RxDoctor Payments Data

Todd Koelling, MD

Internal Medicine · Ann Arbor, MINPI 1528144573

Payments from drug & device makers

What this record shows

This record is dominated by food and beverage: $208 of the $248 with a category attached, or 83.9%. Abbott accounts for 83.9% of it on its own, with 1 other manufacturer making up the rest. Reporting peaked in 2020 at $106 and has fallen 62.1% since, to $40 in 2021. That places this record below the midpoint for internal medicine clinicians in MI, where the typical reported total is $183.

$248in general payments, 2019–2025

Across 3 payments — averaging $82.75 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Abbott$208
  • Vifor Pharma, Inc.$40
$213,300in research payments, 2019–2025

Across 32 payments — averaging $6665.63 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.

  • Abbott$213K

What the payments were for

  • Food & beverage$20884%
  • Education$4016%

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

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
Abbott2$208
Vifor Pharma, Inc.1$40

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

$248 in reported general payments places this provider in the 50th percentile of 4,567 internal medicine providers in Michigan.

See all internal medicine providers in Michigan

Medicare billing

Part B allowed, 2024
$63,425
Medicare patients
225
Services billed
567

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
VyndamaxTafamidis106$2,394,875
VyndaqelTafamidis Meglumine51$1,122,270
EliquisApixaban232$279,993
EntrestoSacubitril/Valsartan176$279,026
FarxigaDapagliflozin Propanediol132$162,977
JardianceEmpagliflozin61$83,720
XareltoRivaroxaban45$64,126
CellceptMycophenolate Mofetil21$46,131
Repatha SureclickEvolocumab33$21,812
Everolimus26$21,481
Tacrolimus163$16,217
Mycophenolate Mofetil80$15,927
VascepaIcosapent Ethyl19$12,926
Repatha SyringeEvolocumab16$12,659
PrografTacrolimus20$7,563

Paid to pharmacies, not to this prescriber.

Other internal medicine in Ann Arbor

See the full list for Michigan

Where these figures come from

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