Malika Rawal, MD
Endocrinology, Diabetes & Metabolism · Louisville, KYNPI 1629431903
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $2,472 of the $3,398 with a category attached, or 72.7%. 10 manufacturers reported payments, led by Novo Nordisk at 47.3% of the total. Reporting peaked in 2019 at $1,380 and has fallen 79.3% since, to $286 in 2025. That places this record below the midpoint for endocrinology, diabetes & metabolism clinicians in KY, where the typical reported total is $3,450.
Across 25 payments — averaging $135.92 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novo Nordisk$2K
- Medtronic$707
- Bayer$213
- Insulet Corporation$189
- Cequr Corporation$137
- Esperion Therapeutics, Inc.$125
- plus $421 from 4 others
What the payments were for
- Travel & lodging$92627%
- Food & beverage$2,47273%
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 |
|---|---|---|
| Novo Nordisk | 7 | $1,607 |
| Medtronic | 8 | $707 |
| Bayer | 2 | $213 |
| Insulet Corporation | 2 | $189 |
| Cequr Corporation | 1 | $137 |
| Esperion Therapeutics, Inc. | 1 | $125 |
| Ascendis Pharma Endocrinology Inc | 1 | $125 |
| Corcept Therapeutics | 1 | $116 |
| Lilly USA, LLC | 1 | $114 |
| Xeris Pharmaceuticals, Inc. | 1 | $67 |
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
$3,398 in reported general payments places this provider in the 45th percentile of 90 endocrinology, diabetes & metabolism providers in Kentucky.
See all endocrinology, diabetes & metabolism 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 |
|---|---|---|
| JardianceEmpagliflozin | 79 | $71,493 |
| OzempicSemaglutide | 45 | $41,476 |
| TrulicityDulaglutide | 17 | $28,385 |
| MounjaroTirzepatide | 25 | $27,053 |
| Humulin R U-500 KwikpenInsulin Regular, Human | 15 | $25,988 |
| JanuviaSitagliptin Phosphate | 23 | $22,149 |
| Lantus SolostarInsulin Glargine,hum.Rec.Anlog | 82 | $11,373 |
| Basaglar Kwikpen U-100Insulin Glargine,hum.Rec.Anlog | 20 | $10,837 |
| FarxigaDapagliflozin Propanediol | 12 | $10,818 |
| Tresiba Flextouch U-100Insulin Degludec | 11 | $9,830 |
| Novolog FlexpenInsulin Aspart | 31 | $6,357 |
| Insulin Lispro Kwikpen U-100Insulin Lispro | 18 | $4,727 |
| Humalog Kwikpen U-100Insulin Lispro | 15 | $3,637 |
| Ultra-Fine Short Pen NeedlePen Needle, Diabetic | 24 | $2,130 |
| Hydrocortisone | 35 | $1,655 |
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 |
|---|---|---|
| Lilly USA, LLCTrulicity, Mounjaro | $114 | $55,43742 claims |
| Novo NordiskOzempic | $1,607 | $41,47645 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 90 endocrinology, diabetes & metabolism providers in Kentucky.
Other endocrinology, diabetes & metabolism in Louisville
- Hisham AlrefaiLouisville$720K
- Harold BaysLouisville$214K
- Jahangir CyrusLouisville$155K
- Mehdi PoorkayLouisville$81K
- Angelino YsonLouisville$15K
- Mary SelfLouisville$14K
- Omolara FakunleLouisville$13K
- Kaitlyn TuckerLouisville$9K
- Manikya KuritiLouisville$7K
- Carol ToumaLouisville$5K
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.