Akhila Ramayapally
Endocrinology, Diabetes & Metabolism · Columbus, INNPI 1356773485
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 98.6% of the total across 146 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 29 manufacturers, the largest accounting for just 10.9% — the pattern of someone who eats at a lot of different presentations. 2025 is the largest year on record at $1,398, 7.3 times the $191 reported in 2019.
Across 146 payments — averaging $23.50 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Amgen$374
- Novo Nordisk$373
- Boehringer Ingelheim$232
- BETA Bionics, Inc.$219
- Insulet Corporation$208
- Corcept Therapeutics$206
- plus $2K from 23 others
What the payments were for
- Food & beverage$3,38499%
- Education$471%
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 |
|---|---|---|
| Amgen(2 entities) | 11 | $374 |
| Novo Nordisk | 20 | $373 |
| Boehringer Ingelheim | 7 | $232 |
| BETA Bionics, Inc. | 4 | $219 |
| Insulet Corporation | 10 | $208 |
| Corcept Therapeutics | 10 | $206 |
| AstraZeneca(2 entities) | 8 | $204 |
| Abbott | 9 | $192 |
| Medtronic(2 entities) | 6 | $188 |
| Novartis | 7 | $153 |
| Averitas Pharma Inc. | 6 | $134 |
| Lilly USA, LLC | 8 | $124 |
| Xeris Pharmaceuticals, Inc. | 6 | $118 |
| Dexcom, Inc. | 6 | $109 |
| Cequr Corporation | 2 | $83 |
| Kyowa Kirin, Inc. | 3 | $68 |
| Soleno Therapeutics, Inc. | 3 | $62 |
| Tandem Diabetes Care, Inc. | 3 | $56 |
| AbbVie | 3 | $47 |
| Antares Pharma, Inc. | 3 | $42 |
| Recordati_rare_diseases_inc. | 2 | $39 |
| Radius Health, Inc. | 2 | $34 |
| Ascensia Diabetes Care US Inc. | 1 | $33 |
| Sequel Med Tech, LLC | 1 | $29 |
| Neurocrine Biosciences, Inc. | 1 | $25 |
| Ascendis Pharma Endocrinology Inc | 1 | $24 |
| Companion Medical, Inc. | 1 | $22 |
| IBSA Pharma Inc. | 1 | $21 |
| Sanofi-aventis U.S. LLC | 1 | $14 |
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
$3,431 in reported general payments places this provider in the 60th percentile of 134 endocrinology, diabetes & metabolism providers in Indiana.
See all endocrinology, diabetes & metabolism providers in Indiana →
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 |
|---|---|---|
| OzempicSemaglutide | 245 | $422,107 |
| JardianceEmpagliflozin | 155 | $220,497 |
| MounjaroTirzepatide | 102 | $176,091 |
| TrulicityDulaglutide | 53 | $113,660 |
| Humulin R U-500 KwikpenInsulin Regular, Human | 52 | $92,516 |
| FarxigaDapagliflozin Propanediol | 56 | $78,230 |
| TymlosAbaloparatide | 14 | $36,392 |
| Lantus SolostarInsulin Glargine,hum.Rec.Anlog | 184 | $35,057 |
| Insulin Lispro Kwikpen U-100Insulin Lispro | 63 | $28,443 |
| Tresiba Flextouch U-100Insulin Degludec | 30 | $23,879 |
| RybelsusSemaglutide | 11 | $21,175 |
| Novolog FlexpenInsulin Aspart | 50 | $19,939 |
| Tresiba Flextouch U-200Insulin Degludec | 12 | $16,278 |
| JanuviaSitagliptin Phosphate | 11 | $16,277 |
| Basaglar Kwikpen U-100Insulin Glargine,hum.Rec.Anlog | 28 | $13,147 |
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 |
|---|---|---|
| Novo NordiskOzempic, Rybelsus, Novolog | $373 | $445,479267 claims |
| Lilly USA, LLCMounjaro, Trulicity, Humalog, Insulin Lispro | $124 | $297,780192 claims |
| Boehringer IngelheimJardiance | $232 | $220,497155 claims |
| AstraZenecaFarxiga | $204 | $78,23056 claims |
| Radius Health, Inc.Tymlos | $34 | $36,39214 claims |
| AbbVieSynthroid | $47 | $2,68636 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 60th percentile of 134 endocrinology, diabetes & metabolism providers in Indiana.
Other endocrinology, diabetes & metabolism in Columbus
- Himani SharmaColumbus$4K
- Isaiah PittmanTerre Haute$1.5M
- Ernest AsamoahIndianapolis$959K
- Erica KretchmanRichmond$609K
- Emily VeenemanSeymour$583K
- Nihad MuhrezMerrillville$271K
- Hisham AllababidiIndianapolis$195K
- Neha GavinFishers$149K
- Edward RicoTerre Haute$135K
- Dona GrayLafayette$92K
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.