RxDoctor Payments Data

Narsimha Keetha, MD

Nephrology · Cleveland, OHNPI 1619382652

Payments from drug & device makers

$2,232in general payments, 2019–2025

Across 84 payments — averaging $26.57 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • AstraZeneca$726
  • Amgen$331
  • OPKO Pharmaceuticals, LLC$239
  • Travere Therapeutics, Inc.$154
  • Bayer$144
  • Otsuka Pharmaceutical Development & Commercialization, Inc.$102
  • plus $536 from 12 others

What the payments were for

  • Food & beverage$2,01990%
  • Education$21310%

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

19
20
21
22
23
24
25

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.

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

$2,232 in reported general payments places this provider in the 60th percentile of 450 nephrology providers in Ohio.

See all nephrology providers in Ohio

Medicare billing

Part B allowed, 2024
$155,194
Medicare patients
307
Services billed
1,352

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

DrugClaimsCost to plans & patients
LokelmaSodium Zirconium Cyclosilicate16$15,331
FarxigaDapagliflozin Propanediol19$10,744
Sevelamer Carbonate20$3,280
Midodrine Hcl21$1,419
Allopurinol78$1,080
Lisinopril30$507
Mirtazapine14$399
Calcitriol37$355
Potassium Chloride25$353
Torsemide14$277
Amlodipine Besylate54$269
Hydralazine Hcl23$262
Furosemide40$191
Doxazosin Mesylate16$190
Gabapentin23$154

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.

CompanyPaid to this providerPart D cost of their drugs
AstraZenecaLokelma, Farxiga$726$26,07535 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 60th percentile of 450 nephrology providers in Ohio.

Other nephrology in Cleveland

See the full list for Ohio

Where these figures come from

Is this you, or does something look wrong? →