Bishnu Dhakal, MD
Clinical Cardiac Electrophysiology · Pawleys Island, SCNPI 1700070117
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (28.4%), travel and lodging and consulting fees — rather than concentrated in one kind of arrangement. 21 manufacturers reported payments, led by Abbott at 48.9% of the total. 2025 is the largest year on record at $11,283, more than ten times the $463 reported in 2019. That places this record below the midpoint for clinical cardiac electrophysiology clinicians in SC, where the typical reported total is $35,448.
Across 277 payments — averaging $95.19 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Abbott$13K
- Boston Scientific$4K
- Medtronic$3K
- Adagio Medical, Inc.$2K
- Biosense Webster, Inc.$1K
- Biotronik Inc.$1K
- plus $2K from 15 others
What the payments were for
- Consulting fees$6,25624%
- Grants$4,65018%
- Travel & lodging$6,46525%
- Food & beverage$7,48428%
- Education$1,5126%
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 | 81 | $12,893 |
| Boston Scientific | 29 | $3,932 |
| Medtronic | 36 | $3,095 |
| Adagio Medical, Inc. | 4 | $1,520 |
| Biosense Webster, Inc. | 81 | $1,476 |
| Biotronik Inc. | 5 | $1,331 |
| Medical Device Business Services, Inc. | 7 | $949 |
| Cardiva Medical, Inc. | 13 | $462 |
| Atricure, Inc. | 5 | $118 |
| Philips North America LLC | 2 | $117 |
| Edwards Lifesciences | 2 | $112 |
| Volta Medical Inc | 1 | $87 |
| Baylis Medical Company Inc | 2 | $51 |
| Siemens Medical Solutions USA, Inc. | 2 | $43 |
| Cvrx, Inc. | 1 | $38 |
| Abiomed | 1 | $35 |
| Impulse Dynamics (USA) Inc. | 1 | $25 |
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 1 | $24 |
| BD | 1 | $22 |
| Bayer | 1 | $20 |
| Convatec Inc. | 1 | $17 |
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.
- TACTICATH ABLATION CATHETER, SENSOR ENABLED$7,719
- GENERAL EP$2,639
- ENSITE PRECISION$1,414
- Acticor$906
- Edora$906
- AVEIR$905
- Ensite Cardiac Mapping System$661
- BioMonitor$572
- Solia$572
- Rivacor$572
- Micra$367
- EnSite Precision Cardiac Mapping System$366
- Sentus$334
- Plexa$334
- COBALT DR MRI SURESCAN$314
- Carto 3$283
- WATCHMAN FLX$224
- Farapulse$179
- Rhythmia Mapping System$148
- ENSITE$140
How this compares
$26,368 in reported general payments places this provider in the 40th percentile of 58 clinical cardiac electrophysiology providers in South Carolina.
See all clinical cardiac electrophysiology providers in South Carolina →
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 |
|---|---|---|
| EliquisApixaban | 161 | $189,113 |
| XareltoRivaroxaban | 50 | $54,082 |
| MultaqDronedarone Hcl | 15 | $17,970 |
| EntrestoSacubitril/Valsartan | 13 | $16,323 |
| Dofetilide | 13 | $3,845 |
| Metoprolol Succinate | 221 | $3,271 |
| Flecainide Acetate | 72 | $2,933 |
| Amiodarone Hcl | 68 | $2,272 |
| Diltiazem 24hr Er (Cd)Diltiazem Hcl | 46 | $888 |
| Metoprolol Tartrate | 46 | $482 |
| Atorvastatin Calcium | 16 | $181 |
| Amlodipine Besylate | 31 | $157 |
| Carvedilol | 23 | $124 |
| Ezetimibe | 16 | $118 |
| Chlorthalidone | 14 | $113 |
Paid to pharmacies, not to this prescriber.
Other clinical cardiac electrophysiology in Pawleys Island
- Jeffrey WinterfieldCharleston$498K
- Frank CuocoCharleston$306K
- Anne KromanCharleston$279K
- Andrew BrenyoRock Hill$241K
- Joseph ManfrediGreenville$213K
- Michael GoldCharleston$204K
- Sultan SiddiqueColumbia$182K
- Peter NetzlerGreenville$146K
- Yuxuan MaoLittle River$126K
- Chad WardClemson$126K
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.