RxDoctor Payments Data

Susmitha Dhanyamraju, MD

Internal Medicine · Chester, PANPI 1346479946

Payments from drug & device makers

What this record shows

The money is spread across several categories — consulting fees (38.3%), food and beverage and travel and lodging — rather than concentrated in one kind of arrangement. Travere Therapeutics, Inc. accounts for 70.4% of it on its own, with 16 other manufacturers making up the rest. Reporting peaked in 2022 at $5,315 and has fallen 89.0% since, to $587 in 2025. Among internal medicine clinicians in PA with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.

$7,396in general payments, 2019–2025

Across 77 payments — averaging $96.06 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Travere Therapeutics, Inc.$5K
  • Mallinckrodt Enterprises LLC$346
  • Otsuka America Pharmaceutical, Inc.$261
  • Amgen$256
  • AstraZeneca$252
  • Nxstage Medical, Inc.$244
  • plus $833 from 11 others

What the payments were for

  • Consulting fees$2,83038%
  • Travel & lodging$1,95926%
  • Food & beverage$2,50834%
  • Education$1001%

General payments by program year

19
20
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.

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

$7,396 in reported general payments places this provider in the 90th percentile of 5,705 internal medicine providers in Pennsylvania.

See all internal medicine providers in Pennsylvania →

Medicare billing

Part B allowed, 2024
$89,956
Medicare patients
170
Services billed
509

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
SamscaTolvaptan11$168,916
Calcitriol15$547
Hydralazine Hcl16$352
Losartan Potassium13$196
Furosemide22$157
Lisinopril17$108
Metoprolol Succinate13$66

Paid to pharmacies, not to this prescriber.

Other internal medicine in Chester

See the full list for Pennsylvania →

Where these figures come from

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