Irina Gagua, MD
Internal Medicine · Nashville, TNNPI 1811135841
Payments from drug & device makers
Across 230 payments — averaging $18.78 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$702
- Novo Nordisk$475
- AbbVie$418
- Pfizer$403
- Lilly USA, LLC$334
- Sanofi-aventis U.S. LLC$224
- plus $2K from 31 others
What the payments were for
- Food & beverage$4,305100%
- Education$150%
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
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.
- FARXIGA$210
- FreeStyle Libre 2$149
- SOLIQUA 100/33$121
- INVOKANA$118
How this compares
$4,320 in reported general payments places this provider in the 85th percentile of 2,216 internal medicine providers in Tennessee.
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 |
|---|---|---|
| Rosuvastatin Calcium | 41 | $552 |
| Atorvastatin Calcium | 64 | $448 |
| Amlodipine Besylate | 72 | $402 |
| Losartan Potassium | 43 | $321 |
| Metoprolol Succinate | 24 | $303 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 15 | $272 |
| Potassium Chloride | 14 | $260 |
| Levothyroxine Sodium | 24 | $232 |
| Pantoprazole Sodium | 16 | $169 |
| Escitalopram Oxalate | 15 | $158 |
| Omeprazole | 11 | $144 |
| Pravastatin Sodium | 14 | $108 |
| Metformin Hcl ErMetformin Hcl | 14 | $97 |
| Lisinopril | 23 | $78 |
| Metformin Hcl | 14 | $70 |
Paid to pharmacies, not to this prescriber.
Other internal medicine in Nashville
- John AndersonNashville$1.5M
- Nancy DavisNashville$985K
- Wayne RileyNashville$536K
- Paul FerrellNashville$413K
- Cyndya Shibao MiyasatoNashville$364K
- Hilary TindleNashville$337K
- Harvey BowlesNashville$203K
- Jay MontgomeryNashville$174K
- Temidayo AbeNashville$113K
- Nader BahriNashville$105K
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.