Nigel Girgrah, MD
Hepatology · New Orleans, LANPI 1568667038
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $62,055 of the $97,355 with a category attached, or 63.7%. Gilead accounts for 74.9% of it on its own, with 7 other manufacturers making up the rest. Reporting peaked in 2024 at $29,543 and has fallen 61.1% since, to $11,486 in 2025.
Across 100 payments — averaging $973.55 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Gilead$73K
- Novo Nordisk$23K
- Inari Medical, Inc.$607
- Ambu Inc.$363
- Truvic Medical, Inc.$142
- Madrigal Pharmaceuticals$126
- plus $192 from 2 others
What the payments were for
- Consulting fees$21,29122%
- Speaking & faculty fees$62,05564%
- Travel & lodging$9,39110%
- Food & beverage$4,5995%
- Education$200%
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 |
|---|---|---|
| Gilead | 78 | $72,938 |
| Novo Nordisk | 10 | $22,986 |
| Inari Medical, Inc. | 6 | $607 |
| Ambu Inc. | 2 | $363 |
| Truvic Medical, Inc. | 1 | $142 |
| Madrigal Pharmaceuticals | 1 | $126 |
| Novartis | 1 | $120 |
| Intercept Pharmaceuticals, Inc. | 1 | $72 |
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.
- Epclusa$70,235
- FLOWTRIEVER CATHETER, S$475
- CT THROMBECTOMY SYSTEM KIT$172
- REZDIFFRA$126
- LEQVIO$120
How this compares
Too few hepatology providers in Louisianato 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 |
|---|---|---|
| XifaxanRifaximin | 47 | $178,235 |
| VemlidyTenofovir Alafenamide | 102 | $141,967 |
| RezdiffraResmetirom | 13 | $51,694 |
| Tacrolimus | 360 | $31,821 |
| Sirolimus | 37 | $18,624 |
| Ursodiol | 104 | $11,022 |
| Lamivudine | 73 | $8,203 |
| Tenofovir Disoproxil Fumarate | 58 | $8,019 |
| Mycophenolate Mofetil | 115 | $7,578 |
| Entecavir | 50 | $3,313 |
| GengrafCyclosporine, Modified | 13 | $2,927 |
| Cyclosporine ModifiedCyclosporine, Modified | 32 | $2,793 |
| Azathioprine | 62 | $1,176 |
| Spironolactone | 77 | $1,130 |
| Mycophenolic AcidMycophenolate Sodium | 17 | $1,075 |
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 |
|---|---|---|
| GileadVemlidy | $72,938 | $141,967102 claims |
| Madrigal PharmaceuticalsRezdiffra | $126 | $51,69413 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 hepatology providers in Louisianaon file to place this against a meaningful peer group, so we don't.
Other hepatology in New Orleans
- George TherapondosNew Orleans$365K
- Shobha JoshiNew Orleans$169K
- Peng-Sheng TingNew Orleans$6K
- Molly DelkNew Orleans$4K
- Mariana ZapataNew Orleans$375
- Thomas ParambilNew Orleans$16
- John GosserandAlexandria$15K
- Manohar MaramrajAlexandria$224
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.