Raghavesh Pullalarevu, MD
Nephrology · Royal Oak, MINPI 1689985079
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (49.2%), speaking fees and consulting fees — rather than concentrated in one kind of arrangement. 20 manufacturers reported payments, led by AstraZeneca at 28.0% of the total. 2025 is the largest year on record at $393, 3.5 times the $113 reported in 2019.
Across 43 payments — averaging $34.24 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$412
- Vifor Pharma, Inc.$200
- Mallinckrodt Hospital Products Inc.$177
- Mallinckrodt Enterprises LLC$100
- Veloxis Pharmaceuticals, Inc.$98
- Cormedix Inc.$70
- plus $417 from 14 others
Across 2 payments — averaging $5625.00 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.
- Travere Therapeutics, Inc.$11K
What the payments were for
- Consulting fees$17512%
- Speaking & faculty fees$40027%
- Food & beverage$72549%
- Education$17312%
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
$1,472 in reported general payments places this provider in the 65th percentile of 325 nephrology providers in Michigan.
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 |
|---|---|---|
| FarxigaDapagliflozin Propanediol | 38 | $30,012 |
| LokelmaSodium Zirconium Cyclosilicate | 21 | $15,619 |
| Cinacalcet Hcl | 22 | $10,398 |
| Valganciclovir Hcl | 65 | $7,720 |
| XareltoRivaroxaban | 13 | $7,068 |
| Calcitriol | 145 | $3,268 |
| Calcium Acetate | 27 | $2,099 |
| Nifedipine ErNifedipine | 61 | $1,407 |
| Potassium Chloride | 42 | $1,115 |
| Tamsulosin Hcl | 81 | $1,098 |
| Pantoprazole Sodium | 62 | $1,027 |
| Prednisone | 165 | $1,026 |
| Losartan Potassium | 109 | $999 |
| Metoprolol Succinate | 75 | $924 |
| Labetalol Hcl | 14 | $908 |
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 |
|---|---|---|
| AstraZenecaFarxiga, Lokelma | $412 | $45,63159 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 65th percentile of 325 nephrology providers in Michigan.
Other nephrology in Royal Oak
- Vamshi GarlapatyRoyal Oak$7K
- Jamal AbukhaledRoyal Oak$6K
- Steven RankinRoyal Oak$5K
- Alexander YevzlinAnn Arbor$1.1M
- Muwaffaq SalamehBay City$164K
- Laura MarianiAnn Arbor$150K
- Crystal Gardner-MartinLivonia$140K
- Katherine KwonSaint Joseph$111K
- Anatole BesarabDetroit$102K
- Richard CrossSaint Clair Shores$96K
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.