RxDoctor Payments Data

Anup Shrestha, MD

Internal Medicine · Sioux Falls, SDNPI 1316379613

Payments from drug & device makers

What this record shows

This record is dominated by travel and lodging: $862 of the $1,244 with a category attached, or 69.3%. Olympus Corporation Of The Americas accounts for 73.5% of it on its own, with 5 other manufacturers making up the rest. 2025 is the largest year on record at $768, more than ten times the $19 reported in 2023. Among internal medicine clinicians in SD with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.

$1,244in general payments, 2019–2025

Across 19 payments — averaging $65.50 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Olympus Corporation Of The Americas$914
  • Boehringer Ingelheim$135
  • Actelion Pharmaceuticals US, Inc.$79
  • Mallinckrodt Hospital Products Inc.$74
  • AbbVie$23
  • Philips North America LLC$19
$5,500in research payments, 2019–2025

Across 2 payments — averaging $2750.00 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.

  • Janssen Research & Development, LLC$6K

What the payments were for

  • Travel & lodging$86269%
  • Food & beverage$30424%
  • Education$796%

General payments by program year

23
24
25

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.

How this compares

$1,244 in reported general payments places this provider in the 90th percentile of 178 internal medicine providers in South Dakota.

See all internal medicine providers in South Dakota

Medicare billing

Part B allowed, 2024
$40,134
Medicare patients
264
Services billed
557

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.

Other internal medicine in Sioux Falls

See the full list for South Dakota

Where these figures come from

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