Mrudula Munagala, MD
Advanced Heart Failure and Transplant Cardiology · Miami, FLNPI 1124280789
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (46.7%), speaking fees and food and beverage — rather than concentrated in one kind of arrangement. 23 manufacturers reported payments, led by Alnylam Pharmaceuticals Inc. at 26.1% of the total. Reporting peaked in 2019 at $33,929 and has fallen 96.0% since, to $1,374 in 2025.
Across 246 payments — averaging $273.81 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Alnylam Pharmaceuticals Inc.$18K
- Sanofi Pasteur Inc.$14K
- Akcea Therapeutics, Inc.$13K
- United Therapeutics Corporation$6K
- Bayer$5K
- Actelion Pharmaceuticals US, Inc.$5K
- plus $7K from 17 others
Across 4 payments — averaging $3016.30 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.
- Abbott$12K
What the payments were for
- Consulting fees$31,44947%
- Speaking & faculty fees$22,41333%
- Travel & lodging$6,0809%
- Food & beverage$7,29111%
- Education$1270%
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 |
|---|---|---|
| Alnylam Pharmaceuticals Inc. | 35 | $17,613 |
| Sanofi Pasteur Inc. | 12 | $13,528 |
| Akcea Therapeutics, Inc. | 12 | $13,136 |
| United Therapeutics Corporation | 36 | $5,739 |
| Bayer | 5 | $5,016 |
| Actelion Pharmaceuticals US, Inc. | 39 | $4,908 |
| Abbott | 17 | $4,501 |
| Pfizer | 10 | $440 |
| Boston Scientific | 13 | $416 |
| Impulse Dynamics (USA) Inc. | 2 | $273 |
| Medtronic | 7 | $265 |
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 11 | $223 |
| Abiomed | 1 | $196 |
| Novartis | 14 | $174 |
| Cvrx, Inc. | 1 | $166 |
| Ancora Heart, Inc. | 2 | $161 |
| Paragonix Technologies, Inc. | 3 | $160 |
| Amgen | 8 | $134 |
| AstraZeneca | 6 | $101 |
| E.r. Squibb & Sons, L.L.C. | 5 | $90 |
| Nuwellis, Inc. | 3 | $49 |
| Sandoz | 2 | $39 |
| Johnson & Johnson | 2 | $30 |
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.
- ONPATTRO$16,697
- TEGSEDI$13,016
- FLUZONE HIGH-DOSE$9,870
- ORENITRAM$5,139
- Adempas$4,960
- CardioMEMS HF System$3,318
- THORATEC HEARTMATE 3 LVAS IMPLANT KIT$729
- OPTIMIZER$403
- VYNDAQEL$249
- UPTRAVI$244
- OPSUMIT$244
- REMODULIN$225
- Barostim Neo System$166
- AccuCinch$132
- TYVASO$125
- AMVUTTRA$121
- HeartMate$112
- Sentinel$112
How this compares
$67,358 in reported general payments places this provider in the 75th percentile of 48 advanced heart failure and transplant cardiology providers in Florida.
See all advanced heart failure and transplant cardiology providers in Florida →
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 |
|---|---|---|
| OpsumitMacitentan | 48 | $591,846 |
| VyndamaxTafamidis | 12 | $346,597 |
| AdempasRiociguat | 11 | $145,422 |
| EntrestoSacubitril/Valsartan | 26 | $40,057 |
| EliquisApixaban | 17 | $21,428 |
| FarxigaDapagliflozin Propanediol | 14 | $14,089 |
| Sildenafil Citrate | 17 | $3,189 |
| Tacrolimus | 17 | $2,019 |
| Mycophenolate Mofetil | 11 | $1,426 |
| Bumetanide | 24 | $651 |
| Warfarin Sodium | 37 | $492 |
| Isosorbide Dinitrate | 11 | $342 |
| Rosuvastatin Calcium | 38 | $342 |
| Potassium Chloride | 15 | $293 |
| Carvedilol | 52 | $288 |
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 |
|---|---|---|
| Actelion Pharmaceuticals US, Inc.Opsumit | $4,908 | $591,84648 claims |
| PfizerVyndamax, Eliquis | $440 | $368,02529 claims |
| BayerAdempas | $5,016 | $145,42211 claims |
| NovartisEntresto | $174 | $40,05726 claims |
| AstraZenecaFarxiga | $101 | $14,08914 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 75th percentile of 48 advanced heart failure and transplant cardiology providers in Florida.
Other advanced heart failure and transplant cardiology in Miami
- Omar Wever-PinzonMiami$80K
- Sandra ChaparroMiami$15K
- Saleh El DassoukiMiami$11K
- Hoda ButrousMiami$4K
- Kelly McCantsWinter Park$445K
- Naveen BellamOrlando$414K
- Phillip HabibDelray Beach$305K
- Waqas GhummanAtlantis$276K
- David SnipeliskyWeston$250K
- Elsy NavasNaples$234K
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.