Kiron Viswambharan Nair, MD
Hematology & Oncology · Oskaloosa, IANPI 1790209914
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 93.8% of the total across 235 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 39 manufacturers, the largest accounting for just 7.8% — the pattern of someone who eats at a lot of different presentations.
Across 235 payments — averaging $20.93 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$382
- Johnson & Johnson$381
- Pfizer$371
- AbbVie$360
- Seagen Inc.$316
- GSK$298
- plus $3K from 33 others
What the payments were for
- Food & beverage$4,61494%
- Education$3036%
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 |
|---|---|---|
| AstraZeneca | 19 | $382 |
| Johnson & Johnson | 16 | $381 |
| Pfizer | 28 | $371 |
| AbbVie | 14 | $360 |
| Seagen Inc. | 9 | $316 |
| GSK | 10 | $298 |
| Bristol Myers Squibb | 16 | $264 |
| Gilead(2 entities) | 11 | $203 |
| Novartis | 10 | $193 |
| Merck | 9 | $179 |
| Regeneron Healthcare Solutions, Inc. | 9 | $171 |
| Sanofi | 8 | $164 |
| Exelixis Inc. | 7 | $140 |
| Takeda Pharmaceuticals U.S.A., Inc. | 7 | $139 |
| Incyte Corporation | 7 | $127 |
| E.r. Squibb & Sons, L.L.C. | 7 | $117 |
| Pharmacyclics LLC, An Abbvie Company | 4 | $113 |
| Sanofi-aventis U.S. LLC | 1 | $89 |
| Tersera Therapeutics LLC | 3 | $83 |
| Lilly USA, LLC | 4 | $78 |
| Sobi, Inc | 4 | $78 |
| Array Biopharma Inc | 5 | $78 |
| Karyopharm Therapeutics Inc. | 3 | $62 |
| Amgen | 2 | $59 |
| Janssen Scientific Affairs, LLC | 1 | $44 |
| Coherus Oncology, Inc. | 3 | $44 |
| Genentech USA, Inc. | 2 | $42 |
| Pharmacosmos Therapeutics Inc. | 2 | $41 |
| Taiho Oncology, Inc. | 2 | $40 |
| Kyowa Kirin, Inc. | 2 | $39 |
| Recordati_rare_diseases_inc. | 1 | $38 |
| Sumitomo Pharma America, Inc. | 2 | $37 |
| Apellis Pharmaceuticals, Inc. | 1 | $30 |
| Legend Biotech USA Inc. | 1 | $26 |
| Springworks Therapeutics, Inc. | 1 | $25 |
| Rigel Pharmaceuticals, Inc. | 1 | $22 |
| Daiichi Sankyo Inc. | 1 | $17 |
| Stemline Therapeutics Inc. | 1 | $15 |
| Tolmar Pharmaceuticals, Inc. | 1 | $12 |
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.
- JEMPERLI$108
How this compares
$4,918 in reported general payments places this provider in the 75th percentile of 75 hematology & oncology providers in Iowa.
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 |
|---|---|---|
| Lenalidomide | 15 | $208,681 |
| Abiraterone Acetate | 52 | $192,574 |
| EliquisApixaban | 17 | $13,249 |
| Enoxaparin Sodium | 11 | $3,707 |
| Anastrozole | 102 | $1,322 |
| Hydroxyurea | 50 | $636 |
| Morphine Sulfate ErMorphine Sulfate | 11 | $582 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 18 | $374 |
| Dexamethasone | 17 | $368 |
| Oxycodone Hcl | 13 | $339 |
| Prednisone | 62 | $284 |
| Ondansetron Hcl | 12 | $255 |
| Folic Acid | 37 | $160 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 14 | $105 |
| Allopurinol | 12 | $95 |
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 |
|---|---|---|
| Janssen Scientific Affairs, LLCAbiraterone Acetate | $44 | $192,57452 claims |
| PfizerEliquis | $371 | $13,24917 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 75th percentile of 75 hematology & oncology providers in Iowa.
Other hematology & oncology in Oskaloosa
- Sakeer HussainCouncil Bluffs$74K
- Usha PerepuIowa City$70K
- Umang SwamiIowa City$54K
- Umar FarooqIowa City$30K
- Brian LinkIowa City$26K
- Mark KarwalIowa City$25K
- Kartik AnandWest Des Moines$24K
- Donald WenderSioux City$22K
- Susannah FriemelDavenport$20K
- Mohammed MilhemIowa City$8K
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.