Elijah Kakani, MD
Critical Care Medicine · Lexington, KYNPI 1932353521
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 23 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 13 manufacturers, the largest accounting for just 19.1% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2023 at $907 and has fallen 63.1% since, to $334 in 2024.
Across 23 payments — averaging $79.76 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Amgen$351
- Aurinia Pharma U.S., Inc.$266
- Calliditas Therapeutics US Inc.$181
- Vifor Pharma, Inc.$173
- Mallinckrodt Hospital Products Inc.$139
- AbbVie$123
- plus $602 from 7 others
What the payments were for
- Food & beverage$1,835100%
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 |
|---|---|---|
| Amgen(2 entities) | 3 | $351 |
| Aurinia Pharma U.S., Inc. | 3 | $266 |
| Calliditas Therapeutics US Inc. | 2 | $181 |
| Vifor Pharma, Inc. | 3 | $173 |
| Mallinckrodt Hospital Products Inc. | 2 | $139 |
| AbbVie | 1 | $123 |
| AstraZeneca | 1 | $122 |
| Otsuka America Pharmaceutical, Inc. | 1 | $122 |
| Novartis | 1 | $120 |
| Otsuka Pharmaceutical Development & Commercialization, Inc. | 1 | $99 |
| Livanova USA, Inc. | 2 | $72 |
| Nxstage Medical, Inc. | 2 | $46 |
| Travere Therapeutics, Inc. | 1 | $21 |
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
$1,835 in reported general payments places this provider in the 85th percentile of 60 critical care medicine providers in Kentucky.
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.
Other critical care medicine in Lexington
- Jimmy SmithLexington$142K
- Jason BowmanLexington$10K
- Natasha DoughertyLexington$4K
- Kelly BohlLexington$3K
- Michael HollarLexington$2K
- Susan Hoff-ThomasLexington$996
- Daniel RusuLexington$752
- Hazim BukamurLexington$750
- Laurel FulghamLexington$281
- Wendy BanfiLexington$271
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.