Nirish Shah, MD
Gastroenterology · Roanoke, VANPI 1932129566
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $7,042 of the $10,375 with a category attached, or 67.9%. It is spread thinly across 36 manufacturers, the largest accounting for just 21.3%.
Across 274 payments — averaging $37.87 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Genentech USA, Inc.$2K
- Janssen Research & Development, LLC$2K
- AbbVie$1K
- Salix Pharmaceuticals, A Division Of Bausch Health US, LLC$867
- Johnson & Johnson$551
- Janssen Scientific Affairs, LLC$523
- plus $3K from 30 others
Across 172 payments — averaging $9637.98 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.
- Capsovision, Inc.$757K
- Genentech, Inc.$507K
- Intercept Pharmaceuticals, Inc.$239K
- Janssen Research & Development, LLC$100K
- F. Hoffmann-la Roche AG$23K
- Roche Products Limited$20K
- plus $12K from 2 others
What the payments were for
- Travel & lodging$3,15230%
- Food & beverage$7,04268%
- Education$1812%
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.
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
$10,375 in reported general payments places this provider in the 80th percentile of 473 gastroenterology providers in Virginia.
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 |
|---|---|---|
| LinzessLinaclotide | 33 | $32,801 |
| CreonLipase/Protease/Amylase | 13 | $20,735 |
| Mesalamine | 26 | $13,081 |
| RectivNitroglycerin | 13 | $8,011 |
| Sod Sulf-Potass Sulf-Mag SulfSodium, Potassium,mag Sulfates | 97 | $6,817 |
| Balsalazide Disodium | 11 | $2,916 |
| Mesalamine ErMesalamine | 13 | $1,761 |
| Pantoprazole Sodium | 176 | $1,712 |
| Omeprazole | 173 | $1,337 |
| Azathioprine | 17 | $1,238 |
| CholestyramineCholestyramine (With Sugar) | 14 | $1,156 |
| Famotidine | 87 | $1,007 |
| Sucralfate | 12 | $763 |
| Lansoprazole | 23 | $688 |
| Peg 3350-ElectrolyteSodium Chloride/Nahco3/Kcl/Peg | 22 | $490 |
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 |
|---|---|---|
| AbbVieLinzess, Creon | $1,480 | $53,53646 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 80th percentile of 473 gastroenterology providers in Virginia.
Other gastroenterology in Roanoke
- Marrieth RubioRoanoke$83K
- Paul YeatonRoanoke$16K
- Bara El KurdiRoanoke$15K
- Larry ClarkLynchburg$1.2M
- Arun SanyalRichmond$855K
- Mitchell ShiffmanNewport News$635K
- Bryan SauerCharlottesville$540K
- Michael RyanNorfolk$335K
- Brian WentworthCharlottesville$276K
- Vanessa ShamiCharlottesville$210K
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.