Divyang Trivedi, MD
Allergy · Norwalk, CANPI 1265473730
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 173 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 17 manufacturers reported payments, led by GSK at 30.7% of the total. Reporting peaked in 2024 at $1,213 and has fallen 89.1% since, to $132 in 2025.
Across 173 payments — averaging $19.14 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- GSK$1K
- Regeneron Healthcare Solutions, Inc.$514
- Sanofi$495
- AstraZeneca$390
- Boehringer Ingelheim$363
- Optinose US, Inc.$128
- plus $404 from 11 others
What the payments were for
- Food & beverage$3,311100%
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 |
|---|---|---|
| GSK | 56 | $1,017 |
| Regeneron Healthcare Solutions, Inc. | 19 | $514 |
| Sanofi | 37 | $495 |
| AstraZeneca | 15 | $390 |
| Boehringer Ingelheim | 23 | $363 |
| Optinose US, Inc. | 5 | $128 |
| CSL Behring | 4 | $115 |
| Pfizer | 4 | $70 |
| Takeda Pharmaceuticals U.S.A., Inc. | 2 | $51 |
| Incyte Corporation | 1 | $30 |
| Pharming Healthcare, Inc. | 1 | $28 |
| Novartis | 1 | $24 |
| Hikma Pharmaceuticals USA | 1 | $20 |
| Amgen | 1 | $19 |
| Genentech USA, Inc. | 1 | $17 |
| Octapharma USA, Inc. | 1 | $16 |
| Teva Pharmaceuticals USA, Inc. | 1 | $14 |
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.
- AREXVY$124
How this compares
$3,311 in reported general payments places this provider in the 60th percentile of 117 allergy providers in California.
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 |
|---|---|---|
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 89 | $64,576 |
| Breo ElliptaFluticasone/Vilanterol | 86 | $34,960 |
| XolairOmalizumab | 11 | $29,282 |
| Spiriva RespimatTiotropium Bromide | 17 | $10,913 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 178 | $6,523 |
| BreynaBudesonide/Formoterol Fumarate | 20 | $5,002 |
| Fluticasone Propionate | 198 | $2,808 |
| Wixela InhubFluticasone Propion/Salmeterol | 17 | $2,096 |
| Ventolin HfaAlbuterol Sulfate | 27 | $1,721 |
| Montelukast Sodium | 56 | $886 |
| Levalbuterol Tartrate HfaLevalbuterol Tartrate | 14 | $758 |
| Azelastine Hcl | 19 | $634 |
| Triamcinolone Acetonide | 18 | $170 |
| Levocetirizine Dihydrochloride | 14 | $30 |
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 |
|---|---|---|
| GSKTrelegy Ellipta, Breo Ellipta | $1,017 | $99,536175 claims |
| Boehringer IngelheimSpiriva Respimat | $363 | $10,91317 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 60th percentile of 117 allergy providers in California.
Other allergy in Norwalk
- Joshua JacobsWalnut Creek$1.5M
- Warner CarrLaguna Niguel$571K
- Bradley ChippsSacramento$571K
- Travis MillerRoseville$273K
- Robert ZeigerSan Diego$162K
- William BergerMission Viejo$76K
- Sandra ChristiansenSan Diego$74K
- Stephen WongHacienda Heights$50K
- Michelle YasharpourBeverly Hills$48K
- Stuart EpsteinBeverly Hills$42K
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.