Nitendra Agarwal
Hospitalist · San Antonio, TXNPI 1497998348
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 3 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. Novo Nordisk accounts for 71.1% of it on its own, with 1 other manufacturer making up the rest. That places this record below the midpoint for hospitalist clinicians in TX, where the typical reported total is $125.
Across 3 payments — averaging $47.23 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novo Nordisk$101
- Astellas Pharma US Inc$41
Across 192 payments — averaging $18,477 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.
- Eli Lilly$2M
- Vertex$1.1M
- Novartis$148K
- Janssen Research & Development, LLC$134K
- Biontech SE$94K
- Alnylam Pharmaceuticals Inc.$76K
- plus $74K from 4 others
What the payments were for
- Food & beverage$142100%
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.
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 |
|---|---|---|
| Novo Nordisk | 1 | $101 |
| Astellas Pharma US Inc | 2 | $41 |
How this compares
$142 in reported general payments places this provider in the 50th percentile of 1,284 hospitalist providers in Texas.
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.
Other hospitalist in San Antonio
- Mubeen CheemaSan Antonio$50K
- Tarek HammadSan Antonio$42K
- Hendre FichardtSan Antonio$36K
- Sadie Trammell VelasquezSan Antonio$36K
- Justin Lee HalootSan Antonio$23K
- Salim RezaieSan Antonio$21K
- Amir Ashkan Ahmadian TehraniSan Antonio$18K
- Peter StawinskiSan Antonio$6K
- Terry LundSan Antonio$5K
- Chirag BuchSan Antonio$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.