Nikhil Agarwal, MD
Gastroenterology · San Francisco, CANPI 1487831145
Payments from drug & device makers
Across 93 payments — averaging $451.53 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Takeda Pharmaceuticals U.S.A., Inc.$16K
- AbbVie$13K
- Salix Pharmaceuticals, A Division Of Bausch Health US, LLC$5K
- Sanofi$3K
- Ironwood Pharmaceuticals, Inc$3K
- Mahana Therapeutics, Inc.$700
- plus $976 from 15 others
What the payments were for
- Consulting fees$5,13012%
- Speaking & faculty fees$33,55080%
- Travel & lodging$1,4273%
- Food & beverage$1,8704%
- Education$160%
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 |
|---|---|---|
| Takeda Pharmaceuticals U.S.A., Inc. | 12 | $16,421 |
| AbbVie(2 entities) | 39 | $13,167 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 7 | $4,654 |
| Sanofi | 1 | $3,330 |
| Ironwood Pharmaceuticals, Inc | 5 | $2,745 |
| Mahana Therapeutics, Inc. | 1 | $700 |
| TELA Bio, Inc. | 4 | $363 |
| Lilly USA, LLC | 4 | $125 |
| Madrigal Pharmaceuticals | 3 | $96 |
| Johnson & Johnson | 3 | $74 |
| Ardelyx, Inc. | 2 | $56 |
| Veloxis Pharmaceuticals, Inc. | 1 | $50 |
| Phathom Pharmaceuticals, Inc. | 3 | $46 |
| Covidien LP | 1 | $35 |
| Ferring Pharmaceuticals Inc. | 1 | $24 |
| Celltrion USA Inc. | 1 | $21 |
| Novo Nordisk | 1 | $20 |
| Intercept Pharmaceuticals, Inc. | 1 | $19 |
| Braintree Laboratories, Inc. | 1 | $17 |
| Nestle Healthcare Nutrition Inc. | 1 | $16 |
| Bristol Myers Squibb | 1 | $14 |
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
$41,993 in reported general payments places this provider in the 85th percentile of 1,885 gastroenterology providers in California.
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 |
|---|---|---|
| MotegrityPrucalopride Succinate | 63 | $55,712 |
| LinzessLinaclotide | 65 | $54,295 |
| Sod Sulf-Potass Sulf-Mag SulfSodium, Potassium,mag Sulfates | 146 | $9,288 |
| Lubiprostone | 29 | $5,805 |
| Omeprazole | 63 | $986 |
| Pantoprazole Sodium | 65 | $902 |
| Nortriptyline Hcl | 30 | $596 |
| Peg 3350-ElectrolyteSodium Chloride/Nahco3/Kcl/Peg | 28 | $590 |
| Sucralfate | 16 | $555 |
| Famotidine | 36 | $333 |
| Duloxetine Hcl | 12 | $260 |
| Ondansetron OdtOndansetron | 14 | $169 |
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 |
|---|---|---|
| Takeda Pharmaceuticals U.S.A., Inc.Motegrity | $16,421 | $55,71263 claims |
| AbbVieLinzess | $13,167 | $54,29565 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 85th percentile of 1,885 gastroenterology providers in California.
Other gastroenterology in San Francisco
- Vivek RudrapatnaSan Francisco$2M
- Bruce WangSan Francisco$1.1M
- Mandana KhaliliSan Francisco$906K
- Kendall BeckSan Francisco$743K
- Uma MahadevanSan Francisco$690K
- Peter WinkleCypress$116.7M
- Manuchehr DaraniSanta Ana$17.7M
- Jatinder PruthiLancaster$4.4M
- Long DangWestminster$4.3M
- Muhammad SheikhFresno$4.3M
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.