Ariwan Rakvit, MD
Gastroenterology · Lubbock, TXNPI 1669424735
Payments from drug & device makers
Across 640 payments — averaging $17.38 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$3K
- Takeda Pharmaceuticals U.S.A., Inc.$2K
- Johnson & Johnson$1K
- Salix Pharmaceuticals, A Division Of Bausch Health US, LLC$755
- Aimmune Therapeutics, Inc.$571
- Daiichi Sankyo Inc.$487
- plus $3K from 30 others
What the payments were for
- Consulting fees$500%
- Speaking & faculty fees$1081%
- Food & beverage$10,95298%
- Education$110%
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 |
|---|---|---|
| AbbVie(2 entities) | 175 | $3,120 |
| Takeda Pharmaceuticals U.S.A., Inc. | 97 | $1,899 |
| Johnson & Johnson | 89 | $1,274 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 54 | $755 |
| Aimmune Therapeutics, Inc. | 34 | $571 |
| Daiichi Sankyo Inc. | 22 | $487 |
| Intercept Pharmaceuticals, Inc. | 23 | $332 |
| QOL Medical, LLC | 12 | $331 |
| Madrigal Pharmaceuticals | 19 | $316 |
| Ipsen Biopharmaceuticals, Inc | 17 | $288 |
| Ardelyx, Inc. | 8 | $236 |
| Lilly USA, LLC | 10 | $164 |
| Phathom Pharmaceuticals, Inc. | 11 | $155 |
| Pfizer | 10 | $154 |
| Nestle Healthcare Nutrition Inc. | 10 | $151 |
| AstraZeneca | 1 | $123 |
| Gilead | 6 | $101 |
| Merck | 4 | $72 |
| Regeneron Healthcare Solutions, Inc. | 4 | $69 |
| Mallinckrodt Hospital Products Inc. | 3 | $59 |
| Pentax Of America, Inc. | 1 | $53 |
| Bristol Myers Squibb | 3 | $53 |
| Boston Scientific | 1 | $50 |
| Amgen | 2 | $41 |
| Pharmacosmos Therapeutics Inc. | 2 | $40 |
| Ferring Pharmaceuticals Inc. | 2 | $39 |
| Axonics, Inc. | 2 | $30 |
| Redhill Biopharma Inc. | 1 | $26 |
| Sanofi | 1 | $24 |
| Alnylam Pharmaceuticals Inc. | 2 | $23 |
| UCB, Inc. | 1 | $22 |
| Acacia Pharma Inc | 2 | $19 |
| Ironwood Pharmaceuticals, Inc | 1 | $19 |
| Organon | 5 | $18 |
| Endogastric Solutions, Inc | 1 | $8 |
| Gastrogpo, LLC | 4 | $0 |
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
$11,122 in reported general payments places this provider in the 75th percentile of 1,350 gastroenterology providers in Texas.
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 |
|---|---|---|
| OcalivaObeticholic Acid | 13 | $120,315 |
| XifaxanRifaximin | 40 | $113,090 |
| ZenpepLipase/Protease/Amylase | 20 | $110,120 |
| LinzessLinaclotide | 127 | $89,258 |
| Humira(Cf) PenAdalimumab | 13 | $88,550 |
| Dexlansoprazole DrDexlansoprazole | 70 | $17,042 |
| Sucralfate | 130 | $13,590 |
| TrulancePlecanatide | 13 | $10,636 |
| MotegrityPrucalopride Succinate | 13 | $8,295 |
| Omeprazole | 627 | $5,900 |
| Famotidine | 516 | $5,245 |
| Mesalamine ErMesalamine | 12 | $5,041 |
| Budesonide DrBudesonide | 28 | $4,510 |
| Mesalamine | 20 | $3,345 |
| Esomeprazole Magnesium | 66 | $2,215 |
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 |
|---|---|---|
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLCXifaxan, Trulance | $755 | $123,72653 claims |
| Intercept Pharmaceuticals, Inc.Ocaliva | $332 | $120,31513 claims |
| Aimmune Therapeutics, Inc.Zenpep | $571 | $110,12020 claims |
| AbbVieLinzess | $3,120 | $89,258127 claims |
| Takeda Pharmaceuticals U.S.A., Inc.Motegrity | $1,899 | $8,29513 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 75th percentile of 1,350 gastroenterology providers in Texas.
Other gastroenterology in Lubbock
- Houssam Al KharratLubbock$1.3M
- Eric LawitzSan Antonio$59.5M
- George DuvallTyler$17.5M
- John FordtranDallas$9.9M
- Timothy RitterSouthlake$7.7M
- Parvez MantryDallas$6.4M
- Mazen NoureddinHouston$6.1M
- Nadege GunnWaco$5.7M
- Michael BrownDallas$5.5M
- James MaherHouston$5.3M
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.