RxDoctor Payments Data

Tilak Pokharel, MD

Family Medicine · West End, NCNPI 1255737045

Payments from drug & device makers

$651in general payments, 2019–2025

Across 40 payments — averaging $16.29 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Novo Nordisk$437
  • Lilly USA, LLC$141
  • AstraZeneca$48
  • Astellas Pharma US Inc$14
  • Takeda Pharmaceuticals U.S.A., Inc.$12

What the payments were for

  • Food & beverage$651100%

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.

How this compares

$651 in reported general payments places this provider in the 60th percentile of 3,444 family medicine providers in North Carolina.

See all family medicine providers in North Carolina

Medicare billing

Part B allowed, 2024
$157,180
Medicare patients
316
Services billed
2,245

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
OzempicSemaglutide187$233,925
JardianceEmpagliflozin248$216,544
EliquisApixaban146$122,288
TrulicityDulaglutide97$112,958
MounjaroTirzepatide69$85,050
FarxigaDapagliflozin Propanediol32$33,605
Trelegy ElliptaFluticasone/Umeclidin/Vilanter39$26,123
XareltoRivaroxaban32$25,536
JanumetSitagliptin Phos/Metformin Hcl21$17,266
LinzessLinaclotide13$16,159
Spiriva HandihalerTiotropium Bromide29$15,307
MyrbetriqMirabegron11$9,161
Fluticasone-SalmeterolFluticasone Propion/Salmeterol42$7,519
Atorvastatin Calcium821$6,843
SymbicortBudesonide/Formoterol Fumarate27$6,840

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$437$233,925187 claims
Lilly USA, LLCTrulicity, Mounjaro$141$198,008166 claims
AstraZenecaFarxiga, Symbicort$48$40,44559 claims
Astellas Pharma US IncMyrbetriq$14$9,16111 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 60th percentile of 3,444 family medicine providers in North Carolina.

Other family medicine in West End

See the full list for North Carolina

Where these figures come from

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