RxDoctor Payments Data

Ashrith Guha, MD

Advanced Heart Failure and Transplant Cardiology · Houston, TXNPI 1962609693

Payments from drug & device makers

What this record shows

This record is dominated by speaking fees: $38,234 of the $60,800 with a category attached, or 62.9%. 29 manufacturers reported payments, led by Actelion Pharmaceuticals US, Inc. at 35.9% of the total. Reporting peaked in 2021 at $16,416 and has fallen 94.0% since, to $986 in 2025.

$60,800in general payments, 2019–2025

Across 355 payments — averaging $171.27 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Actelion Pharmaceuticals US, Inc.$22K
  • Abbott$16K
  • Bayer$10K
  • One Lambda, Inc.$5K
  • Merck$3K
  • Cvrx, Inc.$1K
  • plus $3K from 23 others
$464,503in research payments, 2019–2025

Across 38 payments — averaging $12,224 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.

  • Abbott$319K
  • Endotronix, Inc.$115K
  • Merck$30K

What the payments were for

  • Consulting fees$5,3499%
  • Speaking & faculty fees$38,23463%
  • Travel & lodging$5,5219%
  • Food & beverage$11,68219%
  • Education$140%

General payments by program year

19
20
21
22
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

$60,800 in reported general payments places this provider in the 75th percentile of 75 advanced heart failure and transplant cardiology providers in Texas.

See all advanced heart failure and transplant cardiology providers in Texas

Medicare billing

Part B allowed, 2024
$109,767
Medicare patients
293
Services billed
830

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

DrugClaimsCost to plans & patients
AdempasRiociguat138$1,857,668
OpsumitMacitentan137$1,708,939
UptraviSelexipag71$1,658,381
Tyvaso DpiTreprostinil58$1,356,595
WinrevairSotatercept-Csrk32$580,330
EntrestoSacubitril/Valsartan287$350,948
JardianceEmpagliflozin235$276,591
Ambrisentan80$270,171
LetairisAmbrisentan17$177,652
FarxigaDapagliflozin Propanediol142$137,076
EliquisApixaban109$124,855
Tadalafil50$77,092
Sildenafil Citrate72$28,306
XareltoRivaroxaban17$21,100
Repatha SureclickEvolocumab17$11,100

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.

CompanyPaid to this providerPart D cost of their drugs
Actelion Pharmaceuticals US, Inc.Opsumit, Uptravi$21,844$3,367,320208 claims
BayerAdempas$9,839$1,857,668138 claims
MerckWinrevair$3,481$580,33032 claims
NovartisEntresto$138$350,948287 claims
Boehringer IngelheimJardiance$178$276,591235 claims
AstraZenecaFarxiga$29$137,076142 claims
PfizerEliquis$304$124,855109 claims
AmgenCorlanor$152$7,36612 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 75 advanced heart failure and transplant cardiology providers in Texas.

Other advanced heart failure and transplant cardiology in Houston

See the full list for Texas

Where these figures come from

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