Vinod Kripalu, MD
Internal Medicine · Wilmington, DENPI 1295740033
Payments from drug & device makers
Across 81 payments — averaging $18.86 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Amarin Pharma, Inc.$190
- Bard Peripheral Vascular, Inc.$149
- Salix Pharmaceuticals, A Division Of Bausch Health US, LLC$138
- AstraZeneca$129
- Novo Nordisk$89
- Lilly USA, LLC$88
- plus $744 from 20 others
What the payments were for
- Food & beverage$1,527100%
- Education$10%
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 |
|---|---|---|
| Amarin Pharma, Inc. | 5 | $190 |
| Bard Peripheral Vascular, Inc. | 1 | $149 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 10 | $138 |
| AstraZeneca | 9 | $129 |
| Novo Nordisk | 5 | $89 |
| Lilly USA, LLC | 4 | $88 |
| Pfizer | 6 | $82 |
| GSK | 6 | $81 |
| Merck | 4 | $67 |
| Johnson & Johnson | 5 | $67 |
| Abbott | 3 | $64 |
| Boehringer Ingelheim | 3 | $48 |
| Exact Sciences | 2 | $48 |
| Alkermes, Inc. | 2 | $42 |
| AbbVie(2 entities) | 2 | $38 |
| Astellas Pharma US Inc | 2 | $34 |
| Sanofi Pasteur Inc. | 2 | $33 |
| Phathom Pharmaceuticals, Inc. | 2 | $23 |
| Neos Therapeutics, LP | 1 | $21 |
| Sanofi-aventis U.S. LLC | 1 | $17 |
| Linus Health, Inc. | 1 | $17 |
| Biohaven Pharmaceuticals, Inc. | 1 | $17 |
| Seqirus USA Inc | 1 | $16 |
| Amgen | 1 | $15 |
| Bausch Health US, LLC | 1 | $13 |
| Sumitomo Pharma America, Inc. | 1 | $1 |
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.
- Crosser iQ$149
- Vascepa$120
How this compares
$1,528 in reported general payments places this provider in the 80th percentile of 477 internal medicine providers in Delaware.
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 | 72 | $111,851 |
| TrulicityDulaglutide | 68 | $85,303 |
| OzempicSemaglutide | 56 | $66,352 |
| EliquisApixaban | 58 | $62,048 |
| JanuviaSitagliptin Phosphate | 35 | $52,934 |
| XareltoRivaroxaban | 21 | $24,438 |
| JanumetSitagliptin Phos/Metformin Hcl | 16 | $23,925 |
| VascepaIcosapent Ethyl | 20 | $18,300 |
| MounjaroTirzepatide | 16 | $17,103 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 12 | $16,215 |
| FarxigaDapagliflozin Propanediol | 13 | $13,486 |
| Toujeo Max SolostarInsulin Glargine,hum.Rec.Anlog | 11 | $9,512 |
| ShingrixVaricella-Zoster Ge/As01b/Pf | 33 | $7,303 |
| Basaglar Kwikpen U-100Insulin Glargine,hum.Rec.Anlog | 15 | $7,192 |
| Atorvastatin Calcium | 539 | $6,547 |
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 | $48 | $111,85172 claims |
| Lilly USA, LLCTrulicity, Mounjaro | $88 | $102,40684 claims |
| MerckJanuvia, Janumet | $67 | $76,85951 claims |
| Novo NordiskOzempic | $89 | $66,35256 claims |
| PfizerEliquis | $82 | $62,04858 claims |
| Johnson & JohnsonXarelto | $67 | $24,43821 claims |
| GSKTrelegy Ellipta, Shingrix | $81 | $23,51945 claims |
| AstraZenecaFarxiga | $129 | $13,48613 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 80th percentile of 477 internal medicine providers in Delaware.
Other internal medicine in Wilmington
- Jose CastroWilmington$27K
- Marcia Gina CastroWilmington$24K
- Robert KopeckiWilmington$15K
- Franklin AmpaduWilmington$15K
- Andrew MyersWilmington$15K
- Armand DesanctisWilmington$11K
- Carol Alvarado-BarrantesWilmington$10K
- Stuart FelzerWilmington$6K
- Terry HortonWilmington$5K
- Jerry GluckmanWilmington$5K
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.