Joju Joseph, MD
Nephrology · Gallatin, TNNPI 1558355941
Payments from drug & device makers
Across 40 payments — averaging $22.11 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Otsuka America Pharmaceutical, Inc.$251
- Bayer$116
- Fresenius USA Marketing, Inc.$103
- Baxter Healthcare$96
- AstraZeneca$74
- Vifor Pharma, Inc.$49
- plus $195 from 6 others
What the payments were for
- Food & beverage$72582%
- Education$15918%
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 |
|---|---|---|
| Otsuka America Pharmaceutical, Inc. | 10 | $251 |
| Bayer | 1 | $116 |
| Fresenius USA Marketing, Inc. | 6 | $103 |
| Baxter Healthcare | 1 | $96 |
| AstraZeneca | 4 | $74 |
| Vifor Pharma, Inc. | 3 | $49 |
| Akebia Therapeutics Inc | 2 | $48 |
| Aurinia Pharma U.S., Inc. | 3 | $39 |
| Ultragenyx Pharmaceutical Inc. | 2 | $35 |
| Travere Therapeutics, Inc. | 5 | $34 |
| Amgen | 2 | $29 |
| OPKO Pharmaceuticals, LLC | 1 | $11 |
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
$884 in reported general payments places this provider in the 40th percentile of 229 nephrology 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 |
|---|---|---|
| OzempicSemaglutide | 35 | $41,982 |
| JanuviaSitagliptin Phosphate | 34 | $32,182 |
| Sevelamer Carbonate | 121 | $22,446 |
| JardianceEmpagliflozin | 14 | $19,888 |
| MyrbetriqMirabegron | 31 | $14,886 |
| Clonidine | 52 | $10,649 |
| Calcium Acetate | 73 | $9,729 |
| Nifedipine ErNifedipine | 180 | $6,807 |
| Bumetanide | 205 | $6,687 |
| Potassium Chloride | 132 | $3,932 |
| Prazosin Hcl | 126 | $3,844 |
| Calcitriol | 172 | $2,974 |
| Furosemide | 305 | $2,683 |
| Midodrine Hcl | 49 | $2,270 |
| Losartan Potassium | 180 | $1,981 |
Paid to pharmacies, not to this prescriber.
Other nephrology in Gallatin
- Claude GalphinChattanooga$2M
- Kendra HendonKnoxville$1.1M
- Wael HusseinMemphis$912K
- Anna BurgnerNashville$788K
- Peter ReeseNashville$613K
- Jamie DwyerNashville$493K
- Ross NesbitKnoxville$452K
- Anthony LangoneNashville$377K
- Rohit GuptaChattanooga$298K
- Adriana HungNashville$270K
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.