Amir Piracha, MD
Cardiovascular Disease · Louisville, KYNPI 1578555942
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $396,342 of the $530,140 with a category attached, or 74.8%. 58 manufacturers reported payments, led by AstraZeneca at 33.1% of the total. Among cardiovascular disease clinicians in KY with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 2,384 payments — averaging $222.37 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$176K
- Johnson & Johnson$93K
- Penumbra, Inc.$80K
- Novartis$72K
- Bayer$35K
- Scpharmaceuticals Inc.$33K
- plus $42K from 52 others
Across 25 payments — averaging $2392.79 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.
- Penumbra, Inc.$52K
- Boston Scientific$8K
What the payments were for
- Consulting fees$4,8901%
- Speaking & faculty fees$396,34275%
- Travel & lodging$64,37012%
- Food & beverage$64,39512%
- Education$1430%
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.
- XARELTO$88,950
- FARXIGA$79,623
- ENTRESTO$66,616
- BRILINTA$63,807
- Indigo System$47,711
- Kerendia$33,822
- FUROSCIX$32,468
- Indigo$30,803
- LOKELMA$28,716
- VERQUVO$8,081
- WATCHMAN Access System$1,538
- CardioMEMS HF System$1,252
- RUBY Coil$1,223
- WAINUA$1,094
- Diamondback Coronary$762
- CARDIOMEMS$638
- Tecnis Symfony Toric IOL$600
- Whitestar Phacoemulsficiation System$600
- Perclose ProStyle$406
- Penumbra System$402
How this compares
$530,140 in reported general payments places this provider in the 95th percentile of 258 cardiovascular disease providers in Kentucky.
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 |
|---|---|---|
| XareltoRivaroxaban | 437 | $477,419 |
| EntrestoSacubitril/Valsartan | 306 | $325,055 |
| EliquisApixaban | 333 | $279,213 |
| FarxigaDapagliflozin Propanediol | 317 | $239,970 |
| BrilintaTicagrelor | 177 | $136,756 |
| JardianceEmpagliflozin | 70 | $58,045 |
| Repatha SureclickEvolocumab | 54 | $55,133 |
| VascepaIcosapent Ethyl | 38 | $25,880 |
| Ranolazine ErRanolazine | 226 | $18,328 |
| Praluent PenAlirocumab | 18 | $13,833 |
| NexlizetBempedoic Acid/Ezetimibe | 21 | $13,065 |
| Metoprolol Succinate | 690 | $9,038 |
| Atorvastatin Calcium | 1,028 | $6,665 |
| Ezetimibe | 385 | $6,051 |
| ClopidogrelClopidogrel Bisulfate | 493 | $4,956 |
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 |
|---|---|---|
| Johnson & JohnsonXarelto | $92,830 | $477,419437 claims |
| AstraZenecaFarxiga, Brilinta | $175,624 | $376,726494 claims |
| NovartisEntresto | $71,504 | $325,055306 claims |
| PfizerEliquis | $473 | $279,213333 claims |
| Boehringer IngelheimJardiance | $711 | $58,04570 claims |
| Esperion Therapeutics, Inc.Nexlizet | $1,006 | $13,06521 claims |
| Kowa Pharmaceuticals America, Inc.Bystolic | $297 | $4,56217 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 95th percentile of 258 cardiovascular disease providers in Kentucky.
Other cardiovascular disease in Louisville
- Dinesh KalraLouisville$316K
- John HarrisLouisville$129K
- Rohan SamsonLouisville$94K
- Vipul PanchalLouisville$39K
- Steven RaibleLouisville$30K
- Chandhiran RangaswamyLouisville$19K
- Joseph LashLouisville$16K
- Shanker ChandiramaniLouisville$16K
- Pradeep SinghLouisville$15K
- Craig TuckerLouisville$11K
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.