Mohanram Narayanan, MD
Nephrology · Temple, TXNPI 1962462341
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (56.5%), speaking fees and travel and lodging — rather than concentrated in one kind of arrangement. It is spread thinly across 25 manufacturers, the largest accounting for just 18.9%. Among nephrology clinicians in TX 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 274 payments — averaging $590.75 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Travere Therapeutics, Inc.$31K
- Veloxis Pharmaceuticals, Inc.$26K
- GSK$25K
- Novartis$19K
- Otsuka America Pharmaceutical, Inc.$16K
- Lilly USA, LLC$12K
- plus $33K from 19 others
Across 118 payments — averaging $14,483 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.
- Novartis$1.3M
- Vertex$115K
- Kadmon Corporation LLC$84K
- Amgen$72K
- GSK$60K
- Aurinia Pharma U.S., Inc.$47K
- plus $58K from 4 others
What the payments were for
- Consulting fees$91,51557%
- Speaking & faculty fees$47,05829%
- Travel & lodging$13,4518%
- Food & beverage$9,4876%
- Education$3550%
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 |
|---|---|---|
| Travere Therapeutics, Inc. | 58 | $30,591 |
| Veloxis Pharmaceuticals, Inc. | 40 | $26,444 |
| GSK | 12 | $25,200 |
| Novartis | 38 | $18,814 |
| Otsuka America Pharmaceutical, Inc. | 16 | $15,526 |
| Lilly USA, LLC | 11 | $12,277 |
| Otsuka Pharmaceutical Development & Commercialization, Inc. | 10 | $8,098 |
| Boehringer Ingelheim | 13 | $7,550 |
| Calliditas Therapeutics US Inc. | 7 | $5,897 |
| AstraZeneca(2 entities) | 19 | $3,831 |
| Akebia Therapeutics Inc | 4 | $3,108 |
| Pharmacosmos Therapeutics Inc. | 1 | $1,500 |
| Baxter Healthcare | 1 | $862 |
| Aurinia Pharma U.S., Inc. | 7 | $690 |
| Bayer | 9 | $289 |
| Vifor Pharma, Inc. | 3 | $247 |
| Amgen | 8 | $224 |
| Vertex | 3 | $178 |
| OPKO Pharmaceuticals, LLC | 5 | $160 |
| BD | 3 | $100 |
| Mallinckrodt Hospital Products Inc. | 1 | $88 |
| Mallinckrodt Enterprises LLC | 1 | $75 |
| Ardelyx, Inc. | 1 | $71 |
| Novo Nordisk | 2 | $33 |
| Scpharmaceuticals Inc. | 1 | $15 |
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
$161,867 in reported general payments places this provider in the 95th percentile of 1,070 nephrology providers in Texas.
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 | 74 | $107,936 |
| FarxigaDapagliflozin Propanediol | 102 | $105,932 |
| Cinacalcet Hcl | 76 | $23,831 |
| KerendiaFinerenone | 23 | $16,222 |
| PrografTacrolimus | 12 | $4,673 |
| Losartan Potassium | 138 | $2,719 |
| Levemir FlexpenInsulin Detemir | 14 | $2,674 |
| Atorvastatin Calcium | 219 | $2,628 |
| Allopurinol | 181 | $2,259 |
| Prednisone | 231 | $1,758 |
| Carvedilol | 81 | $1,564 |
| Amlodipine Besylate | 131 | $1,442 |
| Rosuvastatin Calcium | 41 | $1,291 |
| Valsartan | 20 | $1,179 |
| Famotidine | 61 | $1,098 |
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 |
|---|---|---|
| Boehringer IngelheimJardiance | $7,550 | $107,93674 claims |
| AstraZenecaFarxiga | $3,831 | $105,932102 claims |
| BayerKerendia | $289 | $16,22223 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 95th percentile of 1,070 nephrology providers in Texas.
Other nephrology in Temple
- Abdul AbdellatifWebster$2.1M
- German HernandezEl Paso$1.3M
- Ankit MehtaDallas$1.1M
- Biff PalmerDallas$867K
- Gates ColbertDallas$828K
- Sreedhar MandayamHouston$752K
- Luis VelezSan Antonio$505K
- Anand ReddyOdessa$469K
- Christopher KwohHouston$467K
- Wolfgang WinkelmayerHouston$462K
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.