Elham Afghani, MD
Gastroenterology · Baltimore, MDNPI 1710166095
Payments from drug & device makers
What this record shows
The money is spread across several categories — speaking fees (39.5%), consulting fees and food and beverage — rather than concentrated in one kind of arrangement. 22 manufacturers reported payments, led by AbbVie at 53.3% of the total. Reporting peaked in 2019 at $5,104 and has fallen 79.1% since, to $1,065 in 2025.
Across 113 payments — averaging $106.52 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$6K
- Amgen$3K
- Nestle Healthcare Nutrition Inc.$875
- Bristol Myers Squibb$179
- Madrigal Pharmaceuticals$144
- Fujifilm Healthcare Americas Corporation$143
- plus $817 from 16 others
What the payments were for
- Consulting fees$3,74631%
- Speaking & faculty fees$4,75039%
- Travel & lodging$1401%
- Food & beverage$3,40128%
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 |
|---|---|---|
| AbbVie | 71 | $6,414 |
| Amgen | 9 | $3,465 |
| Nestle Healthcare Nutrition Inc. | 1 | $875 |
| Bristol Myers Squibb | 2 | $179 |
| Madrigal Pharmaceuticals | 1 | $144 |
| Fujifilm Healthcare Americas Corporation | 1 | $143 |
| Laborie Medical Technologies Corp. | 1 | $137 |
| Boston Scientific | 1 | $129 |
| QOL Medical, LLC | 4 | $102 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 5 | $92 |
| Ironwood Pharmaceuticals, Inc | 4 | $72 |
| Intercept Pharmaceuticals, Inc. | 2 | $46 |
| Phathom Pharmaceuticals, Inc. | 2 | $39 |
| Aimmune Therapeutics, Inc. | 1 | $30 |
| Digestive Care, Inc. | 1 | $25 |
| Daiichi Sankyo Inc. | 1 | $25 |
| Regeneron Healthcare Solutions, Inc. | 1 | $23 |
| Lilly USA, LLC | 1 | $22 |
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $20 |
| Concordia Pharmaceuticals Inc. | 1 | $19 |
| Alnylam Pharmaceuticals Inc. | 1 | $18 |
| Abbott | 1 | $17 |
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
$12,037 in reported general payments places this provider in the 85th percentile of 455 gastroenterology providers in Maryland.
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 |
|---|---|---|
| CreonLipase/Protease/Amylase | 24 | $92,568 |
| Pantoprazole Sodium | 23 | $385 |
| Omeprazole | 22 | $315 |
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 |
|---|---|---|
| AbbVieCreon | $6,414 | $92,56824 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 455 gastroenterology providers in Maryland.
Other gastroenterology in Baltimore
- Sergey KantsevoyBaltimore$1.1M
- Anurag MaheshwariBaltimore$803K
- Aline Charabaty PishvaianBaltimore$631K
- Mouen KhashabBaltimore$440K
- Raymond CrossBaltimore$341K
- Paul ThuluvathBaltimore$231K
- Niraj JaniBaltimore$214K
- Aminur KhanBaltimore$118K
- Eric GoldbergBaltimore$110K
- Saowanee NgamruengphongBaltimore$90K
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.