RxDoctor Payments Data

Indurashmi Mayakrishnan, MD

Neurology · Sherman, TXNPI 1205023702

Payments from drug & device makers

$6,698in general payments, 2019–2025

Across 108 payments — averaging $62.02 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • ZOLL Respicardia, Inc.$2K
  • Inspire Medical Systems, Inc.$1K
  • Biotronik NRO, Inc.$401
  • Jazz Pharmaceuticals Inc.$228
  • Harmony Biosciences LLC$226
  • Eisai Inc.$206
  • plus $2K from 25 others

What the payments were for

  • Speaking & faculty fees$1502%
  • Travel & lodging$1,17718%
  • Food & beverage$5,25979%
  • Education$1132%

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

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

$6,698 in reported general payments places this provider in the 60th percentile of 1,246 neurology providers in Texas.

See all neurology providers in Texas

Medicare billing

Part B allowed, 2024
$1,157,048
Medicare patients
890
Services billed
20,182

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
XywavSodium,calcium,mag,pot Oxybate46$690,640
SolirisEculizumab13$681,794
Gamunex-CImmune Globul G/Gly/Iga Avg 4693$663,736
PrivigenImmun Glob G(Igg)/Pro/Iga 0-5016$238,338
NuplazidPimavanserin Tartrate24$106,212
IngrezzaValbenazine Tosylate11$87,330
QuliptaAtogepant36$62,584
BriviactBrivaracetam35$51,310
RytaryCarbidopa/Levodopa20$40,446
Emgality SyringeGalcanezumab-Gnlm11$36,304
Ajovy AutoinjectorFremanezumab-Vfrm17$23,012
UbrelvyUbrogepant14$21,359
Emgality PenGalcanezumab-Gnlm20$21,194
Lacosamide54$18,962
Oxtellar XrOxcarbazepine18$15,354

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
AstraZenecaSoliris$196$681,79413 claims
Acadia Pharmaceuticals IncNuplazid$36$106,21224 claims
AbbVieQulipta, Ubrelvy, Namzaric$196$93,51167 claims
Neurocrine Biosciences, Inc.Ingrezza$71$87,33011 claims
UCB, Inc.Briviact$168$51,31035 claims
Amneal Pharmaceuticals LLCRytary, Pyridostigmine Bromide, Mycophenolate Mofetil$14$46,94281 claims
Eisai Inc.Dayvigo$206$3,79412 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 60th percentile of 1,246 neurology providers in Texas.

Other neurology in Sherman

See the full list for Texas

Where these figures come from

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