Gopal Krishna, MD
Nephrology · Salinas, CANPI 1073692083
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $51,124 of the $83,527 with a category attached, or 61.2%. 29 manufacturers reported payments, led by AstraZeneca at 36.0% of the total. Reporting peaked in 2019 at $28,540 and has fallen 96.0% since, to $1,130 in 2025. Among nephrology 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 613 payments — averaging $136.26 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$30K
- Vifor Pharma, Inc.$28K
- Akebia Therapeutics Inc$7K
- Fresenius USA Marketing, Inc.$7K
- Bayer$4K
- CSL Behring$2K
- plus $4K from 23 others
Across 336 payments — averaging $1895.57 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.
- Akebia Therapeutics Inc$402K
- GSK$96K
- Ardelyx, Inc.$82K
- CSL Behring$38K
- Janssen Research & Development, LLC$12K
- Aurinia Pharma U.S., Inc.$6K
- plus $335 from 1 others
What the payments were for
- Consulting fees$5,1736%
- Speaking & faculty fees$51,12461%
- Travel & lodging$14,85918%
- Food & beverage$11,75914%
- Education$6121%
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 |
|---|---|---|
| AstraZeneca(2 entities) | 81 | $30,096 |
| Vifor Pharma, Inc. | 164 | $28,171 |
| Akebia Therapeutics Inc | 21 | $7,368 |
| Fresenius USA Marketing, Inc. | 111 | $6,909 |
| Bayer | 20 | $4,208 |
| CSL Behring | 9 | $2,398 |
| Amgen(2 entities) | 46 | $1,041 |
| Travere Therapeutics, Inc. | 8 | $512 |
| OPKO Pharmaceuticals, LLC | 32 | $467 |
| Calliditas Therapeutics US Inc. | 37 | $443 |
| Otsuka America Pharmaceutical, Inc. | 14 | $316 |
| GSK | 17 | $313 |
| Ardelyx, Inc. | 11 | $265 |
| Mallinckrodt Hospital Products Inc. | 8 | $200 |
| Novartis | 7 | $167 |
| Abbott | 2 | $167 |
| Aurinia Pharma U.S., Inc. | 5 | $115 |
| Novo Nordisk | 4 | $71 |
| Boehringer Ingelheim | 2 | $40 |
| Kyowa Kirin, Inc. | 2 | $40 |
| AMAG Pharmaceuticals, Inc. | 2 | $38 |
| Johnson & Johnson | 2 | $38 |
| Apellis Pharmaceuticals, Inc. | 2 | $36 |
| Covidien LP | 1 | $26 |
| ANI Pharmaceuticals, Inc. | 1 | $21 |
| Shire North American Group Inc | 1 | $17 |
| Daiichi Sankyo Inc. | 1 | $15 |
| Hikma Pharmaceuticals USA | 1 | $14 |
| Avion Pharmaceuticals | 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.
How this compares
$83,527 in reported general payments places this provider in the 95th percentile of 1,341 nephrology 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 |
|---|---|---|
| JardianceEmpagliflozin | 73 | $91,067 |
| VelphoroSucroferric Oxyhydroxide | 20 | $53,697 |
| VeltassaPatiromer Calcium Sorbitex | 35 | $37,942 |
| LokelmaSodium Zirconium Cyclosilicate | 45 | $26,637 |
| FarxigaDapagliflozin Propanediol | 18 | $24,055 |
| RayaldeeCalcifediol | 12 | $21,511 |
| KerendiaFinerenone | 12 | $20,011 |
| Sevelamer Carbonate | 120 | $15,972 |
| Calcium Acetate | 27 | $4,346 |
| Mycophenolate Mofetil | 17 | $3,193 |
| Clonidine | 16 | $3,119 |
| Bumetanide | 36 | $2,007 |
| Losartan Potassium | 170 | $1,874 |
| Metoprolol Succinate | 82 | $1,857 |
| ProsolParenteral Amino Acid 20% No.1 | 11 | $1,629 |
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 |
|---|---|---|
| Boehringer IngelheimJardiance | $40 | $91,06773 claims |
| Fresenius USA Marketing, Inc.Velphoro | $6,909 | $53,69720 claims |
| AstraZenecaLokelma, Farxiga | $30,096 | $50,69263 claims |
| OPKO Pharmaceuticals, LLCRayaldee | $467 | $21,51112 claims |
| BayerKerendia | $4,208 | $20,01112 claims |
| ANI Pharmaceuticals, Inc.Valsartan | $21 | $1,05421 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 95th percentile of 1,341 nephrology providers in California.
Other nephrology in Salinas
- Anjay RastogiLos Angeles$2.2M
- Glenn ChertowStanford$2M
- Luis AlvarezPalo Alto$1.8M
- Jose MorfinSacramento$1M
- Rodolfo BatarseRancho Mirage$910K
- Vandana MathurWoodside$769K
- Yasir QaziOrange$618K
- Rafael VillicanaLoma Linda$610K
- Sunil PatelApple Valley$509K
- Suphamai BunnapradistLos Angeles$498K
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.