Anupam Rishi, MD
Radiation Oncology · Tampa, FLNPI 1649726159
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 7 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 7 manufacturers reported payments, led by Reflexion Medical, Inc. at 20.7% of the total. Reporting peaked in 2024 at $408 and has fallen 50.2% since, to $203 in 2025. That places this record below the midpoint for radiation oncology clinicians in FL, where the typical reported total is $724.
Across 7 payments — averaging $107.67 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Reflexion Medical, Inc.$156
- Elekta, Inc.$134
- Zap Surgical Systems, Inc.$126
- Bioprotect Medical, Inc.$118
- Penumbra, Inc.$116
- Siemens Medical Solutions USA, Inc.$87
- plus $16 from 1 others
What the payments were for
- Food & beverage$754100%
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 |
|---|---|---|
| Reflexion Medical, Inc. | 1 | $156 |
| Elekta, Inc. | 1 | $134 |
| Zap Surgical Systems, Inc. | 1 | $126 |
| Bioprotect Medical, Inc. | 1 | $118 |
| Penumbra, Inc. | 1 | $116 |
| Siemens Medical Solutions USA, Inc. | 1 | $87 |
| Ortho Dermatologics, A Division Of Bausch Health US, LLC | 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
$754 in reported general payments places this provider in the 50th percentile of 465 radiation oncology providers in Florida.
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 |
|---|---|---|
| Tramadol Hcl | 23 | $48 |
Paid to pharmacies, not to this prescriber.
Other radiation oncology in Tampa
- Jessica FrakesTampa$99K
- Alexander EngelmanTampa$80K
- John DavidTampa$49K
- Rodney EllisTampa$38K
- Hsiang Hsuan YuTampa$24K
- Lorraine PortelanceTampa$14K
- Thomas DillingTampa$11K
- Kosj YamoahTampa$11K
- Sarah HoffeTampa$10K
- Shravan KandulaOrlando$444K
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.