Yuanyuan Zhang, MD
Internal Medicine · Bear, DENPI 1144546961
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 97.3% of the total across 295 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 31 manufacturers, the largest accounting for just 11.3% — the pattern of someone who eats at a lot of different presentations. Among internal medicine clinicians in DE 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 295 payments — averaging $18.58 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novo Nordisk$620
- Johnson & Johnson$601
- Amgen$558
- Pfizer$525
- Novartis$513
- AstraZeneca$441
- plus $2K from 25 others
What the payments were for
- Food & beverage$5,33097%
- Education$1503%
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 |
|---|---|---|
| Novo Nordisk | 26 | $620 |
| Johnson & Johnson | 32 | $601 |
| Amgen | 28 | $558 |
| Pfizer | 29 | $525 |
| Novartis | 38 | $513 |
| AstraZeneca | 18 | $441 |
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 17 | $317 |
| Merck | 17 | $265 |
| Boehringer Ingelheim | 12 | $236 |
| Abbott | 7 | $236 |
| E.r. Squibb & Sons, L.L.C. | 13 | $221 |
| Sanofi-aventis U.S. LLC | 11 | $191 |
| Esperion Therapeutics, Inc. | 8 | $123 |
| Regeneron Healthcare Solutions, Inc. | 7 | $108 |
| Boston Scientific | 4 | $85 |
| Scpharmaceuticals Inc. | 3 | $56 |
| Lundbeck LLC | 3 | $47 |
| Amarin Pharma, Inc. | 3 | $43 |
| Arbor Pharmaceuticals, Inc. | 2 | $36 |
| Kiniksa Pharmaceuticals, Ltd. | 2 | $33 |
| Alnylam Pharmaceuticals Inc. | 2 | $33 |
| Medtronic(2 entities) | 2 | $29 |
| Lilly USA, LLC | 1 | $26 |
| Heartflow, Inc. | 1 | $24 |
| Bayer | 1 | $23 |
| Lexicon Pharmaceuticals, Inc. | 1 | $19 |
| Travere Therapeutics, Inc. | 3 | $17 |
| Agepha Pharma FZ LLC | 1 | $17 |
| Kiniksa Pharmaceuticals International, PLC | 1 | $16 |
| Kowa Pharmaceuticals America, Inc. | 1 | $15 |
| Acarix USA Inc. | 1 | $9 |
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
$5,480 in reported general payments places this provider in the 90th 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 |
|---|---|---|
| EliquisApixaban | 336 | $426,489 |
| XareltoRivaroxaban | 112 | $144,904 |
| MultaqDronedarone Hcl | 64 | $113,725 |
| OzempicSemaglutide | 82 | $89,096 |
| EntrestoSacubitril/Valsartan | 66 | $82,618 |
| Repatha SureclickEvolocumab | 47 | $59,238 |
| JardianceEmpagliflozin | 46 | $56,995 |
| NexlizetBempedoic Acid/Ezetimibe | 19 | $17,808 |
| BrilintaTicagrelor | 15 | $13,992 |
| Atorvastatin Calcium | 973 | $13,187 |
| Praluent PenAlirocumab | 11 | $12,283 |
| Ezetimibe | 253 | $8,827 |
| Metoprolol Succinate | 544 | $7,162 |
| Rosuvastatin Calcium | 316 | $5,545 |
| Flecainide Acetate | 102 | $4,975 |
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 |
|---|---|---|
| PfizerEliquis | $525 | $426,489336 claims |
| Johnson & JohnsonXarelto | $601 | $144,904112 claims |
| Sanofi-aventis U.S. LLCMultaq | $191 | $113,72564 claims |
| Novo NordiskOzempic | $620 | $89,09682 claims |
| NovartisEntresto | $513 | $82,61866 claims |
| Boehringer IngelheimJardiance | $236 | $56,99546 claims |
| Esperion Therapeutics, Inc.Nexlizet | $123 | $17,80819 claims |
| AstraZenecaBrilinta | $441 | $13,99215 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 477 internal medicine providers in Delaware.
Other internal medicine in Bear
- Rene BadilloBear$16K
- Maricar Belicena BadilloBear$14K
- Carlo ValenciaBear$11K
- Maria Ana ValenciaBear$10K
- Seth IvinsNewark$384K
- Beshara HelouGeorgetown$143K
- Tabassum SalamNewark$62K
- Fabricio AlarconGeorgetown$30K
- Jose CastroWilmington$27K
- Marcia Gina CastroWilmington$24K
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.