Nanda Din, MD
Critical Care Medicine · Williamsburg, VANPI 1255738720
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 67 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 17 manufacturers, the largest accounting for just 18.5% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2021 at $416 and has fallen 96.2% since, to $16 in 2025.
Across 67 payments — averaging $18.24 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Boehringer Ingelheim$226
- GSK$170
- AstraZeneca$129
- Jazz Pharmaceuticals Inc.$101
- Regeneron Healthcare Solutions, Inc.$100
- Sanofi$98
- plus $399 from 11 others
What the payments were for
- Food & beverage$1,222100%
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 |
|---|---|---|
| Boehringer Ingelheim | 14 | $226 |
| GSK | 11 | $170 |
| AstraZeneca | 9 | $129 |
| Jazz Pharmaceuticals Inc. | 5 | $101 |
| Regeneron Healthcare Solutions, Inc. | 4 | $100 |
| Sanofi | 4 | $98 |
| Mallinckrodt Hospital Products Inc. | 3 | $72 |
| AbbVie | 4 | $67 |
| Mylan Specialty L.p. | 2 | $52 |
| Insmed, Inc. | 2 | $46 |
| Electromed, Inc. | 2 | $39 |
| Novartis | 2 | $35 |
| Nxstage Medical, Inc. | 1 | $29 |
| Bayer | 1 | $19 |
| Actelion Pharmaceuticals US, Inc. | 1 | $14 |
| Chiesi USA, Inc. | 1 | $14 |
| Merck | 1 | $13 |
How this compares
$1,222 in reported general payments places this provider in the 75th percentile of 174 critical care medicine providers in Virginia.
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 |
|---|---|---|
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 187 | $238,855 |
| Breztri AerosphereBudesonide/Glycopyr/Formoterol | 61 | $68,769 |
| Spiriva RespimatTiotropium Bromide | 63 | $61,116 |
| Anoro ElliptaUmeclidinium Brm/Vilanterol Tr | 34 | $38,852 |
| Breo ElliptaFluticasone/Vilanterol | 35 | $32,680 |
| Stiolto RespimatTiotropium Br/Olodaterol Hcl | 32 | $30,442 |
| Incruse ElliptaUmeclidinium Bromide | 19 | $18,762 |
| Advair HfaFluticasone Propion/Salmeterol | 20 | $17,730 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 256 | $13,054 |
| Fluticasone-SalmeterolFluticasone Propion/Salmeterol | 20 | $6,005 |
| Wixela InhubFluticasone Propion/Salmeterol | 23 | $5,354 |
| SymbicortBudesonide/Formoterol Fumarate | 14 | $4,860 |
| Ventolin HfaAlbuterol Sulfate | 26 | $2,332 |
| Levalbuterol Tartrate HfaLevalbuterol Tartrate | 21 | $2,241 |
| Fluticasone Propionate | 69 | $1,909 |
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 |
|---|---|---|
| GSKTrelegy Ellipta, Anoro Ellipta, Breo Ellipta, Incruse Ellipta | $170 | $329,149275 claims |
| Boehringer IngelheimSpiriva Respimat, Stiolto Respimat | $226 | $91,55895 claims |
| AstraZenecaBreztri Aerosphere, Symbicort | $129 | $73,63075 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 174 critical care medicine providers in Virginia.
Other critical care medicine in Williamsburg
- Carolyn Fleming FruciWilliamsburg$3K
- Oksana ShlobinFalls Church$375K
- Matthew WilliamsAnnandale$235K
- Sami Abdul JawadFalls Church$193K
- Rajiv MalhotraRichmond$187K
- Thomas BouderWinchester$163K
- Christopher KingFalls Church$131K
- Rohit GoyalFredericksburg$95K
- Robert ThieleCharlottesville$52K
- Jeff HalesArlington$37K
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.