RxDoctor Payments Data

Khalid Zirvi, MD

Cardiovascular Disease · Hagerstown, MDNPI 1902897606

Payments from drug & device makers

$1,615in general payments, 2019–2025

Across 72 payments — averaging $22.43 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Novartis$307
  • Amgen$279
  • Medtronic$277
  • E.r. Squibb & Sons, L.L.C.$143
  • Merck$107
  • Pfizer$81
  • plus $421 from 14 others

What the payments were for

  • Travel & lodging$1338%
  • Food & beverage$1,46090%
  • Education$221%

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

19
20
22
23
24
25

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.

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

$1,615 in reported general payments places this provider in the 45th percentile of 507 cardiovascular disease providers in Maryland.

See all cardiovascular disease providers in Maryland

Medicare billing

Part B allowed, 2024
$291,305
Medicare patients
1,284
Services billed
2,949

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

DrugClaimsCost to plans & patients
EliquisApixaban145$180,897
XareltoRivaroxaban45$65,381
EntrestoSacubitril/Valsartan43$49,963
BrilintaTicagrelor31$37,007
Repatha SureclickEvolocumab31$22,949
Praluent PenAlirocumab24$18,090
VascepaIcosapent Ethyl21$7,227
Repatha SyringeEvolocumab13$7,037
Ezetimibe139$3,317
Rosuvastatin Calcium121$3,147
Omega-3 Acid Ethyl Esters39$2,625
ClopidogrelClopidogrel Bisulfate141$2,624
Metoprolol Succinate163$2,447
Atorvastatin Calcium229$2,368
Ranolazine ErRanolazine21$1,474

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.

CompanyPaid to this providerPart D cost of their drugs
PfizerEliquis$81$180,897145 claims
Johnson & JohnsonXarelto$29$65,38145 claims
NovartisEntresto$307$49,96343 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 45th percentile of 507 cardiovascular disease providers in Maryland.

Other cardiovascular disease in Hagerstown

See the full list for Maryland

Where these figures come from

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