Ajay Israni, MD
Nephrology · Galveston, TXNPI 1447205729
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $13,550 of the $19,746 with a category attached, or 68.6%. Novartis accounts for 80.3% of it on its own, with 8 other manufacturers making up the rest. 2025 is the largest year on record at $9,383, 2.7 times the $3,532 reported in 2019. Among nephrology clinicians in TX 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 23 payments — averaging $858.50 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novartis$16K
- CSL Behring$4K
- Mozarc Medical US LLC$140
- Nxstage Medical, Inc.$93
- Takeda Pharmaceuticals U.S.A., Inc.$45
- Sanofi-aventis U.S. LLC$27
- plus $58 from 3 others
Across 2 payments — averaging $78,979 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Gilead$158K
What the payments were for
- Consulting fees$13,55069%
- Speaking & faculty fees$3,51018%
- Travel & lodging$1,7359%
- Food & beverage$9515%
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 |
|---|---|---|
| Novartis | 12 | $15,851 |
| CSL Behring | 3 | $3,532 |
| Mozarc Medical US LLC | 1 | $140 |
| Nxstage Medical, Inc. | 1 | $93 |
| Takeda Pharmaceuticals U.S.A., Inc. | 2 | $45 |
| Sanofi-aventis U.S. LLC | 1 | $27 |
| Veloxis Pharmaceuticals, Inc. | 1 | $24 |
| Daiichi Sankyo Inc. | 1 | $17 |
| AstraZeneca | 1 | $16 |
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
$19,746 in reported general payments places this provider in the 90th percentile of 1,070 nephrology providers in Texas.
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 |
|---|---|---|
| Cinacalcet Hcl | 39 | $8,613 |
| Valganciclovir Hcl | 11 | $1,648 |
| Prednisone | 90 | $417 |
| Carvedilol | 50 | $369 |
| Atorvastatin Calcium | 59 | $267 |
| Pantoprazole Sodium | 28 | $238 |
| Famotidine | 47 | $211 |
| Prazosin Hcl | 20 | $206 |
| Omeprazole | 31 | $180 |
| Amlodipine Besylate | 48 | $178 |
| Metoprolol Succinate | 20 | $155 |
| Losartan Potassium | 26 | $150 |
| Metformin Hcl ErMetformin Hcl | 14 | $128 |
| Tamsulosin Hcl | 16 | $115 |
| Allopurinol | 17 | $104 |
Paid to pharmacies, not to this prescriber.
Other nephrology in Galveston
- Tina KocharGalveston$272K
- Shikha WadhwaniGalveston$192K
- Abdul AbdellatifWebster$2.1M
- German HernandezEl Paso$1.3M
- Ankit MehtaDallas$1.1M
- Biff PalmerDallas$867K
- Gates ColbertDallas$828K
- Sreedhar MandayamHouston$752K
- Luis VelezSan Antonio$505K
- Anand ReddyOdessa$469K
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.