Karsh Gaurav, DO
Cardiovascular Disease · Shenandoah, TXNPI 1497216188
Payments from drug & device makers
Across 19 payments — averaging $34.76 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$178
- Kestra Medical Technology Services, Inc.$88
- Shockwave Medical, Inc$79
- Bridgebio Pharma, Inc.$71
- Cardiva Medical, Inc.$44
- E.r. Squibb & Sons, L.L.C.$41
- plus $160 from 7 others
What the payments were for
- Food & beverage$660100%
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.
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 | 4 | $178 |
| Kestra Medical Technology Services, Inc. | 1 | $88 |
| Shockwave Medical, Inc | 1 | $79 |
| Bridgebio Pharma, Inc. | 2 | $71 |
| Cardiva Medical, Inc. | 1 | $44 |
| E.r. Squibb & Sons, L.L.C. | 2 | $41 |
| Novartis | 2 | $33 |
| Boehringer Ingelheim | 1 | $32 |
| Penumbra, Inc. | 1 | $30 |
| Actelion Pharmaceuticals US, Inc. | 1 | $29 |
| Novo Nordisk | 1 | $17 |
| Bayer | 1 | $14 |
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 1 | $5 |
How this compares
$660 in reported general payments places this provider in the 20th percentile of 1,515 cardiovascular disease providers in Texas.
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.
Other cardiovascular disease in Shenandoah
- Ramin Farzaneh-FarDallas$17.1M
- Jeffrey GladdenDallas$15.8M
- Ann NavarDallas$14.5M
- David BrabhamAmarillo$11.5M
- Justin GrodinDallas$6.2M
- Christie BallantyneHouston$4.6M
- Syed NaqviHouston$3.6M
- Faisal WahidMcKinney$3.4M
- James FeldmanHouston$3.1M
- Fernando BoccalandroOdessa$3M
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.