Divya Chirumamilla, MD
Pain Medicine · Shenandoah, TXNPI 1700146750
Payments from drug & device makers
Across 78 payments — averaging $40.20 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Nevro Corp.$746
- Medtronic$567
- Boston Scientific$322
- Saluda Medical Americas, Inc.$236
- SPR Therapeutics, Inc$232
- Abbott$209
- plus $825 from 16 others
What the payments were for
- Food & beverage$3,136100%
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 |
|---|---|---|
| Nevro Corp. | 13 | $746 |
| Medtronic(2 entities) | 12 | $567 |
| Boston Scientific | 5 | $322 |
| Saluda Medical Americas, Inc. | 8 | $236 |
| SPR Therapeutics, Inc | 4 | $232 |
| Abbott | 3 | $209 |
| AbbVie | 6 | $175 |
| Avanos Medical | 3 | $159 |
| AstraZeneca | 3 | $76 |
| Scilex Pharmaceuticals Inc. | 4 | $76 |
| Pacira Pharmaceuticals Incorporated | 3 | $66 |
| Biotronik NRO, Inc. | 2 | $58 |
| Cerapedics Inc. | 2 | $53 |
| Teva Pharmaceuticals USA, Inc. | 2 | $31 |
| Nalu Medical, Inc. | 1 | $26 |
| Merz Pharmaceuticals, LLC | 1 | $22 |
| Arbor Pharmaceuticals, Inc. | 1 | $19 |
| Avion Pharmaceuticals | 1 | $16 |
| Johnson & Johnson | 1 | $14 |
| Lundbeck LLC | 1 | $13 |
| Sunovion Pharmaceuticals Inc. | 1 | $12 |
| Stimwave Technologies Incorporated | 1 | $11 |
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.
- VANTA ADAPTIVESTIM$222
- Omnia$180
- Intracept$173
- Proclaim IPG$168
- Senza Spinal Cord Stimulation System$150
- SPRINT PNS System$149
- Senza$125
- COOLIEF* COOLED RADIOFREQUENCY$115
- V-LOC 180$114
How this compares
$3,136 in reported general payments places this provider in the 45th percentile of 583 pain medicine providers in Texas.
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 |
|---|---|---|
| Gabapentin | 247 | $4,044 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 179 | $3,046 |
| Pregabalin | 64 | $2,053 |
| Duloxetine Hcl | 15 | $1,211 |
| Naloxone Hcl | 12 | $711 |
| Methocarbamol | 43 | $705 |
| Cyclobenzaprine Hcl | 51 | $617 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 15 | $548 |
| Celecoxib | 34 | $535 |
| Baclofen | 16 | $406 |
| Tramadol Hcl | 57 | $373 |
| Acetaminophen-CodeineAcetaminophen With Codeine | 31 | $368 |
| Meloxicam | 107 | $307 |
| Tizanidine Hcl | 23 | $180 |
| Methylprednisolone | 31 | $130 |
Paid to pharmacies, not to this prescriber.
Other pain medicine in Shenandoah
- Aaron CalodneyTyler$3M
- Mitchell EngleHouston$1.5M
- Melissa MurphyGrapevine$711K
- Shiraz YazdaniLubbock$632K
- Muhammad ZulqarnainDallas$556K
- Daniel PakHouston$460K
- Marvin ChangSugar Land$306K
- David LeimanHouston$281K
- Candice BurnetteSugar Land$265K
- Ellen LinSan Antonio$251K
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.