Irshad Syed, MD
Family Medicine · Marietta, GANPI 1568499390
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 95.4% of the total across 101 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 26 manufacturers, the largest accounting for just 19.4% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2019 at $837 and has fallen 69.1% since, to $258 in 2025.
Across 101 payments — averaging $21.42 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$419
- Lilly USA, LLC$309
- Novo Nordisk$197
- Astellas Pharma US Inc$137
- Pfizer$113
- GSK$108
- plus $880 from 20 others
Across 1 payment — averaging $116,053 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.
- Eli Lilly$116K
What the payments were for
- Food & beverage$2,06395%
- Education$1005%
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.
| Company | Payments | Total |
|---|---|---|
| AstraZeneca | 10 | $419 |
| Lilly USA, LLC | 17 | $309 |
| Novo Nordisk | 12 | $197 |
| Astellas Pharma US Inc | 4 | $137 |
| Pfizer | 8 | $113 |
| GSK | 2 | $108 |
| Amgen(2 entities) | 5 | $98 |
| Biogen | 5 | $97 |
| Bayer | 4 | $87 |
| Johnson & Johnson | 4 | $67 |
| Otsuka America Pharmaceutical, Inc. | 4 | $61 |
| Teva Pharmaceuticals USA, Inc. | 3 | $59 |
| Abbott | 3 | $57 |
| Sanofi-aventis U.S. LLC | 2 | $43 |
| Sunovion Pharmaceuticals Inc. | 2 | $38 |
| AbbVie | 3 | $37 |
| Dexcom, Inc. | 2 | $36 |
| Novartis | 2 | $33 |
| Gilead | 1 | $31 |
| Merck | 2 | $29 |
| Lundbeck LLC | 1 | $20 |
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $19 |
| Amarin Pharma, Inc. | 1 | $18 |
| Exact Sciences | 1 | $17 |
| Ironwood Pharmaceuticals, Inc | 1 | $16 |
| Viiv Healthcare Company | 1 | $16 |
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
$2,163 in reported general payments places this provider in the 70th percentile of 3,111 family medicine providers in Georgia.
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 |
|---|---|---|
| EliquisApixaban | 521 | $131,412 |
| OzempicSemaglutide | 62 | $84,463 |
| MounjaroTirzepatide | 39 | $52,358 |
| JanuviaSitagliptin Phosphate | 77 | $39,208 |
| FarxigaDapagliflozin Propanediol | 52 | $36,190 |
| JardianceEmpagliflozin | 59 | $30,873 |
| TrulicityDulaglutide | 41 | $30,786 |
| XareltoRivaroxaban | 41 | $23,347 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 18 | $19,615 |
| Breo ElliptaFluticasone/Vilanterol | 16 | $10,180 |
| GemtesaVibegron | 23 | $8,502 |
| RestasisCyclosporine | 15 | $8,435 |
| Levothyroxine Sodium | 1,316 | $8,175 |
| Breztri AerosphereBudesonide/Glycopyr/Formoterol | 12 | $7,602 |
| Atorvastatin Calcium | 1,096 | $7,099 |
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 |
|---|---|---|
| PfizerEliquis | $113 | $131,412521 claims |
| Novo NordiskOzempic | $197 | $84,46362 claims |
| Lilly USA, LLCMounjaro, Trulicity | $309 | $83,14480 claims |
| AstraZenecaFarxiga, Breztri Aerosphere | $419 | $43,79164 claims |
| MerckJanuvia | $29 | $39,20877 claims |
| GSKTrelegy Ellipta, Breo Ellipta, Arexvy | $108 | $36,03353 claims |
| Johnson & JohnsonXarelto | $67 | $23,34741 claims |
| AbbVieRestasis, Creon | $37 | $12,42326 claims |
| Sanofi-aventis U.S. LLCLantus | $43 | $3,99957 claims |
| Takeda Pharmaceuticals U.S.A., Inc.Vyvanse | $19 | $3,34622 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 70th percentile of 3,111 family medicine providers in Georgia.
Other family medicine in Marietta
- Mitzi RubinMarietta$103K
- Jeffrey KingsleyColumbus$404K
- Debbie HaginsSavannah$279K
- Yolanda WadeTyrone$233K
- Julian HutchinsWarrenton$222K
- Nadine Halliburton-FosterCumming$219K
- Contessa MetcalfeAtlanta$157K
- Elmore AlexanderStone Mountain$155K
- Bantwal BaligaColumbus$115K
- Avril CampbellFort Benning$108K
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.