Anuj Aryal, MD
Anesthesiology · Columbia, TNNPI 1992903504
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $3,487 of the $5,369 with a category attached, or 64.9%. 13 manufacturers reported payments, led by Boston Scientific at 40.1% of the total. Reporting peaked in 2019 at $1,403 and has fallen 87.8% since, to $171 in 2025. Among anesthesiology clinicians in TN 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 83 payments — averaging $64.69 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Boston Scientific$2K
- Relievant Medsystems, Inc.$903
- Stryker$758
- SPR Therapeutics, Inc$355
- Abbott$231
- AstraZeneca$229
- plus $740 from 7 others
What the payments were for
- Travel & lodging$1,81634%
- Food & beverage$3,48765%
- Education$661%
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 |
|---|---|---|
| Boston Scientific | 33 | $2,152 |
| Relievant Medsystems, Inc. | 8 | $903 |
| Stryker | 6 | $758 |
| SPR Therapeutics, Inc | 6 | $355 |
| Abbott | 8 | $231 |
| AstraZeneca | 2 | $229 |
| Indivior Inc. | 10 | $218 |
| Bayer | 2 | $171 |
| Gilead | 1 | $125 |
| Avanos Medical | 1 | $119 |
| Collegium Pharmaceutical, Inc. | 3 | $52 |
| Stimwave Technologies Incorporated | 2 | $38 |
| Nalu Medical, Inc. | 1 | $17 |
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.
- Intracept$2,681
- IVS - VERTEBRAL AUGMENTATION PRODUCTS$606
- SPECTRA WAVEWRITER$330
- Superion Indirect Decompression System$305
- SUPERION$246
- ANDEXXA$229
- SPRINT PNS System$162
- Epclusa$125
- GENERAL PAIN MANAGEMENT$122
- Kerendia$121
- COOLIEF* COOLED RADIOFREQUENCY$119
- WAVEWRITER ALPHA$113
- SUBLOCADE$105
- WaveWriter Alpha Prime 16$101
How this compares
$5,369 in reported general payments places this provider in the 95th percentile of 772 anesthesiology providers in Tennessee.
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 |
|---|---|---|
| Gabapentin | 18 | $214 |
Paid to pharmacies, not to this prescriber.
Other anesthesiology in Columbia
- Jeffery BalserNashville$952K
- Matthew WeingerNashville$54K
- Michael StabileNashville$37K
- Timothy HutchisonJackson$27K
- Paul LeskoKnoxville$17K
- Jerry JonesJackson$14K
- Adam KingeterNashville$13K
- Bryan MarascalchiNashville$8K
- Che SollaKnoxville$7K
- Huong leNashville$7K
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.