Ragha Divya Gandra, MD
Internal Medicine · Midland, TXNPI 1861789687
Payments from drug & device makers
Across 317 payments — averaging $17.68 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Sanofi-aventis U.S. LLC$832
- AstraZeneca$732
- Lilly USA, LLC$519
- Boehringer Ingelheim$463
- GSK$413
- Amgen$240
- plus $2K from 28 others
What the payments were for
- Food & beverage$5,50498%
- Education$1002%
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 |
|---|---|---|
| Sanofi-aventis U.S. LLC | 45 | $832 |
| AstraZeneca | 45 | $732 |
| Lilly USA, LLC | 32 | $519 |
| Boehringer Ingelheim | 23 | $463 |
| GSK | 26 | $413 |
| Amgen(2 entities) | 14 | $240 |
| Novo Nordisk | 14 | $217 |
| Pfizer | 13 | $203 |
| Xeris Pharmaceuticals, Inc. | 10 | $198 |
| Abbott | 9 | $194 |
| AbbVie(2 entities) | 9 | $167 |
| Insulet Corporation | 7 | $151 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 8 | $145 |
| Mylan Specialty L.p. | 7 | $114 |
| Johnson & Johnson(2 entities) | 6 | $114 |
| Novartis | 6 | $112 |
| Merck | 6 | $91 |
| Astellas Pharma US Inc | 3 | $88 |
| Bayer | 4 | $75 |
| Eisai Inc. | 4 | $69 |
| Sunovion Pharmaceuticals Inc. | 3 | $67 |
| Medtronic | 2 | $48 |
| Amarin Pharma, Inc. | 3 | $46 |
| Genentech USA, Inc. | 2 | $44 |
| Kowa Pharmaceuticals America, Inc. | 3 | $42 |
| Exact Sciences | 2 | $38 |
| Takeda Pharmaceuticals U.S.A., Inc. | 2 | $35 |
| Radius Health, Inc. | 2 | $34 |
| Shire North American Group Inc | 2 | $30 |
| Sequel Med Tech, LLC | 1 | $22 |
| Dexcom, Inc. | 1 | $21 |
| Melinta Therapeutics, LLC | 1 | $18 |
| Arbor Pharmaceuticals, Inc. | 1 | $12 |
| Sanofi Pasteur Inc. | 1 | $11 |
How this compares
$5,604 in reported general payments places this provider in the 85th percentile of 7,675 internal medicine 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.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| MounjaroTirzepatide | 103 | $135,936 |
| OzempicSemaglutide | 83 | $105,557 |
| FarxigaDapagliflozin Propanediol | 76 | $92,720 |
| EliquisApixaban | 70 | $80,155 |
| JanuviaSitagliptin Phosphate | 56 | $61,506 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 49 | $60,442 |
| Tresiba Flextouch U-200Insulin Degludec | 69 | $57,150 |
| Toujeo Max SolostarInsulin Glargine,hum.Rec.Anlog | 44 | $46,155 |
| JardianceEmpagliflozin | 33 | $45,710 |
| MyrbetriqMirabegron | 34 | $37,570 |
| XifaxanRifaximin | 12 | $37,299 |
| Repatha SureclickEvolocumab | 36 | $37,171 |
| LinzessLinaclotide | 31 | $37,163 |
| Humalog Kwikpen U-200Insulin Lispro | 27 | $30,445 |
| ProliaDenosumab | 14 | $24,061 |
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 | $519 | $135,936103 claims |
| AstraZenecaFarxiga, Breztri Aerosphere, Symbicort | $732 | $120,073109 claims |
| Novo NordiskOzempic | $217 | $105,55783 claims |
| PfizerEliquis, Premarin | $203 | $85,14682 claims |
| Boehringer IngelheimJardiance, Tradjenta, Glyxambi | $463 | $80,09469 claims |
| MerckJanuvia | $91 | $61,50656 claims |
| GSKTrelegy Ellipta | $413 | $60,44249 claims |
| Astellas Pharma US IncMyrbetriq | $88 | $37,57034 claims |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLCXifaxan | $145 | $37,29912 claims |
| AbbVieLinzess | $167 | $37,16331 claims |
| AmgenProlia | $240 | $24,06114 claims |
| Johnson & JohnsonXarelto | $114 | $22,02913 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 7,675 internal medicine providers in Texas.
Other internal medicine in Midland
- Jan BurgerHouston$47.3M
- Nitin JainHouston$33.2M
- Muhammad IrfanTomball$30.6M
- Aung NaingHouston$30.6M
- Robert BassSan Antonio$25.6M
- Preetesh JainHouston$19.5M
- Paolo StratiHouston$19.2M
- Hernan SalazarSan Antonio$18.5M
- Nicholas ShortHouston$17.6M
- Salma SaigerMesquite$16.1M
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.