Girish Joshi, MD
Anesthesiology · Dallas, TXNPI 1730141516
Payments from drug & device makers
What this record shows
The money is spread across several categories — speaking fees (51.4%), consulting fees and education — rather than concentrated in one kind of arrangement. Baxter Healthcare accounts for 83.3% of it on its own, with 12 other manufacturers making up the rest. Reporting peaked in 2019 at $186,145 and has fallen 99.9% since, to $150 in 2025. Among anesthesiology clinicians in TX with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 83 payments — averaging $2875.57 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Baxter Healthcare$199K
- Pacira Pharmaceuticals Incorporated$21K
- Merck$8K
- Pfizer$4K
- Vertex$4K
- Acadia Pharmaceuticals Inc$3K
- plus $695 from 7 others
What the payments were for
- Consulting fees$49,74021%
- Speaking & faculty fees$122,74451%
- Travel & lodging$18,6348%
- Food & beverage$2,2241%
- Education$45,33119%
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 |
|---|---|---|
| Baxter Healthcare | 36 | $198,813 |
| Pacira Pharmaceuticals Incorporated | 13 | $20,912 |
| Merck | 18 | $7,768 |
| Pfizer | 1 | $3,780 |
| Vertex | 4 | $3,617 |
| Acadia Pharmaceuticals Inc | 4 | $3,088 |
| Grifols USA, LLC | 1 | $117 |
| CSL Behring | 1 | $117 |
| Covidien LP | 1 | $112 |
| Baudax Bio Inc. | 1 | $103 |
| Myoscience Inc. | 1 | $85 |
| Heron Therapeutics, Inc. | 1 | $84 |
| Acacia Pharma Inc | 1 | $77 |
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.
- SUPRANE$198,480
- EXPAREL$20,506
- IPS - Frozen Premix$9,800
- SEVOFLURANE$9,800
- BRIDION$355
- Thrombate III$117
- Kcentra$117
- BIS$112
- ENTEREG$108
- ANJESO$103
How this compares
$238,672 in reported general payments places this provider in the 95th percentile of 3,899 anesthesiology 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.
Other anesthesiology in Dallas
- James MuellerDallas$636K
- Christina RiccioDallas$131K
- Richard DuttonDallas$105K
- Shawn ThomasDallas$77K
- Kelly LeblancDallas$70K
- Michael WalshDallas$66K
- Holly BarkoDallas$66K
- Melissa BurgerDallas$30K
- Amy MarinoDallas$23K
- Tiffany MoonDallas$22K
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.