Naveen Trehan, MD
Nephrology · Hot Springs, ARNPI 1285045526
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $1,710 of the $2,141 with a category attached, or 79.9%. 15 manufacturers reported payments, led by AstraZeneca at 38.4% of the total. Reporting peaked in 2022 at $481 and has fallen 76.1% since, to $115 in 2025.
Across 77 payments — averaging $27.80 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$822
- Amgen$347
- Medtronic$175
- Fresenius USA Marketing, Inc.$154
- GSK$147
- Novartis$132
- plus $364 from 9 others
What the payments were for
- Food & beverage$1,71080%
- Education$43120%
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 |
|---|---|---|
| AstraZeneca(2 entities) | 17 | $822 |
| Amgen(2 entities) | 18 | $347 |
| Medtronic | 1 | $175 |
| Fresenius USA Marketing, Inc. | 8 | $154 |
| GSK | 9 | $147 |
| Novartis | 6 | $132 |
| Travere Therapeutics, Inc. | 4 | $107 |
| Aurinia Pharma U.S., Inc. | 4 | $72 |
| Akebia Therapeutics Inc | 3 | $64 |
| Otsuka America Pharmaceutical, Inc. | 2 | $38 |
| Vifor Pharma, Inc. | 1 | $21 |
| Ultragenyx Pharmaceutical Inc. | 1 | $19 |
| Boehringer Ingelheim | 1 | $16 |
| Calliditas Therapeutics US Inc. | 1 | $14 |
| Lilly USA, LLC | 1 | $13 |
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.
- ELLIPSYS VASCULAR ACCESS SYSTEM$175
- FARXIGA$125
- LOKELMA$104
How this compares
$2,141 in reported general payments places this provider in the 65th percentile of 85 nephrology providers in Arkansas.
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 |
|---|---|---|
| FarxigaDapagliflozin Propanediol | 197 | $197,595 |
| KerendiaFinerenone | 18 | $27,695 |
| Torsemide | 410 | $7,453 |
| Clonidine | 54 | $5,201 |
| Sevelamer Carbonate | 44 | $4,116 |
| Allopurinol | 191 | $3,837 |
| Potassium Citrate ErPotassium Citrate | 36 | $3,241 |
| Losartan Potassium | 291 | $2,194 |
| Calcitriol | 83 | $2,128 |
| Nifedipine ErNifedipine | 86 | $1,698 |
| Potassium Chloride | 66 | $1,635 |
| Chlorthalidone | 37 | $766 |
| Cinacalcet Hcl | 11 | $755 |
| Famotidine | 30 | $573 |
| Amlodipine Besylate | 89 | $501 |
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 |
|---|---|---|
| AstraZenecaFarxiga | $822 | $197,595197 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 65th percentile of 85 nephrology providers in Arkansas.
Other nephrology in Hot Springs
- Michael GerschHot Springs$10K
- Donna McGheeHot Springs$4K
- David DesotoHot Springs$3K
- Robert McCraryHot Springs$631
- Quratulain ShabbirHot Springs$619
- John SmithHot Springs$298
- Drew HeipleRussellville$236K
- Luis JuncosLittle Rock$66K
- John HeifnerLittle Rock$45K
- Shaker QaqishNorth Little Rock$16K
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.