RxDoctor Payments Data

Devaraj Munikrishnappa, MD

Nephrology · Houston, TXNPI 1467537167

Payments from drug & device makers

$44,545in general payments, 2019–2025

Across 205 payments — averaging $217.29 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • AstraZeneca$40K
  • Travere Therapeutics, Inc.$800
  • Amgen$563
  • Otsuka America Pharmaceutical, Inc.$538
  • Vifor Pharma, Inc.$498
  • Bayer$277
  • plus $2K from 22 others

What the payments were for

  • Food & beverage$5,75594%
  • Education$3396%

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.

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

$44,545 in reported general payments places this provider in the 85th percentile of 1,070 nephrology providers in Texas.

See all nephrology providers in Texas

Medicare billing

Part B allowed, 2024
$311,931
Medicare patients
561
Services billed
3,082

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
FarxigaDapagliflozin Propanediol116$112,253
LokelmaSodium Zirconium Cyclosilicate37$45,618
VeltassaPatiromer Calcium Sorbitex17$34,786
RayaldeeCalcifediol14$23,933
Sevelamer Carbonate58$13,123
Potassium Chloride216$5,017
Calcitriol191$3,844
Torsemide86$2,937
Cinacalcet Hcl24$2,023
Nifedipine ErNifedipine71$1,960
Calcium Acetate26$1,612
Furosemide269$1,454
Lisinopril167$1,400
Sodium ChlorideSodium Chloride 0.45 %28$1,276
Valsartan38$1,247

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, Lokelma$39,553$157,871153 claims
OPKO Pharmaceuticals, LLCRayaldee$266$23,93314 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 85th percentile of 1,070 nephrology providers in Texas.

Other nephrology in Houston

See the full list for Texas

Where these figures come from

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