Avinash Ravipati, MD
Endocrinology, Diabetes & Metabolism · Lewes, DENPI 1528444379
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 97.8% of the total across 129 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 30 manufacturers, the largest accounting for just 17.5% — the pattern of someone who eats at a lot of different presentations.
Across 129 payments — averaging $19.69 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Abbott$444
- Novo Nordisk$401
- Lilly USA, LLC$311
- AbbVie$175
- Dexcom, Inc.$160
- Sanofi-aventis U.S. LLC$153
- plus $897 from 24 others
What the payments were for
- Food & beverage$2,48498%
- Education$562%
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 |
|---|---|---|
| Abbott | 23 | $444 |
| Novo Nordisk | 22 | $401 |
| Lilly USA, LLC | 15 | $311 |
| AbbVie | 10 | $175 |
| Dexcom, Inc. | 4 | $160 |
| Sanofi-aventis U.S. LLC | 8 | $153 |
| Xeris Pharmaceuticals, Inc. | 7 | $142 |
| Amgen | 5 | $89 |
| Daiichi Sankyo Inc. | 4 | $88 |
| AstraZeneca | 3 | $56 |
| Recordati_rare_diseases_inc. | 2 | $52 |
| Corcept Therapeutics | 2 | $47 |
| Radius Health, Inc. | 2 | $43 |
| Pfizer | 2 | $41 |
| Insulet Corporation | 1 | $35 |
| BETA Bionics, Inc. | 1 | $30 |
| Astellas Pharma US Inc | 2 | $29 |
| Clarus Therapeutics Inc. | 2 | $28 |
| Amarin Pharma, Inc. | 2 | $26 |
| Tandem Diabetes Care, Inc. | 2 | $21 |
| Cequr Corporation | 1 | $21 |
| Kowa Pharmaceuticals America, Inc. | 1 | $20 |
| Bayer | 1 | $19 |
| Ultragenyx Pharmaceutical Inc. | 1 | $19 |
| Sunovion Pharmaceuticals Inc. | 1 | $18 |
| Amneal Pharmaceuticals LLC | 1 | $16 |
| Esperion Therapeutics, Inc. | 1 | $16 |
| Medtronic | 1 | $15 |
| Merck | 1 | $14 |
| Lifescan, Inc. | 1 | $13 |
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
$2,540 in reported general payments places this provider in the 70th percentile of 30 endocrinology, diabetes & metabolism providers in Delaware.
See all endocrinology, diabetes & metabolism providers in Delaware →
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 |
|---|---|---|
| OzempicSemaglutide | 391 | $697,242 |
| JardianceEmpagliflozin | 271 | $391,488 |
| MounjaroTirzepatide | 199 | $298,953 |
| TrulicityDulaglutide | 109 | $205,017 |
| Soliqua 100-33Insulin Glargine/Lixisenatide | 62 | $109,915 |
| RybelsusSemaglutide | 46 | $85,629 |
| FarxigaDapagliflozin Propanediol | 52 | $79,307 |
| Tresiba Flextouch U-100Insulin Degludec | 83 | $68,874 |
| JanuviaSitagliptin Phosphate | 48 | $58,377 |
| Fiasp FlextouchInsulin Aspart (Niacinamide) | 43 | $47,242 |
| Basaglar Kwikpen U-100Insulin Glargine,hum.Rec.Anlog | 93 | $45,502 |
| Tresiba Flextouch U-200Insulin Degludec | 36 | $45,237 |
| Toujeo SolostarInsulin Glargine,hum.Rec.Anlog | 44 | $44,130 |
| Toujeo Max SolostarInsulin Glargine,hum.Rec.Anlog | 29 | $41,676 |
| InvokanaCanagliflozin | 28 | $36,117 |
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 |
|---|---|---|
| Novo NordiskOzempic, Rybelsus | $401 | $782,871437 claims |
| Lilly USA, LLCMounjaro, Trulicity, Humalog | $311 | $508,869323 claims |
| Sanofi-aventis U.S. LLCSoliqua 100-33, Lantus | $153 | $113,12284 claims |
| MerckJanuvia, Janumet Xr | $14 | $80,38466 claims |
| AstraZenecaFarxiga | $56 | $79,30752 claims |
| AbbVieSynthroid | $175 | $8,695110 claims |
| Amneal Pharmaceuticals LLCLevothyroxine Sodium | $16 | $5,720518 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 70th percentile of 30 endocrinology, diabetes & metabolism providers in Delaware.
Other endocrinology, diabetes & metabolism in Lewes
- Reetu SinghLewes$9K
- Carlton BoxhillLewes$1K
- Ripudaman HundalNewark$370K
- Nira MadisiMilford$23K
- Francisco PadillaSeaford$22K
- Joanna KhatibMillsboro$7K
- Chitra ChoudharyDover$5K
- Ahmad ElayyanMillsboro$4K
- Sheetal BulchandaniNewark$4K
- Marc LaufgrabenNewark$2K
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.