RxDoctor Payments Data

Terry Arnold, MD

Internal Medicine · Lexington, NCNPI 1326108887

Payments from drug & device makers

$19,634in general payments, 2019–2025

Across 1,253 payments — averaging $15.67 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Novo Nordisk$2K
  • AbbVie$2K
  • AstraZeneca$2K
  • Lilly USA, LLC$1K
  • Pfizer$1K
  • GSK$834
  • plus $10K from 54 others

What the payments were for

  • Consulting fees$250%
  • Food & beverage$19,539100%
  • Education$700%

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 Nordisk134$2,312
AbbVie(2 entities)135$1,917
AstraZeneca85$1,882
Lilly USA, LLC100$1,467
Pfizer104$1,374
GSK61$834
Kowa Pharmaceuticals America, Inc.101$810
Merck47$715
Boehringer Ingelheim33$678
Otsuka America Pharmaceutical, Inc.34$599
Amgen39$541
Salix Pharmaceuticals, A Division Of Bausch Health US, LLC32$463
Astellas Pharma US Inc24$461
Sanofi-aventis U.S. LLC27$404
Eisai Inc.18$341
Johnson & Johnson24$314
Avanir Pharmaceuticals, Inc.18$276
Ironwood Pharmaceuticals, Inc17$276
Sunovion Pharmaceuticals Inc.18$251
Novartis16$240
Vanda Pharmaceuticals Inc.7$239
Amarin Pharma, Inc.14$210
Mylan Specialty L.p.8$201
Collegium Pharmaceutical, Inc.10$196
E.r. Squibb & Sons, L.L.C.12$183
Bayer11$182
Lundbeck LLC10$179
Almatica Pharma LLC10$172
Phathom Pharmaceuticals, Inc.5$168
Corium, LLC7$132
ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.)7$118
Sumitomo Pharma America, Inc.4$95
Daiichi Sankyo Inc.5$92
Avion Pharmaceuticals5$86
Biogen5$82
Exact Sciences5$77
Boston Scientific4$73
Biohaven Pharmaceuticals, Inc.4$73
Shield Therapeutics Inc4$69
Idorsia Pharmaceuticals US Inc3$64
Supernus Pharmaceuticals, Inc.3$60
Xeris Pharmaceuticals, Inc.3$56
Ardelyx, Inc.3$55
Esperion Therapeutics, Inc.3$54
Takeda Pharmaceuticals U.S.A., Inc.4$54
Teva Pharmaceuticals USA, Inc.4$52
Genentech USA, Inc.3$52
Zyla Life Sciences, Inc.3$42
Abbott2$35
Radius Health, Inc.1$34
Paratek Pharmaceuticals, Inc.2$32
Sanofi Pasteur Inc.2$29
Baxter Healthcare1$25
Antares Pharma, Inc.1$24
Biohaven Pharmaceutical Holding Company Ltd.1$22
Halozyme Inc1$21
Acadia Pharmaceuticals Inc1$18
Lexicon Pharmaceuticals, Inc.1$17
CMP Pharma, Inc.1$16
Irhythm Technologies, Inc.1$16

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

$19,634 in reported general payments places this provider in the 95th percentile of 3,302 internal medicine providers in North Carolina.

See all internal medicine providers in North Carolina

Medicare billing

Part B allowed, 2024
$165,895
Medicare patients
378
Services billed
2,069

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
EliquisApixaban408$277,919
OzempicSemaglutide215$261,229
JardianceEmpagliflozin220$206,044
RexultiBrexpiprazole170$173,344
FarxigaDapagliflozin Propanediol208$164,018
Trelegy ElliptaFluticasone/Umeclidin/Vilanter182$145,088
XifaxanRifaximin41$144,618
MounjaroTirzepatide104$118,023
XareltoRivaroxaban155$113,861
RybelsusSemaglutide69$83,877
LinzessLinaclotide123$81,273
Toujeo Max SolostarInsulin Glargine,hum.Rec.Anlog100$75,373
MyrbetriqMirabegron135$65,868
JanuviaSitagliptin Phosphate78$51,537
Tresiba Flextouch U-200Insulin Degludec42$40,988

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, Rybelsus, Xultophy 100-3.6$2,312$359,725296 claims
PfizerEliquis$1,374$277,919408 claims
Boehringer IngelheimJardiance$678$206,044220 claims
GSKTrelegy Ellipta, Breo Ellipta, Anoro Ellipta$834$191,085269 claims
Otsuka America Pharmaceutical, Inc.Rexulti$599$173,344170 claims
AstraZenecaFarxiga$1,882$164,018208 claims
Lilly USA, LLCMounjaro, Trulicity$1,467$155,947133 claims
Salix Pharmaceuticals, A Division Of Bausch Health US, LLCXifaxan$463$144,61841 claims
Johnson & JohnsonXarelto, Invokana$314$125,169175 claims
AbbVieLinzess, Ubrelvy$1,917$103,553137 claims
MerckJanuvia, Janumet, Verquvo$715$93,317119 claims
Astellas Pharma US IncMyrbetriq$461$65,868135 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 3,302 internal medicine providers in North Carolina.

Other internal medicine in Lexington

See the full list for North Carolina

Where these figures come from

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