RxDoctor Payments Data

Timothy Wratchford, MD

Internal Medicine · Mechanicsville, VANPI 1265498422

Payments from drug & device makers

$9,505in general payments, 2019–2025

Across 614 payments — averaging $15.48 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Novo Nordisk$1K
  • AbbVie$1K
  • AstraZeneca$763
  • Lilly USA, LLC$737
  • Amgen$649
  • Takeda Pharmaceuticals U.S.A., Inc.$569
  • plus $5K from 54 others

What the payments were for

  • Food & beverage$9,44399%
  • Education$621%

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 Nordisk105$1,198
AbbVie(2 entities)90$1,048
AstraZeneca42$763
Lilly USA, LLC43$737
Amgen46$649
Takeda Pharmaceuticals U.S.A., Inc.35$569
Pfizer30$519
GSK27$421
Salix Pharmaceuticals, A Division Of Bausch Health US, LLC16$283
Otsuka America Pharmaceutical, Inc.9$173
Teva Pharmaceuticals USA, Inc.9$170
Antares Pharma, Inc.9$170
Biohaven Pharmaceutical Holding Company Ltd.7$160
Merck11$153
Axsome Therapeutics, Inc.7$144
Abbott6$140
Supernus Pharmaceuticals, Inc.8$134
Lundbeck LLC5$121
Boehringer Ingelheim7$108
Astellas Pharma US Inc5$107
Bayer6$98
Phathom Pharmaceuticals, Inc.5$93
Amarin Pharma, Inc.5$91
Biohaven Pharmaceuticals, Inc.4$88
Sanofi-aventis U.S. LLC5$84
Sanofi Pasteur Inc.5$79
Corium, LLC3$78
Dexcom, Inc.2$74
Johnson & Johnson5$73
Alk-abello, Inc2$56
ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.)3$54
Amneal Pharmaceuticals LLC4$54
Actelion Pharmaceuticals US, Inc.3$53
Tolmar, Inc.3$53
Jazz Pharmaceuticals Inc.3$53
Genentech USA, Inc.3$52
Arbor Pharmaceuticals, Inc.4$51
Tris Pharma Inc3$46
Xeris Pharmaceuticals, Inc.2$44
Shire North American Group Inc2$38
Currax Pharmaceuticals LLC2$38
Azurity Pharmaceuticals, Inc.2$37
Redhill Biopharma Inc.2$34
Agile Therapeutics, Inc.2$30
Grifols USA, LLC2$28
Halozyme Inc1$24
Aimmune Therapeutics, Inc.1$24
Ultragenyx Pharmaceutical Inc.1$20
Bausch Health US, LLC1$19
Upsher-smith Laboratories LLC1$18
AMAG Pharmaceuticals, Inc.1$18
Kowa Pharmaceuticals America, Inc.1$16
Ardelyx, Inc.1$16
Idorsia Pharmaceuticals US Inc1$16
Avion Pharmaceuticals1$15
Concordia Pharmaceuticals Inc.1$15
Eisai Inc.1$15
Biodelivery Sciences International, Inc.1$14
Mylan Specialty L.p.1$14
Adlon Therapeutics L.p.1$11

How this compares

$9,505 in reported general payments places this provider in the 90th percentile of 2,724 internal medicine providers in Virginia.

See all internal medicine providers in Virginia

Medicare billing

Part B allowed, 2024
$98,616
Medicare patients
314
Services billed
6,594

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
OzempicSemaglutide36$37,738
MounjaroTirzepatide21$32,469
EliquisApixaban43$28,828
Trelegy ElliptaFluticasone/Umeclidin/Vilanter27$20,774
JanuviaSitagliptin Phosphate23$14,567
Repatha SureclickEvolocumab17$12,704
Janumet XrSitagliptin Phos/Metformin Hcl23$12,660
JardianceEmpagliflozin16$10,371
Breztri AerosphereBudesonide/Glycopyr/Formoterol13$8,280
Levemir FlexpenInsulin Detemir15$4,540
VyvanseLisdexamfetamine Dimesylate11$4,044
Solifenacin Succinate14$2,637
Dutasteride-TamsulosinDutasteride/Tamsulosin Hcl16$2,163
Lantus SolostarInsulin Glargine,hum.Rec.Anlog21$2,151
Atorvastatin Calcium288$1,968

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$1,198$37,73836 claims
Lilly USA, LLCMounjaro$737$32,46921 claims
PfizerEliquis$519$28,82843 claims
MerckJanuvia, Janumet Xr$153$27,22646 claims
GSKTrelegy Ellipta$421$20,77427 claims
Boehringer IngelheimJardiance$108$10,37116 claims
AstraZenecaBreztri Aerosphere$763$8,28013 claims
Takeda Pharmaceuticals U.S.A., Inc.Vyvanse$569$4,04411 claims
Amneal Pharmaceuticals LLCLevothyroxine Sodium$54$85276 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 90th percentile of 2,724 internal medicine providers in Virginia.

Other internal medicine in Mechanicsville

See the full list for Virginia

Where these figures come from

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