Madhan Shanmugasundaram, MD
Interventional Cardiology · Lexington, KYNPI 1306032859
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 46 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 11 manufacturers reported payments, led by Edwards Lifesciences at 33.9% of the total. Reporting peaked in 2023 at $933 and has fallen 74.5% since, to $237 in 2025. That places this record below the midpoint for interventional cardiology clinicians in KY, where the typical reported total is $7,951.
Across 46 payments — averaging $54.51 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Edwards Lifesciences$850
- Medtronic$449
- Inari Medical, Inc.$283
- Abiomed$210
- Boston Scientific$195
- Shockwave Medical, Inc$168
- plus $352 from 5 others
Across 20 payments — averaging $2941.14 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.
- CSL Behring$39K
- Novartis$17K
- Abbott$3K
What the payments were for
- Food & beverage$2,508100%
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 |
|---|---|---|
| Edwards Lifesciences | 15 | $850 |
| Medtronic(2 entities) | 8 | $449 |
| Inari Medical, Inc. | 3 | $283 |
| Abiomed | 3 | $210 |
| Boston Scientific | 2 | $195 |
| Shockwave Medical, Inc | 8 | $168 |
| Teleflex LLC | 1 | $145 |
| Abbott | 3 | $128 |
| Terumo Medical Corporation | 1 | $30 |
| Philips North America LLC | 1 | $26 |
| Angiodynamics, 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
$2,508 in reported general payments places this provider in the 15th percentile of 129 interventional cardiology providers in Kentucky.
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 |
|---|---|---|
| EliquisApixaban | 80 | $96,524 |
| EntrestoSacubitril/Valsartan | 53 | $70,700 |
| XareltoRivaroxaban | 28 | $28,707 |
| FarxigaDapagliflozin Propanediol | 14 | $18,133 |
| Praluent PenAlirocumab | 18 | $12,843 |
| Ranolazine ErRanolazine | 18 | $2,570 |
| ClopidogrelClopidogrel Bisulfate | 183 | $2,538 |
| Metoprolol Succinate | 177 | $1,949 |
| Atorvastatin Calcium | 190 | $1,927 |
| Ezetimibe | 83 | $1,797 |
| Isosorbide Dinitrate | 58 | $1,667 |
| Nitroglycerin | 35 | $1,231 |
| Prasugrel Hcl | 12 | $1,215 |
| Rosuvastatin Calcium | 107 | $1,162 |
| Losartan Potassium | 160 | $1,047 |
Paid to pharmacies, not to this prescriber.
Other interventional cardiology in Lexington
- Avichai EresLexington$616K
- Steve LinLexington$362K
- Robert SawyerLexington$249K
- Ganesh Keshav ThirunavukkarasuLexington$220K
- Armaghan SoomroLexington$117K
- Adrian MesserliLexington$41K
- Hussam HamdallaLexington$24K
- Henry Charles RichmondLexington$20K
- Michael ShihLexington$20K
- Mubashir QaziLexington$18K
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.