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Chrisette Dharmagunaratne, MD

Family Medicine · Dallas, TXNPI 1790763654

Payments from drug & device makers

$5,552,170in general payments, 2019–2025

Across 1,299 payments — averaging $4274.19 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Novartis$1M
  • AstraZeneca$789K
  • Amgen$536K
  • Abbott$403K
  • Pfizer$369K
  • Astrazeneca UK Limited$344K
  • plus $2.1M from 52 others
$300,282in research payments, 2019–2025

Across 39 payments — averaging $7699.54 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.

  • Applied Therapeutics, Inc.$291K
  • Teva Pharmaceuticals USA, Inc.$8K
  • Otsuka Pharmaceutical Development & Commercialization, Inc.$1K

What the payments were for

  • Consulting fees$8,14742%
  • Speaking & faculty fees$600%
  • Travel & lodging$6693%
  • Food & beverage$10,24953%
  • Education$1971%

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

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.

CompanyPaymentsTotal
Novartis48$1,004,776
AstraZeneca55$788,857
Amgen59$535,818
Abbott85$402,713
Pfizer82$369,390
Astrazeneca UK Limited1$344,407
Boehringer Ingelheim International GmbH140$306,566
Merck48$306,225
American Regent20$249,850
GSK115$217,079
Vertex2$205,984
Senseonics, Incorporated58$170,333
Teva Pharmaceuticals USA, Inc.30$125,239
Bayer34$89,396
Genentech, Inc.10$88,920
Boehringer Ingelheim Pharma GmbH & Co.kg15$61,591
Argenx US, Inc.37$56,766
CSL Behring19$45,428
Sanofi US Services Inc.10$42,170
AbbVie(2 entities)58$40,926
Otsuka Pharmaceutical Development & Commercialization, Inc.4$33,454
Bausch Health US, LLC4$17,500
Esperion Therapeutics, Inc.29$15,954
Regeneron20$14,248
Lilly USA, LLC44$5,208
Organon2$2,523
Boehringer Ingelheim26$2,445
F. Hoffmann-la Roche AG1$1,566
Janssen Research & Development, LLC1$1,518
Gilead51$1,164
Johnson & Johnson(2 entities)23$1,002
Novo Nordisk71$970
Astellas Pharma US Inc20$430
Amarin Pharma, Inc.6$229
Verity Pharmaceuticals Inc.8$177
Viiv Healthcare Company9$167
Sanofi-aventis U.S. LLC7$130
Shionogi Inc1$126
Janssen Products, LP1$100
Intuitive Surgical1$100
Dexcom, Inc.4$88
Biohaven Pharmaceutical Holding Company Ltd.4$70
Arbor Pharmaceuticals, Inc.5$67
Salix Pharmaceuticals, A Division Of Bausch Health US, LLC5$63
Redhill Biopharma Inc.1$60
Otsuka America Pharmaceutical, Inc.3$56
E.r. Squibb & Sons, L.L.C.4$50
Takeda Pharmaceuticals U.S.A., Inc.4$50
Biogen2$35
Avvisto Therapeutics, LLC2$33
Strongbridge US Inc.2$31
Xeris Pharmaceuticals, Inc.2$31
Kyowa Kirin, Inc.1$19
Halozyme Inc1$16
Ironwood Pharmaceuticals, Inc1$16
Antares Pharma, Inc.1$15
Corcept Therapeutics1$15
Medtronic1$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

$5,552,170 in reported general payments places this provider in the 95th percentile of 8,760 family medicine providers in Texas.

See all family medicine providers in Texas

Medicare billing

Part B allowed, 2024
$180,433
Medicare patients
255
Services billed
2,319

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
OzempicSemaglutide64$67,204
FarxigaDapagliflozin Propanediol61$59,152
JardianceEmpagliflozin49$47,790
TrulicityDulaglutide33$37,562
Trelegy ElliptaFluticasone/Umeclidin/Vilanter38$33,504
EliquisApixaban31$29,053
DescovyEmtricitabine/Tenofov Alafenam12$26,569
JanuviaSitagliptin Phosphate20$23,254
Breztri AerosphereBudesonide/Glycopyr/Formoterol29$23,099
MounjaroTirzepatide20$22,092
EntrestoSacubitril/Valsartan14$16,179
MyrbetriqMirabegron13$12,629
LinzessLinaclotide12$9,560
Tresiba Flextouch U-100Insulin Degludec16$9,293
Breo ElliptaFluticasone/Vilanterol13$5,944

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
AstraZenecaFarxiga, Breztri Aerosphere, Symbicort$788,857$86,544101 claims
Novo NordiskOzempic$970$67,20464 claims
Lilly USA, LLCTrulicity, Mounjaro$5,208$59,65453 claims
Boehringer IngelheimJardiance$2,445$47,79049 claims
GSKTrelegy Ellipta, Breo Ellipta$217,079$39,44751 claims
PfizerEliquis$369,390$29,05331 claims
GileadDescovy$1,164$26,56912 claims
MerckJanuvia$306,225$23,25420 claims
NovartisEntresto$1,004,776$16,17914 claims
Astellas Pharma US IncMyrbetriq$430$12,62913 claims
AbbVieLinzess, Synthroid$40,926$10,14023 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 95th percentile of 8,760 family medicine providers in Texas.

Other family medicine in Dallas

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Where these figures come from

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