Kiran Narsinh, MD
Gastroenterology · San Pablo, CANPI 1730316977
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 98.4% of the total across 80 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 18 manufacturers reported payments, led by AbbVie at 27.3% of the total. 2025 is the largest year on record at $618, 2.3 times the $271 reported in 2019. That places this record below the midpoint for gastroenterology clinicians in CA, where the typical reported total is $1,790.
Across 80 payments — averaging $22.79 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$498
- Johnson & Johnson$312
- Salix Pharmaceuticals, A Division Of Bausch Health US, LLC$263
- Takeda Pharmaceuticals U.S.A., Inc.$122
- Gilead$77
- Merck$66
- plus $486 from 12 others
Across 12 payments — averaging $1206.88 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.
- Takeda Pharmaceuticals U.S.A., Inc.$14K
What the payments were for
- Food & beverage$1,79398%
- Education$302%
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 |
|---|---|---|
| AbbVie | 22 | $498 |
| Johnson & Johnson | 13 | $312 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 12 | $263 |
| Takeda Pharmaceuticals U.S.A., Inc. | 5 | $122 |
| Gilead | 4 | $77 |
| Merck | 3 | $66 |
| Lilly USA, LLC | 2 | $65 |
| QOL Medical, LLC | 3 | $63 |
| Aimmune Therapeutics, Inc. | 2 | $63 |
| Celltrion USA Inc. | 2 | $49 |
| Sanofi | 2 | $42 |
| Novo Nordisk | 2 | $42 |
| AstraZeneca | 2 | $41 |
| Braintree Laboratories, Inc. | 1 | $32 |
| Ironwood Pharmaceuticals, Inc | 2 | $29 |
| Capsovision, Inc. | 1 | $24 |
| Madrigal Pharmaceuticals | 1 | $21 |
| Bristol Myers Squibb | 1 | $15 |
How this compares
$1,823 in reported general payments places this provider in the 50th percentile of 1,885 gastroenterology providers in California.
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 |
|---|---|---|
| XifaxanRifaximin | 11 | $39,550 |
| LinzessLinaclotide | 15 | $22,341 |
| Mesalamine | 23 | $18,217 |
| SutabSod Sulf/Pot Chloride/Mag Sulf | 41 | $6,640 |
| Pantoprazole Sodium | 71 | $1,264 |
| Azathioprine | 14 | $1,080 |
| Omeprazole | 86 | $938 |
| Sod Sulf-Potass Sulf-Mag SulfSodium, Potassium,mag Sulfates | 12 | $718 |
| Peg 3350-ElectrolyteSodium Chloride/Nahco3/Kcl/Peg | 20 | $510 |
| Gavilyte-CPeg3350/Sod Sulf,bicarb,cl/Kcl | 22 | $324 |
| Famotidine | 11 | $214 |
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 |
|---|---|---|
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLCXifaxan | $263 | $39,55011 claims |
| AbbVieLinzess | $498 | $22,34115 claims |
| Braintree Laboratories, Inc.Sutab | $32 | $6,64041 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 50th percentile of 1,885 gastroenterology providers in California.
Other gastroenterology in San Pablo
- Bennett RothLos Angeles$2.8M
- Douglas NguyenMission Viejo$2M
- Sammy SaabLos Angeles$1.9M
- Kenneth ChangNewport Beach$1.3M
- Joo HwangStanford$1M
- Drew SchembreWalnut Creek$659K
- Quan Nhula Jolla$641K
- Sadeea AbbasiLos Angeles$556K
- Ali RezaieWest Hollywood$519K
- Kenneth BinmoellerSan Francisco$507K
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.