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Hemal Nayak, MD

Clinical Cardiac Electrophysiology · San Antonio, TXNPI 1306892765

Payments from drug & device makers

$541,630in general payments, 2019–2025

Across 867 payments — averaging $624.72 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Boston Scientific$95K
  • Philips North America LLC$78K
  • Medtronic$70K
  • Impulse Dynamics (USA) Inc.$49K
  • Pfizer$49K
  • Biotronik Inc.$44K
  • plus $157K from 23 others
$150,000in research payments, 2019–2025

Across 1 payment — averaging $150,000 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.

  • Philips North America LLC$150K

What the payments were for

  • Consulting fees$60,91521%
  • Speaking & faculty fees$165,19958%
  • Travel & lodging$31,10611%
  • Food & beverage$27,91110%

General payments by program year

19
20
21
22
23
24
25

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.

How this compares

$541,630 in reported general payments places this provider in the 90th percentile of 233 clinical cardiac electrophysiology providers in Texas.

See all clinical cardiac electrophysiology providers in Texas

Medicare billing

Part B allowed, 2024
$94,944
Medicare patients
526
Services billed
1,030

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

DrugClaimsCost to plans & patients
EliquisApixaban88$109,294
XareltoRivaroxaban50$60,205
MultaqDronedarone Hcl19$29,559
Flecainide Acetate50$2,251
Metoprolol Succinate81$1,591
Amiodarone Hcl26$639
SotalolSotalol Hcl22$482
Metoprolol Tartrate39$277
Lisinopril16$204
ClopidogrelClopidogrel Bisulfate20$196
Losartan Potassium16$75
Carvedilol14$73
Amlodipine Besylate13$37

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.

CompanyPaid to this providerPart D cost of their drugs
PfizerEliquis$48,907$109,29488 claims
Sanofi-aventis U.S. LLCMultaq$16,318$29,55919 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 90th percentile of 233 clinical cardiac electrophysiology providers in Texas.

Other clinical cardiac electrophysiology in San Antonio

See the full list for Texas

Where these figures come from

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