.3$35
Almatica Pharma LLC2$35
BD1$33
Ironwood Pharmaceuticals, Inc2$32
CMP Pharma, Inc.2$27
Sanofi Pasteur Inc.1$27
Cequr Corporation1$25
Bardy Diagnostics, Inc.4$25
Upsher-smith Laboratories LLC1$24
Medtronic1$22
Optos, Inc.1$21
Zealand Pharma US, Inc.1$21
Bayer1$21
Vertex1$19
Neurocrine Biosciences, Inc.1$19
Hikma Pharmaceuticals USA1$13

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

$12,661 in reported general payments places this provider in the 90th percentile of 2,087 family medicine providers in Tennessee.

See all family medicine providers in Tennessee

Medicare billing

Part B allowed, 2024
$83,419
Medicare patients
278
Services billed
2,572

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
OzempicSemaglutide258$283,781
Trelegy ElliptaFluticasone/Umeclidin/Vilanter256$186,787
EliquisApixaban99$102,410
JardianceEmpagliflozin99$96,502
TrulicityDulaglutide65$80,111
XareltoRivaroxaban66$74,976
Toujeo Max SolostarInsulin Glargine,hum.Rec.Anlog43$69,216
Omnipod Dash Pods (Gen 4)Insulin Pump Cart,cont Inf,bt57$54,958
MounjaroTirzepatide41$42,479
JanuviaSitagliptin Phosphate46$39,966
VraylarCariprazine Hcl25$34,284
MyrbetriqMirabegron51$29,121
CreonLipase/Protease/Amylase14$28,342
FarxigaDapagliflozin Propanediol28$27,305
Toujeo SolostarInsulin Glargine,hum.Rec.Anlog56$26,050

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$1,845$283,781258 claims
GSKTrelegy Ellipta, Breo Ellipta, Shingrix$690$214,298343 claims
Lilly USA, LLCTrulicity, Mounjaro$367$122,590106 claims
PfizerEliquis, Abrysvo$575$114,279139 claims
Boehringer IngelheimJardiance, Stiolto Respimat, Combivent Respimat$271$113,840126 claims
Johnson & JohnsonXarelto, Risperdal Consta$147$96,13378 claims
AbbVieVraylar, Creon, Linzess$694$86,44256 claims
MerckJanuvia$179$39,96646 claims
AstraZenecaFarxiga, Symbicort$765$33,51549 claims
Astellas Pharma US IncMyrbetriq$329$29,12151 claims
NovartisEntresto$1,397$13,82914 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 2,087 family medicine providers in Tennessee.

Other family medicine in Gallatin

See the full list for Tennessee

Where these figures come from

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