RxDoctor Payments Data

Tibor Toplenszky, MD

Internal Medicine · Sparks, NVNPI 1427022979

Payments from drug & device makers

$1,622in general payments, 2019–2025

Across 68 payments — averaging $23.85 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • GSK$227
  • AstraZeneca$220
  • Johnson & Johnson$144
  • Astellas Pharma US Inc$125
  • Lilly USA, LLC$110
  • Pfizer$101
  • plus $695 from 21 others

What the payments were for

  • Food & beverage$1,622100%

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.

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

$1,622 in reported general payments places this provider in the 80th percentile of 1,071 internal medicine providers in Nevada.

See all internal medicine providers in Nevada

Medicare billing

Part B allowed, 2024
$13,907
Medicare patients
102
Services billed
169

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
Albuterol Sulfate HfaAlbuterol Sulfate36$782
Cefdinir17$389
Nitrofurantoin Mono-MacroNitrofurantoin Monohyd/M-Cryst31$289
Ofloxacin13$284
Doxycycline Hyclate31$265
Methylprednisolone20$158
Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav21$152
Cephalexin26$143
Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim23$69
Azithromycin12$43

Paid to pharmacies, not to this prescriber.

Other internal medicine in Sparks

See the full list for Nevada

Where these figures come from

Is this you, or does something look wrong? →