RxDoctor Payments Data

Merica Shrestha, MD

Endocrinology, Diabetes & Metabolism · Tysons, VANPI 1083811855

Payments from drug & device makers

$1,159in general payments, 2019–2025

Across 58 payments — averaging $19.98 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Lilly USA, LLC$236
  • Novo Nordisk$221
  • Amgen$143
  • Boehringer Ingelheim$137
  • Merck$83
  • Insulet Corporation$61
  • plus $277 from 8 others

What the payments were for

  • Food & beverage$1,159100%

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

19
20
25

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.

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

$1,159 in reported general payments places this provider in the 45th percentile of 223 endocrinology, diabetes & metabolism providers in Virginia.

See all endocrinology, diabetes & metabolism providers in Virginia

Medicare billing

Part B allowed, 2024
$8,045
Medicare patients
47
Services billed
76

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

DrugClaimsCost to plans & patients
Levothyroxine Sodium11$142

Paid to pharmacies, not to this prescriber.

Other endocrinology, diabetes & metabolism in Tysons

See the full list for Virginia

Where these figures come from

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