Adrian Shandling, MD
Cardiovascular Disease · Los Alamitos, CANPI 1386640522
Payments from drug & device makers
Across 1,091 payments — averaging $124.09 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Amgen$113K
- Medtronic$4K
- Novartis$2K
- Boehringer Ingelheim$1K
- Sanofi-aventis U.S. LLC$1K
- Merck$1K
- plus $13K from 52 others
What the payments were for
- Speaking & faculty fees$5002%
- Travel & lodging$2,1509%
- Food & beverage$20,86288%
- Education$1201%
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.
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.
- Arctic Front$1,428
- HMG-CoA reductase inhibitor.$450
- MULTAQ$400
- Micra$257
- PulseSelect$170
- ONPATTRO$122
- WAINUA$120
- Carto 3$112
How this compares
$135,377 in reported general payments places this provider in the 90th percentile of 2,184 cardiovascular disease providers in California.
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 | 360 | $461,853 |
| VyndaqelTafamidis Meglumine | 12 | $268,144 |
| XareltoRivaroxaban | 101 | $128,426 |
| EntrestoSacubitril/Valsartan | 90 | $121,540 |
| MultaqDronedarone Hcl | 75 | $100,153 |
| FarxigaDapagliflozin Propanediol | 55 | $62,664 |
| JardianceEmpagliflozin | 48 | $55,606 |
| RybelsusSemaglutide | 25 | $46,564 |
| VerquvoVericiguat | 28 | $41,431 |
| Repatha SureclickEvolocumab | 32 | $25,200 |
| OzempicSemaglutide | 21 | $20,871 |
| NexletolBempedoic Acid | 28 | $19,080 |
| Ezetimibe | 627 | $17,367 |
| Dofetilide | 53 | $17,209 |
| NexlizetBempedoic Acid/Ezetimibe | 23 | $16,432 |
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, Vyndaqel | $1,200 | $729,997372 claims |
| Johnson & JohnsonXarelto | $1,071 | $128,426101 claims |
| NovartisEntresto | $2,116 | $121,54090 claims |
| Sanofi-aventis U.S. LLCMultaq | $1,274 | $100,15375 claims |
| Novo NordiskRybelsus, Ozempic | $995 | $67,43446 claims |
| AstraZenecaFarxiga | $1,139 | $62,66455 claims |
| MerckVerquvo, Januvia, Belsomra | $1,258 | $61,49152 claims |
| Boehringer IngelheimJardiance | $1,364 | $55,60648 claims |
| Esperion Therapeutics, Inc.Nexletol, Nexlizet | $452 | $35,51151 claims |
| AbbVieLinzess, Synthroid | $12 | $9,77855 claims |
| Kowa Pharmaceuticals America, Inc.Livalo | $316 | $9,49925 claims |
| GSKBreo Ellipta | $66 | $6,60313 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 2,184 cardiovascular disease providers in California.
Other cardiovascular disease in Los Alamitos
- Ted LoveHillsborough$102.8M
- Matthew BudoffTorrance$11.3M
- Lori DanielsSan Diego$10.2M
- Paul KurthSanta Barbara$6.1M
- Michael BlumSan Francisco$5.5M
- Tony ChouSan Francisco$5.2M
- Jason RogersSacramento$5.1M
- Yu-Ping WangStanford$3.8M
- Yogesh PaliwalPomona$3.3M
- Farhad RafiiWest Hills$3.2M
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.