Tatyana Miroshnikova
Internal Medicine · Orlando, FLNPI 1104990761
Payments from drug & device makers
What this record shows
This record is dominated by travel and lodging: $4,901 of the $6,853 with a category attached, or 71.5%. 9 manufacturers reported payments, led by Eli Lilly at 33.8% of the total. Among internal medicine clinicians in FL 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.
Across 41 payments — averaging $167.14 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Eli Lilly$2K
- Alnylam Pharmaceuticals Inc.$2K
- Pfizer$1K
- Modernatx, Inc.$1K
- E.r. Squibb & Sons, L.L.C.$185
- Inari Medical, Inc.$175
- plus $196 from 3 others
Across 1,116 payments — averaging $3721.13 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Modernatx, Inc.$1.4M
- Amgen$785K
- Eli Lilly$782K
- Pfizer$605K
- Alnylam Pharmaceuticals Inc.$150K
- Novo Nordisk AS$133K
- plus $318K from 5 others
What the payments were for
- Travel & lodging$4,90172%
- Food & beverage$1,95228%
General payments by program year
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.
| Company | Payments | Total |
|---|---|---|
| Eli Lilly | 12 | $2,313 |
| Alnylam Pharmaceuticals Inc. | 8 | $1,694 |
| Pfizer | 5 | $1,250 |
| Modernatx, Inc. | 8 | $1,038 |
| E.r. Squibb & Sons, L.L.C. | 4 | $185 |
| Inari Medical, Inc. | 1 | $175 |
| Mylan Specialty L.p. | 1 | $116 |
| Johnson & Johnson | 1 | $62 |
| Novartis | 1 | $18 |
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.
- CT THROMBECTOMY SYSTEM KIT$175
- FLOWTRIEVER CATHETER, S$175
- ELIQUIS$125
- Yupelri$116
How this compares
$6,853 in reported general payments places this provider in the 90th percentile of 8,530 internal medicine providers in Florida.
Other internal medicine in Orlando
- Haytham ElgammalMiami$2.2M
- Keith RubinFort Lauderdale$2M
- Michael SensionFort Lauderdale$1M
- Quang NguyenOcala$434K
- Luis Correa LunaSanford$412K
- Michael OleksykFort Myers$365K
- Andrew KuykendallTampa$322K
- Howard FederoffCoconut Grove$302K
- Bianka EperjesiovaGainesville$260K
- Julio ConradoFort Myers$247K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.