David Shih, MD
Nephrology · North Dartmouth, MANPI 1134197429
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 99.6% of the total across 27 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 12 manufacturers reported payments, led by AstraZeneca at 42.8% of the total. 2025 is the largest year on record at $407, 3.3 times the $125 reported in 2019.
Across 27 payments — averaging $38.96 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$450
- Salix Pharmaceuticals, A Division Of Bausch Health US, LLC$145
- Mylan Specialty L.p.$125
- Amgen$87
- Boehringer Ingelheim$70
- Bayer$51
- plus $123 from 6 others
Across 407 payments — averaging $5554.97 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.
- Eli Lilly$1.6M
- Bausch Health US, LLC$354K
- AstraZeneca$222K
- GSK$37K
What the payments were for
- Food & beverage$1,048100%
- Education$40%
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 |
|---|---|---|
| AstraZeneca(2 entities) | 8 | $450 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 1 | $145 |
| Mylan Specialty L.p. | 1 | $125 |
| Amgen | 4 | $87 |
| Boehringer Ingelheim | 3 | $70 |
| Bayer | 2 | $51 |
| Calliditas Therapeutics US Inc. | 1 | $34 |
| Fresenius USA Marketing, Inc. | 2 | $29 |
| Ardelyx, Inc. | 1 | $21 |
| Vantive US Healthcare LLC | 1 | $20 |
| Scpharmaceuticals Inc. | 1 | $14 |
| Travere Therapeutics, Inc. | 2 | $4 |
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
$1,052 in reported general payments places this provider in the 65th percentile of 339 nephrology providers in Massachusetts.
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 |
|---|---|---|
| VelphoroSucroferric Oxyhydroxide | 25 | $71,406 |
| EliquisApixaban | 69 | $50,531 |
| FarxigaDapagliflozin Propanediol | 60 | $35,708 |
| JardianceEmpagliflozin | 28 | $27,197 |
| ProsolParenteral Amino Acid 20% No.1 | 126 | $20,931 |
| LokelmaSodium Zirconium Cyclosilicate | 24 | $20,044 |
| Sevelamer Carbonate | 95 | $13,415 |
| RenvelaSevelamer Carbonate | 14 | $10,802 |
| Basaglar Kwikpen U-100Insulin Glargine,hum.Rec.Anlog | 21 | $9,917 |
| Novolog Mix 70-30 FlexpenInsulin Aspart Prot/Insuln Asp | 24 | $8,938 |
| JanuviaSitagliptin Phosphate | 11 | $7,234 |
| SpsSodium Polystyrene Sulfon/Sorb | 17 | $5,552 |
| SymbicortBudesonide/Formoterol Fumarate | 13 | $4,543 |
| Amlodipine Besylate | 484 | $4,060 |
| Atorvastatin Calcium | 351 | $3,782 |
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 |
|---|---|---|
| Fresenius USA Marketing, Inc.Velphoro | $29 | $71,40625 claims |
| AstraZenecaFarxiga, Lokelma, Symbicort | $450 | $60,29597 claims |
| Boehringer IngelheimJardiance | $70 | $27,19728 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 65th percentile of 339 nephrology providers in Massachusetts.
Other nephrology in North Dartmouth
- David FriedmanBoston$19.8M
- Martin PollakBoston$19.8M
- Dennis AusielloBoston$4.6M
- Ajay SinghBoston$916K
- Michael GermainSpringfield$443K
- Rekha AbichandaniCambridge$442K
- Leslie FangBoston$388K
- Nicolaos AthienitesBrockton$294K
- Jean FrancisBoston$244K
- Joshua HundertDorchester$229K
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.