Balaji Nithianandam, MD
Emergency Medicine · Edgewood, KYNPI 1386022390
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $1,890 of the $2,945 with a category attached, or 64.2%. Baxter Healthcare accounts for 64.2% of it on its own, with 6 other manufacturers making up the rest. 2025 is the largest year on record at $1,250, 5.6 times the $225 reported in 2019. Among emergency medicine clinicians in KY with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 10 payments — averaging $294.50 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Baxter Healthcare$2K
- Boston Scientific$291
- AstraZeneca$256
- Inari Medical, Inc.$198
- E.r. Squibb & Sons, L.L.C.$120
- Pfizer$105
- plus $85 from 1 others
What the payments were for
- Consulting fees$1,89064%
- Food & beverage$1,05536%
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 |
|---|---|---|
| Baxter Healthcare | 2 | $1,890 |
| Boston Scientific | 2 | $291 |
| AstraZeneca | 2 | $256 |
| Inari Medical, Inc. | 1 | $198 |
| E.r. Squibb & Sons, L.L.C. | 1 | $120 |
| Pfizer | 1 | $105 |
| Fisher & Paykel Healthcare Inc | 1 | $85 |
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.
- EKOSONIC$291
- ELIQUIS$225
- CT THROMBECTOMY SYSTEM KIT$198
- FLOWTRIEVER CATHETER, S$198
- ANDEXXA$135
- LOKELMA$121
How this compares
$2,945 in reported general payments places this provider in the 95th percentile of 717 emergency medicine providers in Kentucky.
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 |
|---|---|---|
| Cephalexin | 24 | $187 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 34 | $123 |
| Naproxen | 29 | $104 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 17 | $95 |
| Doxycycline Hyclate | 15 | $93 |
| Ondansetron OdtOndansetron | 17 | $75 |
| Prednisone | 18 | $43 |
| Cyclobenzaprine Hcl | 16 | $39 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 18 | $38 |
Paid to pharmacies, not to this prescriber.
Other emergency medicine in Edgewood
- Daniel BrunnerEdgewood$3K
- Rachel HelplingEdgewood$983
- Michael McClurgEdgewood$565
- James MooreLexington$184K
- Ryan StantonLexington$83K
- Paul HesterDanville$57K
- Sameer DesaiLexington$24K
- Christopher ReynoldsPikeville$22K
- Adam RossLouisville$22K
- Andrew WilsonLexington$16K
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.