Jai Perumal, MD
Neuromusculoskeletal Medicine, Sports Medicine · New York, NYNPI 1710123930
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $98,993 of the $152,800 with a category attached, or 64.8%. It is spread thinly across 12 manufacturers, the largest accounting for just 23.3%. Among neuromusculoskeletal medicine, sports medicine clinicians in NY 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 183 payments — averaging $834.97 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Biogen$36K
- EMD Serono, Inc.$35K
- Sanofi$29K
- Ares Trading SA$18K
- Merck Healthcare Kgaa$17K
- Genentech USA, Inc.$12K
- plus $5K from 6 others
Across 11 payments — averaging $7517.71 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.
- Biogen$49K
- F. Hoffmann-la Roche AG$34K
What the payments were for
- Consulting fees$98,99365%
- Speaking & faculty fees$19,12513%
- Travel & lodging$28,41419%
- Food & beverage$5,9574%
- Education$3120%
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 |
|---|---|---|
| Biogen | 42 | $35,633 |
| EMD Serono, Inc. | 62 | $35,442 |
| Sanofi | 25 | $29,308 |
| Ares Trading SA | 6 | $17,793 |
| Merck Healthcare Kgaa | 5 | $17,412 |
| Genentech USA, Inc. | 15 | $12,455 |
| TG Therapeutics, Inc. | 8 | $2,593 |
| Amgen(2 entities) | 13 | $1,971 |
| Johnson & Johnson | 1 | $75 |
| Novartis | 4 | $69 |
| Pfizer | 1 | $25 |
| Medtronic | 1 | $24 |
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
$152,800 in reported general payments places this provider in the 95th percentile of 21 neuromusculoskeletal medicine, sports medicine providers in New York.
See all neuromusculoskeletal medicine, sports medicine providers in New York →
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 |
|---|---|---|
| OcrevusOcrelizumab | 19 | $771,757 |
| TysabriNatalizumab | 38 | $305,841 |
| Avonex (4 Pack)Interferon Beta-1a | 36 | $292,287 |
| OctagamImmun Globg(Igg)/Malt/Iga Ov50 | 33 | $177,661 |
| VumerityDiroximel Fumarate | 17 | $152,255 |
| FingolimodFingolimod Hcl | 21 | $141,096 |
| PrivigenImmun Glob G(Igg)/Pro/Iga 0-50 | 16 | $99,549 |
| HizentraImmun Glob G(Igg)/Pro/Iga 0-50 | 17 | $95,615 |
| CopaxoneGlatiramer Acetate | 13 | $72,236 |
| Dimethyl Fumarate | 37 | $48,967 |
| Glatiramer Acetate | 23 | $42,800 |
| Dalfampridine ErDalfampridine | 68 | $32,378 |
| Pregabalin | 31 | $3,653 |
| Gabapentin | 109 | $2,149 |
| Baclofen | 92 | $2,027 |
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 |
|---|---|---|
| BiogenTysabri, Avonex (4 Pack), Vumerity | $35,633 | $750,38391 claims |
| PfizerOctagam | $25 | $177,66133 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 21 neuromusculoskeletal medicine, sports medicine providers in New York.
Other neuromusculoskeletal medicine, sports medicine in New York
- Aric HausknechtNew York$3K
- Craig TitleNew York$889
- Jeffrey CohenNew York$269
- Paul OrtNew York$86
- Jonathan GarayNew York$21
- Gerald LeventhalNew York$17
- David DinesUniondale$166K
- Marshall KeilsonBrooklyn$8K
- Tracy OnalEast Islip$8K
- Brian NeriEast Meadow$3K
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.