Mihran Naljayan
Nephrology · New Orleans, LANPI 1891952412
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (50.7%), speaking fees and travel and lodging — rather than concentrated in one kind of arrangement. 17 manufacturers reported payments, led by Fresenius USA Marketing, Inc. at 51.8% of the total. Reporting peaked in 2019 at $6,574 and has fallen 99.1% since, to $61 in 2025.
Across 104 payments — averaging $91.57 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Fresenius USA Marketing, Inc.$5K
- Baxter Healthcare$2K
- AstraZeneca$368
- Nxstage Medical, Inc.$314
- Amgen$311
- Otsuka America Pharmaceutical, Inc.$262
- plus $1K from 11 others
What the payments were for
- Consulting fees$3754%
- Speaking & faculty fees$3,00032%
- Travel & lodging$1,02811%
- Food & beverage$4,82951%
- Education$2923%
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 |
|---|---|---|
| Fresenius USA Marketing, Inc. | 17 | $4,937 |
| Baxter Healthcare | 28 | $2,219 |
| AstraZeneca | 5 | $368 |
| Nxstage Medical, Inc. | 6 | $314 |
| Amgen | 10 | $311 |
| Otsuka America Pharmaceutical, Inc. | 8 | $262 |
| Aurinia Pharma U.S., Inc. | 4 | $254 |
| Mallinckrodt Enterprises LLC | 5 | $224 |
| Vifor Pharma, Inc. | 5 | $185 |
| Akebia Therapeutics Inc | 6 | $174 |
| Bayer | 1 | $95 |
| Mallinckrodt Hospital Products Inc. | 2 | $45 |
| Calliditas Therapeutics US Inc. | 1 | $36 |
| Novartis | 1 | $35 |
| Travere Therapeutics, Inc. | 3 | $31 |
| GSK | 1 | $23 |
| Johnson & Johnson | 1 | $11 |
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
$9,523 in reported general payments places this provider in the 85th percentile of 206 nephrology providers in Louisiana.
Other nephrology in New Orleans
- Juan Carlos VelezNew Orleans$282K
- Michael TouchyNew Orleans$56K
- Juan MedauraNew Orleans$14K
- Farshid YazdiNew Orleans$14K
- Rhea BhargavaNew Orleans$9K
- April FoxNew Orleans$8K
- Myra KleinpeterNew Orleans$7K
- Joshua LowentrittNew Orleans$7K
- Angela ReginelliNew Orleans$6K
- Francisco CruzNew Orleans$6K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.