Tatyana Miroshnikova
Internal Medicine · Orlando, FLNPI 1104990761
Payments from drug & device makers
Across 1,142 payments — averaging $3636.63 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Modernatx, Inc.$1.4M
- Amgen$785K
- Eli Lilly$781K
- Pfizer$606K
- Alnylam Pharmaceuticals Inc.$152K
- Novo Nordisk AS$133K
- plus $315K from 10 others
Across 15 payments — averaging $440.47 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.
- Eli Lilly$3K
- Sanofi US Services Inc.$2K
- Lexicon Pharmaceuticals, Inc.$1K
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 |
|---|---|---|
| Modernatx, Inc. | 389 | $1,381,554 |
| Amgen | 2 | $784,882 |
| Eli Lilly | 24 | $780,529 |
| Pfizer | 107 | $606,337 |
| Alnylam Pharmaceuticals Inc. | 291 | $151,900 |
| Novo Nordisk AS | 256 | $132,962 |
| GSK | 17 | $112,134 |
| Lexicon Pharmaceuticals, Inc. | 22 | $83,261 |
| AbbVie | 18 | $70,283 |
| AstraZeneca | 2 | $24,552 |
| Sanofi US Services Inc. | 6 | $24,078 |
| 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
$4,153,027 in reported general payments places this provider in the 95th percentile of 8,530 internal medicine providers in Florida.
Other internal medicine in Orlando
- Kwabena AyesuOrlando$27.6M
- Malisa AgardOrlando$12.2M
- Alfonso Gonzalez-RodriguezOrlando$4.7M
- Yaneicy Gonzalez RojasCoral Gables$93.5M
- Juan Carlos RondonHollywood$66.8M
- Jaynier MoyaPembroke Pines$45.4M
- Mark KutnerMiami$35.7M
- Gilberto JimenezHialeah$35.6M
- Mira BaronWest Palm Beach$29.6M
- William SanchezHialeah$28.9M
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.