Nikhil Meena, MD
Pulmonary Disease · Little Rock, ARNPI 1023232287
Payments from drug & device makers
What this record shows
The money is spread across several categories — education (51.8%), travel and lodging and food and beverage — rather than concentrated in one kind of arrangement. Intuitive Surgical accounts for 86.7% of it on its own, with 14 other manufacturers making up the rest. Reporting peaked in 2022 at $31,752 and has fallen 96.8% since, to $1,009 in 2025. Among pulmonary disease clinicians in AR with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 190 payments — averaging $330.78 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$55K
- Pinnacle Biologics, Inc$4K
- Pulmonx Corporation$849
- Olympus Corporation Of The Americas$740
- Johnson & Johnson$676
- Boston Scientific$614
- plus $1K from 9 others
Across 27 payments — averaging $18,944 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- GSK$351K
- Genentech, Inc.$161K
What the payments were for
- Speaking & faculty fees$2,3004%
- Travel & lodging$21,95135%
- Food & beverage$6,03510%
- Education$32,54852%
- Gifts$140%
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 |
|---|---|---|
| Intuitive Surgical | 124 | $54,508 |
| Pinnacle Biologics, Inc | 18 | $3,988 |
| Pulmonx Corporation | 7 | $849 |
| Olympus Corporation Of The Americas | 8 | $740 |
| Johnson & Johnson | 5 | $676 |
| Boston Scientific | 4 | $614 |
| Noah Medical Corporation | 4 | $452 |
| Veran Medical Technologies, Inc. | 9 | $253 |
| Olympus America Inc. | 5 | $219 |
| ERBE USA Inc | 1 | $160 |
| Galvanize Therapeutics, Inc | 1 | $137 |
| AstraZeneca | 1 | $106 |
| Steris Corporation | 1 | $89 |
| Medtronic | 1 | $43 |
| Ambu Inc. | 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.
- Da Vinci Surgical System$52,805
- Photofrin$3,491
- ZEPHYR ENDOBRONCHIAL VALVE$750
- Olympus Bronchoscopes$639
- Olympus Capital Accessories$639
- Olympus Respiratory Accessories$639
- MONARCH$516
- GENERAL PULMONARY$512
- GALAXY$368
- DA VINCI SP$300
- VIO Cryo APC$160
- CHARTIS CATHETER$151
- ZEPHYR DELIVERY CATHETER$151
- PULMONX CHARTIS TABLET CONSOLE$151
- ALIYA SYSTEM$137
- TAGRISSO$106
How this compares
$62,848 in reported general payments places this provider in the 95th percentile of 102 pulmonary disease 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 |
|---|---|---|
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 27 | $250 |
| Prednisone | 47 | $76 |
Paid to pharmacies, not to this prescriber.
Other pulmonary disease in Little Rock
- Hanan Khadam-MakhoulLittle Rock$15K
- Raghu ReddyLittle Rock$13K
- Eyad AbochaleLittle Rock$11K
- Krishna Siva Sai KakkeraLittle Rock$11K
- Samer HomsiLittle Rock$9K
- Nathan HillLittle Rock$9K
- Jose CaceresLittle Rock$6K
- Moeezullah BegLittle Rock$5K
- Rosa ArancibiaLittle Rock$4K
- Nancy RectorLittle Rock$4K
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.