Gnanagurdasan Prakasam
Pediatric Endocrinology · Sacramento, CANPI 1871586065
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $547,427 of the $804,764 with a category attached, or 68.0%. 41 manufacturers reported payments, led by Novo Nordisk at 40.5% of the total. Among pediatric endocrinology clinicians in CA 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 1,576 payments — averaging $510.64 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novo Nordisk$326K
- Ultragenyx Pharmaceutical Inc.$164K
- AstraZeneca$92K
- Neurocrine Biosciences, Inc.$56K
- AbbVie$46K
- Kyowa Kirin, Inc.$44K
- plus $77K from 35 others
Across 1,673 payments — averaging $1797.77 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Dexcom, Inc.$974K
- Eli Lilly$593K
- Medtronic$408K
- Pfizer$335K
- Mannkind Corporation$284K
- Novo Nordisk AS$157K
- plus $258K from 7 others
What the payments were for
- Consulting fees$100,09512%
- Speaking & faculty fees$547,42768%
- Travel & lodging$134,44317%
- Food & beverage$22,2313%
- Education$5080%
- Gifts$590%
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.
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.
- Norditropin$160,293
- CRYSVITA$142,012
- Sogroya$122,755
- CRENESSITY$53,706
- Lupron Depot$43,523
- Strensiq$41,361
- BAQSIMI$24,400
- Cryvista$17,288
- LYUMJEV$16,225
- Ozempic$9,811
- TZIELD$9,617
- Tresiba$9,394
- SKYTROFA$7,482
- RYBELSUS$4,879
- ZOMACTON$4,559
- DEXCOM CGM$3,045
- Accu-Chek Inform II Instrument with RF card$2,900
- AFREZZA$1,231
- t:slim X2 Insulin Pump with Control-IQ$134
How this compares
$804,764 in reported general payments places this provider in the 95th percentile of 168 pediatric endocrinology providers in California.
Other pediatric endocrinology in Sacramento
- Ulhas NadgirSacramento$14K
- Niyati SkariaSacramento$6K
- Swati ElchuriVentura$210K
- Karen KleinSan Diego$195K
- Francine KaufmanLos Angeles$184K
- Lynda PolgreenOrange$167K
- Kevin KaisermanWest Covina$150K
- Amrit BhangooLong Beach$140K
- Mitchell GeffnerLos Angeles$129K
- Stephen GitelmanSan Francisco$105K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.