Jawahar Palaniappan, MD
Cardiovascular Disease · Lake Worth, FLNPI 1083726400
Payments from drug & device makers
Across 90 payments — averaging $88.33 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$3K
- Boston Scientific$1K
- Boehringer Ingelheim$477
- Bayer$448
- Astellas Pharma US Inc$378
- AstraZeneca$335
- plus $3K from 20 others
What the payments were for
- Travel & lodging$2,31229%
- Food & beverage$5,27966%
- Education$3595%
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 |
|---|---|---|
| Medtronic(2 entities) | 18 | $2,696 |
| Boston Scientific | 9 | $1,042 |
| Boehringer Ingelheim | 4 | $477 |
| Bayer | 5 | $448 |
| Astellas Pharma US Inc | 5 | $378 |
| AstraZeneca | 3 | $335 |
| Amgen | 8 | $325 |
| Johnson & Johnson | 6 | $266 |
| Novo Nordisk | 2 | $246 |
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 7 | $217 |
| Shockwave Medical, Inc | 1 | $171 |
| Atricure, Inc. | 1 | $155 |
| Abbott | 1 | $152 |
| Novartis | 2 | $143 |
| Esperion Therapeutics, Inc. | 2 | $141 |
| Amarin Pharma, Inc. | 3 | $140 |
| E.r. Squibb & Sons, L.L.C. | 1 | $125 |
| Pfizer | 1 | $123 |
| Merck | 2 | $86 |
| Edwards Lifesciences | 1 | $84 |
| Heartflow, Inc. | 2 | $58 |
| Bard Peripheral Vascular, Inc. | 1 | $51 |
| Cleerly, Inc. | 2 | $35 |
| Kestra Medical Technology Services, Inc. | 1 | $23 |
| Inspire Medical Systems, Inc. | 1 | $18 |
| Cardiva Medical, Inc. | 1 | $15 |
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.
- WATCHMAN Access System$863
- JARDIANCE$477
- Repatha$247
- Kerendia$243
- FARXIGA$240
- XARELTO$217
- Shockwave IVL System with the Shockwave C2 Coronary IVL Catheter$171
- ATRICLIP LAA EXCLUSION SYSTEM$155
- EPI-SENSE GUIDED COAGULATION SYSTEM WITH VISITRAX$155
- ATRICURE CRYOICE CRYOSPHERE CRYOABLATION SYSTEM$155
- SYNERGY ABLATION SYSTEM$155
- MitraClip$152
- Micra$142
- Claria MRI$137
- Vascepa$125
- CAMZYOS$125
- NEXLIZET$125
- NEXLETOL$125
- Wegovy$124
- VYNDAQEL$123
How this compares
$7,950 in reported general payments places this provider in the 65th percentile of 1,740 cardiovascular disease providers in Florida.
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 |
|---|---|---|
| Metoprolol Succinate | 14 | $147 |
| ClopidogrelClopidogrel Bisulfate | 11 | $134 |
| Amlodipine Besylate | 16 | $96 |
| Spironolactone | 11 | $66 |
| Furosemide | 20 | $59 |
Paid to pharmacies, not to this prescriber.
Other cardiovascular disease in Lake Worth
- Michael KorenGainesville$31M
- Seth BaumBoca Raton$11.1M
- Alexis GutierrezHialeah$8M
- Eric SpivackAventura$7.1M
- William OneillNaples$4.6M
- Rafik AbadierInverness$4.4M
- Alvaro MurciaPembroke Pines$4M
- David HotchkissPort Charlotte$4M
- Ferris GeorgeSt Augustine$3.8M
- Duccio BaldariWellington$3.5M
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.