Thomas Barwacz, MD
Internal Medicine · North Royalton, OHNPI 1316213077
Payments from drug & device makers
Across 243 payments — averaging $13.92 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$681
- Pfizer$605
- Lilly USA, LLC$269
- AstraZeneca$254
- Amgen$200
- Sanofi-aventis U.S. LLC$175
- plus $1K from 26 others
What the payments were for
- Food & beverage$3,375100%
- Education$80%
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
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 |
|---|---|---|
| AbbVie | 52 | $681 |
| Pfizer | 54 | $605 |
| Lilly USA, LLC | 19 | $269 |
| AstraZeneca | 18 | $254 |
| Amgen | 12 | $200 |
| Sanofi-aventis U.S. LLC | 11 | $175 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 6 | $105 |
| Impel Pharmaceuticals LLC | 3 | $100 |
| Novo Nordisk | 6 | $99 |
| Exact Sciences | 6 | $91 |
| Astellas Pharma US Inc | 3 | $72 |
| Phathom Pharmaceuticals, Inc. | 12 | $71 |
| Bayer | 4 | $71 |
| Amarin Pharma, Inc. | 4 | $62 |
| Radius Health, Inc. | 3 | $54 |
| Mannkind Corporation | 3 | $54 |
| Boehringer Ingelheim | 4 | $53 |
| GSK | 3 | $49 |
| Xeris Pharmaceuticals, Inc. | 2 | $46 |
| Johnson & Johnson | 3 | $46 |
| Merck | 3 | $40 |
| Novartis | 2 | $31 |
| Aimmune Therapeutics, Inc. | 1 | $22 |
| Dexcom, Inc. | 1 | $21 |
| TMS Neurohealth Centers Inc. | 1 | $17 |
| Arbor Pharmaceuticals, Inc. | 1 | $16 |
| Abbott | 1 | $16 |
| Teva Pharmaceuticals USA, Inc. | 1 | $14 |
| Lundbeck LLC | 1 | $13 |
| Valeritas, Inc. | 1 | $13 |
| Kowa Pharmaceuticals America, Inc. | 1 | $12 |
| Endo Pharmaceuticals Inc. | 1 | $12 |
How this compares
$3,383 in reported general payments places this provider in the 85th percentile of 4,428 internal medicine providers in Ohio.
Medicare billing
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
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| OzempicSemaglutide | 59 | $67,800 |
| TrulicityDulaglutide | 38 | $55,204 |
| JardianceEmpagliflozin | 38 | $54,837 |
| EliquisApixaban | 45 | $54,293 |
| XareltoRivaroxaban | 30 | $37,595 |
| MounjaroTirzepatide | 15 | $27,140 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 27 | $18,378 |
| JanuviaSitagliptin Phosphate | 13 | $15,094 |
| Breo ElliptaFluticasone/Vilanterol | 14 | $14,374 |
| Lantus SolostarInsulin Glargine,hum.Rec.Anlog | 32 | $6,767 |
| Atorvastatin Calcium | 654 | $4,934 |
| Budesonide-Formoterol FumarateBudesonide/Formoterol Fumarate | 14 | $4,687 |
| PaxlovidNirmatrelvir/Ritonavir | 17 | $4,211 |
| SynthroidLevothyroxine Sodium | 46 | $4,047 |
| Humalog Kwikpen U-100Insulin Lispro | 14 | $3,654 |
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.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| Lilly USA, LLCTrulicity, Mounjaro | $269 | $82,34453 claims |
| Novo NordiskOzempic | $99 | $67,80059 claims |
| PfizerEliquis, Paxlovid | $605 | $58,50462 claims |
| Boehringer IngelheimJardiance | $53 | $54,83738 claims |
| Johnson & JohnsonXarelto | $46 | $37,59530 claims |
| GSKTrelegy Ellipta, Breo Ellipta | $49 | $32,75141 claims |
| MerckJanuvia | $40 | $15,09413 claims |
| AbbVieSynthroid | $681 | $4,04746 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 85th percentile of 4,428 internal medicine providers in Ohio.
Other internal medicine in North Royalton
- Antoinette PragalosCincinnati$27.8M
- Steven FolkerthBeavercreek$9.1M
- Charles EgerCincinnati$8.7M
- Vadim KoshkinCleveland$6.1M
- Nizar DaboulMaumee$4.7M
- Douglas LoganCincinnati$4.7M
- Seref BornovaliLoveland$4.4M
- Yevgeniy BukhmanCanton$3.7M
- Leela VrishabhendraCincinnati$3.4M
- Narinder SainiSpringfield$3.2M
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.