Nagarjuna Ponugoti, MD
Allergy · Terre Haute, INNPI 1285601278
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 104 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 17 manufacturers reported payments, led by GSK at 28.7% of the total. Reporting peaked in 2021 at $552 and has fallen 62.5% since, to $207 in 2025.
Across 104 payments — averaging $15.13 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- GSK$452
- Regeneron Healthcare Solutions, Inc.$208
- Kaleo, Inc.$190
- AstraZeneca$183
- Grifols USA, LLC$93
- Novartis$88
- plus $360 from 11 others
What the payments were for
- Food & beverage$1,574100%
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 |
|---|---|---|
| GSK | 31 | $452 |
| Regeneron Healthcare Solutions, Inc. | 13 | $208 |
| Kaleo, Inc. | 12 | $190 |
| AstraZeneca | 13 | $183 |
| Grifols USA, LLC | 6 | $93 |
| Novartis | 5 | $88 |
| Genentech USA, Inc. | 4 | $62 |
| Galderma Laboratories, L.p. | 3 | $55 |
| Takeda Pharmaceuticals U.S.A., Inc. | 4 | $53 |
| Pfizer | 3 | $42 |
| CSL Behring | 3 | $41 |
| Sanofi | 2 | $28 |
| Amgen | 1 | $21 |
| Bio Products Laboratory USA, Inc. | 1 | $18 |
| Verona Pharma, Inc. | 1 | $16 |
| Teva Pharmaceuticals USA, Inc. | 1 | $12 |
| Merck | 1 | $12 |
How this compares
Too few allergy providers in Indianato place this figure against a meaningful peer group, so we don't.
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 |
|---|---|---|
| NucalaMepolizumab | 32 | $120,576 |
| XolairOmalizumab | 34 | $100,980 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 77 | $75,156 |
| Dupixent PenDupilumab | 16 | $64,309 |
| Breo ElliptaFluticasone/Vilanterol | 26 | $14,377 |
| SymbicortBudesonide/Formoterol Fumarate | 15 | $4,348 |
| Azelastine Hcl | 80 | $3,463 |
| Fluticasone-SalmeterolFluticasone Propion/Salmeterol | 29 | $2,931 |
| Budesonide-Formoterol FumarateBudesonide/Formoterol Fumarate | 16 | $2,433 |
| Epinephrine | 12 | $2,099 |
| Ipratropium Bromide | 49 | $2,026 |
| Montelukast Sodium | 191 | $1,667 |
| Fluticasone Propionate | 84 | $1,220 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 36 | $1,215 |
| Cyproheptadine Hcl | 18 | $562 |
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 |
|---|---|---|
| GSKNucala, Trelegy Ellipta, Breo Ellipta | $452 | $210,109135 claims |
| AstraZenecaSymbicort | $183 | $4,34815 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. There are too few allergy providers in Indianaon file to place this against a meaningful peer group, so we don't.
Other allergy in Terre Haute
- Sanjay PatelHighland$7K
- Carol FossoIndianapolis$5K
- Lauren RiggValparaiso$4K
- Mark HolbreichIndianapolis$2K
- Damir MatesicKokomo$2K
- Sai KarlapudiMuncie$1K
- Jay ProchnauLafayette$662
- Naresh PatelFort Wayne$404
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.