Akshey Gupta, MD
Nephrology · Lafayette, LANPI 1245249887
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 97.2% of the total across 265 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 27 manufacturers, the largest accounting for just 18.7% — the pattern of someone who eats at a lot of different presentations.
Across 265 payments — averaging $20.95 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Akebia Therapeutics Inc$1K
- Fresenius USA Marketing, Inc.$628
- AstraZeneca$550
- Amgen$522
- Mallinckrodt Hospital Products Inc.$519
- ANI Pharmaceuticals, Inc.$382
- plus $2K from 21 others
What the payments were for
- Food & beverage$5,39597%
- Education$1553%
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 |
|---|---|---|
| Akebia Therapeutics Inc | 43 | $1,040 |
| Fresenius USA Marketing, Inc. | 34 | $628 |
| AstraZeneca(2 entities) | 27 | $550 |
| Amgen | 28 | $522 |
| Mallinckrodt Hospital Products Inc. | 17 | $519 |
| ANI Pharmaceuticals, Inc. | 20 | $382 |
| Vifor Pharma, Inc. | 18 | $329 |
| Calliditas Therapeutics US Inc. | 15 | $326 |
| Daiichi Sankyo Inc. | 13 | $221 |
| Nxstage Medical, Inc. | 2 | $168 |
| Novo Nordisk | 7 | $116 |
| Novartis | 5 | $95 |
| Travere Therapeutics, Inc. | 5 | $81 |
| Otsuka America Pharmaceutical, Inc. | 5 | $79 |
| Lilly USA, LLC | 4 | $67 |
| Mallinckrodt Enterprises LLC | 3 | $60 |
| GSK | 3 | $58 |
| Aurinia Pharma U.S., Inc. | 3 | $57 |
| Ardelyx, Inc. | 2 | $54 |
| Ultragenyx Pharmaceutical Inc. | 2 | $46 |
| Sanofi-aventis U.S. LLC | 2 | $40 |
| OPKO Pharmaceuticals, LLC | 2 | $26 |
| Boehringer Ingelheim | 1 | $21 |
| Cormedix Inc. | 1 | $20 |
| Scpharmaceuticals Inc. | 1 | $17 |
| Bayer | 1 | $15 |
| Xeris Pharmaceuticals, Inc. | 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.
- ACTHAR$223
- NXSTAGE SYSTEM ONE$149
How this compares
$5,551 in reported general payments places this provider in the 75th percentile of 206 nephrology providers in Louisiana.
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 |
|---|---|---|
| VelphoroSucroferric Oxyhydroxide | 75 | $234,771 |
| FarxigaDapagliflozin Propanediol | 159 | $166,378 |
| AuryxiaFerric Citrate | 45 | $103,222 |
| JardianceEmpagliflozin | 33 | $47,612 |
| LokelmaSodium Zirconium Cyclosilicate | 42 | $43,660 |
| VeltassaPatiromer Calcium Sorbitex | 30 | $30,184 |
| EliquisApixaban | 41 | $24,844 |
| KerendiaFinerenone | 20 | $21,055 |
| OzempicSemaglutide | 19 | $18,251 |
| Cinacalcet Hcl | 26 | $18,231 |
| VemlidyTenofovir Alafenamide | 12 | $15,299 |
| JanuviaSitagliptin Phosphate | 17 | $13,692 |
| DapagliflozinDapagliflozin Propanediol | 20 | $13,527 |
| Lanthanum Carbonate | 27 | $13,247 |
| Sevelamer Carbonate | 101 | $12,078 |
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 |
|---|---|---|
| Fresenius USA Marketing, Inc.Velphoro | $628 | $234,77175 claims |
| AstraZenecaFarxiga, Lokelma | $550 | $210,038201 claims |
| Akebia Therapeutics IncAuryxia | $1,040 | $103,22245 claims |
| Boehringer IngelheimJardiance | $21 | $47,61233 claims |
| BayerKerendia | $15 | $21,05520 claims |
| Novo NordiskOzempic | $116 | $18,25119 claims |
| ANI Pharmaceuticals, Inc.Valsartan | $382 | $3,139117 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 75th percentile of 206 nephrology providers in Louisiana.
Other nephrology in Lafayette
- Anthony BlalockLafayette$350K
- Ziad AshkarLafayette$18K
- Maximo LamarcheLafayette$5K
- Juan ZeikLafayette$5K
- Sreedhara AllaShreveport$722K
- Juan Carlos VelezNew Orleans$282K
- Jones SamuelBaton Rouge$207K
- Jon MaresCovington$103K
- Raja ZabanehShreveport$57K
- Michael TouchyNew Orleans$56K
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.