Ambalavanan Arunachalam, MD
Pulmonary Disease · Chicago, ILNPI 1073868154
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $1,719 of the $2,019 with a category attached, or 85.1%. It is spread thinly across 18 manufacturers, the largest accounting for just 23.5% — the pattern of someone who eats at a lot of different presentations. 2025 is the largest year on record at $871, more than ten times the $35 reported in 2019.
Across 49 payments — averaging $41.21 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- United Therapeutics Corporation$474
- AbbVie$232
- Melinta Therapeutics, LLC$231
- Paragonix Technologies, Inc.$184
- AstraZeneca$175
- Bayer$125
- plus $597 from 12 others
Across 25 payments — averaging $6403.83 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.
- Sanofi US Services Inc.$160K
What the payments were for
- Consulting fees$30015%
- Food & beverage$1,71985%
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 |
|---|---|---|
| United Therapeutics Corporation | 5 | $474 |
| AbbVie | 11 | $232 |
| Melinta Therapeutics, LLC | 9 | $231 |
| Paragonix Technologies, Inc. | 2 | $184 |
| AstraZeneca | 1 | $175 |
| Bayer | 1 | $125 |
| Livanova USA, Inc. | 2 | $114 |
| Actelion Pharmaceuticals US, Inc. | 4 | $112 |
| Zambon USA Ltd. | 1 | $88 |
| Merck | 3 | $74 |
| Inogen, Inc. | 2 | $37 |
| Johnson & Johnson | 2 | $35 |
| Astellas Pharma US Inc | 1 | $33 |
| Insmed, Inc. | 1 | $25 |
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $23 |
| Baxter Healthcare | 1 | $21 |
| Sanofi-aventis U.S. LLC | 1 | $21 |
| La Jolla Pharmaceutical Company | 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
$2,019 in reported general payments places this provider in the 55th percentile of 539 pulmonary disease providers in Illinois.
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 |
|---|---|---|
| PrevymisLetermovir | 37 | $308,448 |
| OpsumitMacitentan | 12 | $153,792 |
| Posaconazole | 31 | $30,978 |
| ZarxioFilgrastim-Sndz | 19 | $20,578 |
| EliquisApixaban | 14 | $18,396 |
| LokelmaSodium Zirconium Cyclosilicate | 25 | $18,097 |
| Valganciclovir Hcl | 26 | $11,085 |
| Voriconazole | 34 | $10,568 |
| Tacrolimus | 59 | $10,357 |
| Atovaquone | 12 | $4,569 |
| Mycophenolate Mofetil | 26 | $4,404 |
| Incruse ElliptaUmeclidinium Bromide | 11 | $3,669 |
| Azithromycin | 188 | $3,341 |
| Pantoprazole Sodium | 107 | $1,224 |
| Prednisone | 115 | $843 |
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 |
|---|---|---|
| MerckPrevymis | $74 | $308,44837 claims |
| Actelion Pharmaceuticals US, Inc.Opsumit | $112 | $153,79212 claims |
| AstraZenecaLokelma | $175 | $18,09725 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 55th percentile of 539 pulmonary disease providers in Illinois.
Other pulmonary disease in Chicago
- Douglas HogarthChicago$2.9M
- Steven WhiteChicago$970K
- Momen WahidiChicago$779K
- Septimiu MurguChicago$633K
- Ayodeji AdegunsoyeChicago$561K
- Ravi KalhanChicago$375K
- Brian GaribaldiChicago$356K
- Manu JainChicago$187K
- Richard WunderinkChicago$178K
- Rade TomicChicago$70K
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.