Todd Luyber, DO
Emergency Medicine · Portsmouth, VANPI 1982672960
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 24 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. Melinta Therapeutics, LLC accounts for 61.9% of it on its own, with 5 other manufacturers making up the rest. Reporting peaked in 2023 at $109 and has fallen 86.3% since, to $15 in 2025. Among emergency medicine clinicians in VA with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 24 payments — averaging $16.15 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Melinta Therapeutics, LLC$240
- Vapotherm Inc$56
- Pfizer$32
- CSL Behring$30
- Johnson & Johnson$16
- E.r. Squibb & Sons, L.L.C.$13
What the payments were for
- Food & beverage$388100%
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 |
|---|---|---|
| Melinta Therapeutics, LLC | 16 | $240 |
| Vapotherm Inc | 2 | $56 |
| Pfizer | 2 | $32 |
| CSL Behring | 2 | $30 |
| Johnson & Johnson | 1 | $16 |
| E.r. Squibb & Sons, L.L.C. | 1 | $13 |
How this compares
$388 in reported general payments places this provider in the 90th percentile of 1,279 emergency medicine providers in Virginia.
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 |
|---|---|---|
| Cefpodoxime Proxetil | 13 | $929 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 11 | $306 |
| Doxycycline Monohydrate | 19 | $194 |
| Ondansetron OdtOndansetron | 16 | $95 |
| Cephalexin | 20 | $88 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 12 | $72 |
| Naproxen | 16 | $45 |
| Prednisone | 11 | $15 |
Paid to pharmacies, not to this prescriber.
Other emergency medicine in Portsmouth
- David CyrPortsmouth$5K
- Vikas ThakralPortsmouth$1K
- Edward ReadRichmond$402K
- Alex HamidiWilliamsburg$133K
- David BurtCharlottesville$76K
- Marleine ClayMc Lean$71K
- Christopher ThomCharlottesville$52K
- Michelle ClintonRoanoke$42K
- Scott WeirFalls Church$17K
- Clarence KongNorfolk$17K
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.