Kunal Agarwal, MD
Emergency Medicine · Miami, FLNPI 1043897101
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $80,325 of the $101,073 with a category attached, or 79.5%. Lilly USA, LLC accounts for 98.8% of it on its own, with 4 other manufacturers making up the rest. Among emergency medicine clinicians in FL with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 149 payments — averaging $678.34 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Lilly USA, LLC$100K
- Inspire Medical Systems, Inc.$1K
- AbbVie$29
- Merck$27
- Axsome Therapeutics, Inc.$23
What the payments were for
- Consulting fees$5,4005%
- Speaking & faculty fees$80,32579%
- Travel & lodging$14,01314%
- Food & beverage$1,3341%
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 |
|---|---|---|
| Lilly USA, LLC | 131 | $99,827 |
| Inspire Medical Systems, Inc. | 14 | $1,167 |
| AbbVie | 2 | $29 |
| Merck | 1 | $27 |
| Axsome Therapeutics, Inc. | 1 | $23 |
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
$101,073 in reported general payments places this provider in the 95th percentile of 3,289 emergency medicine providers in Florida.
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 emergency medicine in Miami
- Patricia PanakosMiami$76K
- Daniel HerczMiami$40K
- Sarah Angarita-JonesMiami$32K
- David MishkinMiami$10K
- Ivette MotolaMiami$9K
- Laurent DreyfussSunrise$1.2M
- Jason WilsonTampa$538K
- Robert LutenJacksonville$190K
- Adam LeisyHialeah$148K
- Joseph TyndallGainesville$130K
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.