Olga Varnacheva, NP
Primary Care · Gaithersburg, MDNPI 1952815771
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 96.9% of the total across 43 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 19 manufacturers, the largest accounting for just 20.5% — the pattern of someone who eats at a lot of different presentations.
Across 43 payments — averaging $20.38 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novo Nordisk$180
- Biotronik Inc.$74
- Johnson & Johnson$69
- Merck$63
- Boehringer Ingelheim$63
- Actelion Pharmaceuticals US, Inc.$57
- plus $371 from 13 others
What the payments were for
- Food & beverage$84997%
- Education$273%
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.
| Company | Payments | Total |
|---|---|---|
| Novo Nordisk | 7 | $180 |
| Biotronik Inc. | 2 | $74 |
| Johnson & Johnson | 3 | $69 |
| Merck | 5 | $63 |
| Boehringer Ingelheim | 3 | $63 |
| Actelion Pharmaceuticals US, Inc. | 3 | $57 |
| AstraZeneca | 3 | $48 |
| Amgen | 2 | $45 |
| AbbVie | 2 | $45 |
| Lilly USA, LLC | 3 | $42 |
| Sanofi-aventis U.S. LLC | 2 | $37 |
| Biohaven Pharmaceutical Holding Company Ltd. | 1 | $25 |
| Abbott | 1 | $25 |
| Alnylam Pharmaceuticals Inc. | 1 | $22 |
| Almatica Pharma LLC | 1 | $18 |
| Amneal Pharmaceuticals LLC | 1 | $17 |
| Amarin Pharma, Inc. | 1 | $16 |
| OPKO Pharmaceuticals, LLC | 1 | $15 |
| GSK | 1 | $14 |
How this compares
$876 in reported general payments places this provider in the 70th percentile of 191 primary care providers in Maryland.
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 |
|---|---|---|
| EliquisApixaban | 164 | $109,433 |
| TrulicityDulaglutide | 44 | $56,107 |
| CreonLipase/Protease/Amylase | 62 | $52,479 |
| OzempicSemaglutide | 42 | $40,035 |
| LinzessLinaclotide | 63 | $37,936 |
| MyrbetriqMirabegron | 55 | $25,662 |
| XareltoRivaroxaban | 35 | $21,208 |
| Lidocaine | 132 | $15,701 |
| FarxigaDapagliflozin Propanediol | 18 | $14,114 |
| CambiaDiclofenac Potassium | 13 | $12,232 |
| NamzaricMemantine Hcl/Donepezil Hcl | 20 | $11,857 |
| JardianceEmpagliflozin | 19 | $10,066 |
| VoqueznaVonoprazan Fumarate | 15 | $9,509 |
| JanuviaSitagliptin Phosphate | 12 | $8,604 |
| TradjentaLinagliptin | 16 | $8,567 |
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 |
|---|---|---|
| AbbVieCreon, Linzess, Namzaric, Synthroid | $45 | $103,630176 claims |
| Lilly USA, LLCTrulicity | $42 | $56,10744 claims |
| Novo NordiskOzempic | $180 | $40,03542 claims |
| Johnson & JohnsonXarelto | $69 | $21,20835 claims |
| Boehringer IngelheimJardiance, Tradjenta | $63 | $18,63235 claims |
| AstraZenecaFarxiga | $48 | $14,11418 claims |
| MerckJanuvia | $63 | $8,60412 claims |
| Amneal Pharmaceuticals LLCLevothyroxine Sodium | $17 | $2,086149 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 70th percentile of 191 primary care providers in Maryland.
Other primary care in Gaithersburg
- Roza LissGaithersburg$5K
- Anita Tuli-KendallGaithersburg$5K
- Megan SchollenbergerGaithersburg$1K
- Ashley SalamoneBaltimore$13K
- Ololade IkuomolaBaltimore$10K
- Patricia GoodmanUppr Marlboro$8K
- Jody LeonardAnnapolis$7K
- Yury MalachevskyBaltimore$7K
- Kyleen DavisChevy Chase$6K
- Laura Ferguson-WeigmanBel Air$5K
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.