RxDoctor Payments Data

Suresh Nair, MD

Internal Medicine · Louisville, KYNPI 1629002787

Payments from drug & device makers

What this record shows

Almost everything reported here is food and beverage — 99.9% of the total across 1,062 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 60 manufacturers, the largest accounting for just 10.1% — the pattern of someone who eats at a lot of different presentations. Among internal medicine clinicians in KY with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.

$19,704in general payments, 2019–2025

Across 1,062 payments — averaging $18.55 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • AstraZeneca$2K
  • AbbVie$2K
  • Mimedx Group, Inc.$2K
  • Pfizer$1K
  • Vanda Pharmaceuticals Inc.$1K
  • UCB, Inc.$1K
  • plus $11K from 54 others

What the payments were for

  • Food & beverage$19,686100%
  • Education$190%

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
AstraZeneca(2 entities)42$1,981
AbbVie(2 entities)106$1,618
Mimedx Group, Inc.25$1,577
Pfizer107$1,433
Vanda Pharmaceuticals Inc.51$1,104
UCB, Inc.59$1,070
Otsuka America Pharmaceutical, Inc.60$853
Novo Nordisk37$711
Novartis43$703
Boehringer Ingelheim51$639
Esperion Therapeutics, Inc.35$548
Amgen39$545
Bayer34$508
Johnson & Johnson36$480
GSK32$457
Philips North America LLC5$370
Merck21$337
ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.)20$317
Lilly USA, LLC22$313
Medtronic(2 entities)12$310
Sanofi-aventis U.S. LLC18$309
Avanir Pharmaceuticals, Inc.21$283
Corium, LLC13$244
Astellas Pharma US Inc12$218
Salix Pharmaceuticals, A Division Of Bausch Health US, LLC13$207
Phathom Pharmaceuticals, Inc.5$199
Exact Sciences9$179
Sunovion Pharmaceuticals Inc.11$161
Biohaven Pharmaceutical Holding Company Ltd.11$156
Corcept Therapeutics8$143
Biohaven Pharmaceuticals, Inc.7$131
Urgo Medical North America, LLC5$125
Pacira Therapeutics, Inc.8$110
Amarin Pharma, Inc.8$109
Impel Pharmaceuticals Inc.5$97
Eisai Inc.6$93
ZOLL Services LLC (a/k/a ZOLL Lifecor Corp)6$72
Mylan Specialty L.p.4$70
Takeda Pharmaceuticals U.S.A., Inc.4$61
Ardelyx, Inc.3$58
Convatec Inc.3$58
Teva Pharmaceuticals USA, Inc.3$48
Lundbeck LLC2$47
Abbott3$46
Dexcom, Inc.2$42
Organogenesis Inc.2$37
Averitas Pharma Inc.2$36
ANI Pharmaceuticals, Inc.2$36
Nevro Corp.2$35
Scpharmaceuticals Inc.2$34
Biogen2$32
Supernus Pharmaceuticals, Inc.2$31
Axsome Therapeutics, Inc.2$31
Kyowa Kirin, Inc.1$27
Hologic Sales And Service, LLC2$26
Valeritas, Inc.2$26
Insulet Corporation1$23
Ultragenyx Pharmaceutical Inc.1$22
Gilead1$21
Vertex1$20

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

$19,704 in reported general payments places this provider in the 95th percentile of 1,284 internal medicine providers in Kentucky.

See all internal medicine providers in Kentucky

Medicare billing

Part B allowed, 2024
$71,990
Medicare patients
293
Services billed
1,192

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
HetliozTasimelteon12$460,025
EliquisApixaban66$45,303
FarxigaDapagliflozin Propanediol38$33,749
OzempicSemaglutide35$33,051
XareltoRivaroxaban30$28,617
Toujeo Max SolostarInsulin Glargine,hum.Rec.Anlog30$25,075
JardianceEmpagliflozin31$24,276
Trelegy ElliptaFluticasone/Umeclidin/Vilanter31$20,139
RybelsusSemaglutide24$19,491
KerendiaFinerenone22$16,438
JanuviaSitagliptin Phosphate26$16,165
Tresiba Flextouch U-100Insulin Degludec16$13,818
Breztri AerosphereBudesonide/Glycopyr/Formoterol19$13,504
VascepaIcosapent Ethyl26$13,068
LinzessLinaclotide21$11,085

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
Vanda Pharmaceuticals Inc.Hetlioz$1,104$460,02512 claims
Novo NordiskOzempic, Rybelsus$711$52,54259 claims
PfizerEliquis, Abrysvo, Premarin$1,433$51,52190 claims
AstraZenecaFarxiga, Breztri Aerosphere, Symbicort$1,981$50,50371 claims
Boehringer IngelheimJardiance, Spiriva Respimat$639$31,27844 claims
Johnson & JohnsonXarelto$480$28,61730 claims
GSKTrelegy Ellipta, Anoro Ellipta$457$27,77444 claims
BayerKerendia$508$16,43822 claims
MerckJanuvia$337$16,16526 claims
AbbVieLinzess$1,618$11,08521 claims
Astellas Pharma US IncMyrbetriq$218$9,99023 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 1,284 internal medicine providers in Kentucky.

Other internal medicine in Louisville

See the full list for Kentucky

Where these figures come from

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