Archana Shyamsunder, MD
Nephrology · Winchester, VANPI 1811958085
Payments from drug & device makers
Across 36 payments — averaging $19.35 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novartis$144
- Amgen$130
- OPKO Pharmaceuticals, LLC$90
- Vifor Pharma, Inc.$69
- Ardelyx, Inc.$65
- Travere Therapeutics, Inc.$44
- plus $155 from 6 others
What the payments were for
- Food & beverage$52075%
- Education$17725%
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 |
|---|---|---|
| Novartis | 7 | $144 |
| Amgen | 4 | $130 |
| OPKO Pharmaceuticals, LLC | 4 | $90 |
| Vifor Pharma, Inc. | 3 | $69 |
| Ardelyx, Inc. | 2 | $65 |
| Travere Therapeutics, Inc. | 8 | $44 |
| Aurinia Pharma U.S., Inc. | 2 | $42 |
| Bayer | 2 | $38 |
| GSK | 1 | $25 |
| Lilly USA, LLC | 1 | $20 |
| AstraZeneca | 1 | $15 |
| Otsuka America Pharmaceutical, Inc. | 1 | $14 |
How this compares
$697 in reported general payments places this provider in the 40th percentile of 298 nephrology providers in Virginia.
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 |
|---|---|---|
| VeltassaPatiromer Calcium Sorbitex | 26 | $37,462 |
| Cinacalcet Hcl | 13 | $12,011 |
| Sevelamer Carbonate | 65 | $7,278 |
| ClinisolParenteral Amino Acid 15% No.5 | 14 | $2,072 |
| Labetalol Hcl | 25 | $917 |
| Amlodipine Besylate | 98 | $821 |
| Gentamicin Sulfate | 29 | $706 |
| Potassium Chloride | 27 | $681 |
| Calcitriol | 45 | $568 |
| Lisinopril | 85 | $435 |
| Carvedilol | 21 | $415 |
| Losartan Potassium | 55 | $362 |
| Hydralazine Hcl | 47 | $341 |
| Midodrine Hcl | 13 | $307 |
| Furosemide | 74 | $287 |
Paid to pharmacies, not to this prescriber.
Other nephrology in Winchester
- Olayiwola AyodejiHampton$7M
- Kiranjit DhillonNorfolk$4.5M
- Gaurav GuptaRichmond$2.1M
- Csaba KovesdySalem$1.5M
- Ramon MendezWoodbridge$1.5M
- Varagur Bala SubramanianAlexandria$957K
- Ahmadshah MirkhelFairfax$902K
- Renuka SothinathanFairfax$617K
- Steven LewinskiChesapeake$512K
- Devasmita DevSalem$494K
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.