Vikram Dayal, MD
Internal Medicine · Ranson, WVNPI 1174515548
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 93.2% of the total across 196 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 27 manufacturers, the largest accounting for just 21.2% — the pattern of someone who eats at a lot of different presentations. Among internal medicine clinicians in WV with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 196 payments — averaging $42.01 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$2K
- AbbVie$1K
- Medtronic$1K
- GSK$611
- Novo Nordisk$591
- Johnson & Johnson$557
- plus $2K from 21 others
What the payments were for
- Travel & lodging$5216%
- Food & beverage$7,67493%
- Education$400%
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 |
|---|---|---|
| AstraZeneca | 26 | $1,745 |
| AbbVie(2 entities) | 23 | $1,154 |
| Medtronic | 17 | $1,140 |
| GSK | 16 | $611 |
| Novo Nordisk | 22 | $591 |
| Johnson & Johnson | 16 | $557 |
| Boehringer Ingelheim | 11 | $522 |
| Amgen(2 entities) | 5 | $393 |
| Abbott | 4 | $357 |
| Lilly USA, LLC | 10 | $315 |
| Bayer | 10 | $236 |
| Biohaven Pharmaceuticals, Inc. | 1 | $100 |
| Mallinckrodt Enterprises LLC | 5 | $83 |
| Pfizer | 6 | $77 |
| Exact Sciences | 2 | $56 |
| Sanofi-aventis U.S. LLC | 4 | $48 |
| Takeda Pharmaceuticals U.S.A., Inc. | 4 | $43 |
| Genentech USA, Inc. | 2 | $42 |
| E.r. Squibb & Sons, L.L.C. | 2 | $28 |
| Kowa Pharmaceuticals America, Inc. | 2 | $25 |
| Sunovion Pharmaceuticals Inc. | 2 | $25 |
| Mallinckrodt Hospital Products Inc. | 1 | $18 |
| Cranial Technologies, Inc | 1 | $17 |
| Novartis | 1 | $14 |
| Phathom Pharmaceuticals, Inc. | 1 | $13 |
| Corcept Therapeutics | 1 | $12 |
| Shire North American Group Inc | 1 | $11 |
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.
- MINIMED 780G$741
- FARXIGA$726
- VRAYLAR$575
- JARDIANCE$472
- FreeStyle Libre 2$331
- XARELTO$249
- Repatha$245
- AIRSUPRA$230
- UBRELVY$225
- TRELEGY ELLIPTA$125
- Otezla$125
- MOUNJARO$125
- RYBELSUS$125
- Ozempic$116
- Tresiba$116
How this compares
$8,235 in reported general payments places this provider in the 95th percentile of 573 internal medicine providers in West 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 |
|---|---|---|
| JardianceEmpagliflozin | 90 | $98,749 |
| EliquisApixaban | 106 | $89,397 |
| XareltoRivaroxaban | 79 | $72,137 |
| MounjaroTirzepatide | 38 | $48,898 |
| FarxigaDapagliflozin Propanediol | 47 | $46,094 |
| OzempicSemaglutide | 32 | $43,705 |
| Soliqua 100-33Insulin Glargine/Lixisenatide | 28 | $36,613 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 51 | $36,126 |
| TrulicityDulaglutide | 36 | $33,927 |
| EntrestoSacubitril/Valsartan | 36 | $26,448 |
| Breztri AerosphereBudesonide/Glycopyr/Formoterol | 30 | $26,068 |
| Tresiba Flextouch U-200Insulin Degludec | 13 | $18,111 |
| Stiolto RespimatTiotropium Br/Olodaterol Hcl | 23 | $14,466 |
| Xigduo XrDapaglifloz Propaned/Metformin | 14 | $11,922 |
| Breo ElliptaFluticasone/Vilanterol | 17 | $10,779 |
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.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| Boehringer IngelheimJardiance, Stiolto Respimat | $522 | $113,215113 claims |
| PfizerEliquis | $77 | $89,397106 claims |
| Lilly USA, LLCMounjaro, Trulicity | $315 | $82,82574 claims |
| AstraZenecaFarxiga, Breztri Aerosphere | $1,745 | $72,16277 claims |
| Johnson & JohnsonXarelto | $557 | $72,13779 claims |
| GSKTrelegy Ellipta, Breo Ellipta | $611 | $46,90568 claims |
| Novo NordiskOzempic | $591 | $43,70532 claims |
| Sanofi-aventis U.S. LLCSoliqua 100-33 | $48 | $36,61328 claims |
| NovartisEntresto | $14 | $26,44836 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 95th percentile of 573 internal medicine providers in West Virginia.
Other internal medicine in Ranson
- Robert JonesRanson$8K
- William ChapmanCharleston$1.7M
- David PickeringParkersburg$599K
- Govind PatelFairmont$59K
- Bisher MustafaHuntington$28K
- Johny AlencherryMartinsburg$27K
- Ali KhanBuckhannon$21K
- Joseph HashemBerkeley Springs$21K
- David PatickHuntington$18K
- Phillip TriplettCharleston$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.