Nayana Shrestha, APRN
Family · Monroe, LANPI 1003297045
Payments from drug & device makers
Across 208 payments — averaging $22.43 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Abiomed$1K
- Novartis$451
- Boehringer Ingelheim$330
- Amgen$305
- Inari Medical, Inc.$271
- Medtronic$241
- plus $2K from 26 others
What the payments were for
- Food & beverage$4,651100%
- Education$140%
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 |
|---|---|---|
| Abiomed | 30 | $1,043 |
| Novartis | 34 | $451 |
| Boehringer Ingelheim | 14 | $330 |
| Amgen | 13 | $305 |
| Inari Medical, Inc. | 5 | $271 |
| Medtronic | 4 | $241 |
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 21 | $183 |
| Sanofi-aventis U.S. LLC | 7 | $177 |
| Johnson & Johnson | 9 | $175 |
| Lexicon Pharmaceuticals, Inc. | 6 | $155 |
| Bayer | 8 | $147 |
| Abbott | 1 | $140 |
| Merck | 7 | $137 |
| Stryker | 5 | $129 |
| Actelion Pharmaceuticals US, Inc. | 10 | $110 |
| Irhythm Technologies, Inc. | 4 | $78 |
| Shockwave Medical, Inc | 2 | $53 |
| Boston Scientific | 3 | $52 |
| Atricure, Inc. | 1 | $49 |
| Esperion Therapeutics, Inc. | 3 | $48 |
| Scpharmaceuticals Inc. | 3 | $47 |
| Regeneron Healthcare Solutions, Inc. | 2 | $44 |
| AstraZeneca | 3 | $42 |
| Pfizer | 2 | $37 |
| Kowa Pharmaceuticals America, Inc. | 2 | $36 |
| Novo Nordisk | 2 | $33 |
| E.r. Squibb & Sons, L.L.C. | 2 | $31 |
| Edwards Lifesciences | 1 | $29 |
| Kiniksa Pharmaceuticals, Ltd. | 1 | $25 |
| Cvrx, Inc. | 1 | $22 |
| Kiniksa Pharmaceuticals International, PLC | 1 | $21 |
| Itamar Medical Inc | 1 | $20 |
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.
- IN.PACT Admiral$147
- AVEIR$140
- Impella$133
- FLOWTRIEVER CATHETER, S$125
- CT THROMBECTOMY SYSTEM KIT$125
- Repatha$124
- JARDIANCE$124
How this compares
$4,665 in reported general payments places this provider in the 90th percentile of 3,610 family providers in Louisiana.
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 |
|---|---|---|
| EliquisApixaban | 321 | $277,471 |
| EntrestoSacubitril/Valsartan | 262 | $236,758 |
| Repatha SureclickEvolocumab | 279 | $191,073 |
| XareltoRivaroxaban | 87 | $77,506 |
| JardianceEmpagliflozin | 71 | $62,116 |
| Praluent PenAlirocumab | 40 | $24,544 |
| FarxigaDapagliflozin Propanediol | 18 | $12,782 |
| Metoprolol Succinate | 331 | $3,973 |
| Rosuvastatin Calcium | 185 | $3,090 |
| Bumetanide | 64 | $2,612 |
| Flecainide Acetate | 61 | $2,108 |
| Atorvastatin Calcium | 173 | $1,996 |
| Ranolazine ErRanolazine | 20 | $1,927 |
| Losartan Potassium | 128 | $1,524 |
| ClopidogrelClopidogrel Bisulfate | 141 | $1,453 |
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 |
|---|---|---|
| PfizerEliquis | $37 | $277,471321 claims |
| NovartisEntresto | $451 | $236,758262 claims |
| Johnson & JohnsonXarelto | $175 | $77,50687 claims |
| Boehringer IngelheimJardiance | $330 | $62,11671 claims |
| AstraZenecaFarxiga | $42 | $12,78218 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 90th percentile of 3,610 family providers in Louisiana.
Other family in Monroe
- Rebecca HoodMonroe$15K
- Gabrielle NicolleMonroe$14K
- Rebecca EzellSlidell$268K
- Erin PierceNew Orleans$261K
- Tavell KindallNew Orleans$194K
- Ashlea HillRuston$169K
- Brittany MillerVille Platte$158K
- Ryanne ClarkeGretna$123K
- Elidia DewittBaton Rouge$108K
- Rebekah GarrardLafayette$105K
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.