Padma Khanchustambham, MD
Internal Medicine · Rancho Mirage, CANPI 1245243146
Payments from drug & device makers
Across 184 payments — averaging $17.42 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novo Nordisk$482
- AbbVie$353
- GSK$303
- AstraZeneca$298
- Merck$271
- Amgen$195
- plus $1K from 22 others
What the payments were for
- Food & beverage$3,193100%
- Education$120%
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 | 36 | $482 |
| AbbVie(2 entities) | 22 | $353 |
| GSK | 18 | $303 |
| AstraZeneca | 12 | $298 |
| Merck | 16 | $271 |
| Amgen | 9 | $195 |
| Pfizer | 17 | $183 |
| Boston Scientific | 1 | $135 |
| Lilly USA, LLC | 8 | $123 |
| Mylan Specialty L.p. | 5 | $111 |
| Novartis | 5 | $108 |
| Amarin Pharma, Inc. | 5 | $103 |
| Sanofi Pasteur Inc. | 6 | $96 |
| Takeda Pharmaceuticals U.S.A., Inc. | 3 | $57 |
| Arbor Pharmaceuticals, Inc. | 3 | $46 |
| Kowa Pharmaceuticals America, Inc. | 2 | $44 |
| Astellas Pharma US Inc | 2 | $37 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 2 | $32 |
| Bayer | 2 | $32 |
| Exact Sciences | 2 | $30 |
| Averitas Pharma Inc. | 1 | $28 |
| Viatris Specialty LLC | 1 | $26 |
| Esperion Therapeutics, Inc. | 1 | $25 |
| Idorsia Pharmaceuticals US Inc | 1 | $21 |
| Johnson & Johnson | 1 | $21 |
| IBSA Pharma Inc. | 1 | $19 |
| Sumitomo Pharma America, Inc. | 1 | $15 |
| Alfasigma USA, 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.
- WATCHMAN Access System$135
- FARXIGA$117
How this compares
$3,205 in reported general payments places this provider in the 85th percentile of 13,581 internal medicine 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 |
|---|---|---|
| MounjaroTirzepatide | 240 | $257,952 |
| OzempicSemaglutide | 193 | $209,634 |
| EliquisApixaban | 78 | $75,741 |
| OtezlaApremilast | 13 | $61,655 |
| TrulicityDulaglutide | 35 | $53,308 |
| MyrbetriqMirabegron | 45 | $42,017 |
| FarxigaDapagliflozin Propanediol | 43 | $41,588 |
| TriumeqAbacavir/Dolutegravir/Lamivudi | 11 | $40,560 |
| TradjentaLinagliptin | 28 | $35,713 |
| JanuviaSitagliptin Phosphate | 25 | $33,380 |
| RybelsusSemaglutide | 13 | $18,527 |
| JardianceEmpagliflozin | 14 | $18,384 |
| XareltoRivaroxaban | 11 | $18,373 |
| GemtesaVibegron | 19 | $16,647 |
| ShingrixVaricella-Zoster Ge/As01b/Pf | 73 | $16,043 |
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 |
|---|---|---|
| Lilly USA, LLCMounjaro, Trulicity | $123 | $311,260275 claims |
| Novo NordiskOzempic, Rybelsus | $482 | $228,161206 claims |
| PfizerEliquis, Premarin | $183 | $82,62391 claims |
| AmgenOtezla | $195 | $61,65513 claims |
| AstraZenecaFarxiga, Breztri Aerosphere | $298 | $49,77154 claims |
| Astellas Pharma US IncMyrbetriq | $37 | $42,01745 claims |
| MerckJanuvia | $271 | $33,38025 claims |
| GSKShingrix, Breo Ellipta | $303 | $23,93685 claims |
| Johnson & JohnsonXarelto | $21 | $18,37311 claims |
| Sumitomo Pharma America, Inc.Gemtesa | $15 | $16,64719 claims |
| AbbVieSynthroid | $353 | $12,357146 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 13,581 internal medicine providers in California.
Other internal medicine in Rancho Mirage
- Andrew ChengSouth San Francisco$55.1M
- Joel NeutelTustin$34.9M
- Donald BrandonSan Diego$34M
- William TownerLos Angeles$27.4M
- Rahul AggarwalSan Francisco$24M
- Masoud AzizadNorthridge$21.1M
- Helen StaceyWalnut Creek$20.4M
- Rohit Loombala Jolla$15.1M
- Zeid KayaliColton$14.2M
- Alexandra DrakakiSanta Monica$14.2M
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.