Ragini Madan, MD
Family Medicine · Apex, NCNPI 1528115961
Payments from drug & device makers
Across 137 payments — averaging $16.97 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novo Nordisk$886
- AstraZeneca$245
- Lilly USA, LLC$127
- Abbott$121
- Amgen$97
- GSK$92
- plus $757 from 19 others
What the payments were for
- Food & beverage$2,325100%
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 | 54 | $886 |
| AstraZeneca | 15 | $245 |
| Lilly USA, LLC | 8 | $127 |
| Abbott | 4 | $121 |
| Amgen | 6 | $97 |
| GSK | 5 | $92 |
| Boehringer Ingelheim | 5 | $86 |
| Exact Sciences | 4 | $81 |
| Merck | 6 | $80 |
| E.r. Squibb & Sons, L.L.C. | 3 | $61 |
| AbbVie(2 entities) | 3 | $56 |
| Kowa Pharmaceuticals America, Inc. | 4 | $53 |
| Johnson & Johnson | 4 | $50 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 2 | $42 |
| Boston Scientific | 1 | $39 |
| Pfizer | 2 | $37 |
| Novartis | 2 | $33 |
| Amarin Pharma, Inc. | 2 | $29 |
| Organon | 1 | $19 |
| Idorsia Pharmaceuticals US Inc | 1 | $16 |
| Phadia US Inc. | 1 | $16 |
| Insulet Corporation | 1 | $16 |
| Astellas Pharma US Inc | 1 | $15 |
| Genentech USA, Inc. | 1 | $14 |
| Zyla Life Sciences, Inc. | 1 | $12 |
How this compares
$2,325 in reported general payments places this provider in the 80th percentile of 3,444 family medicine providers in North Carolina.
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 |
|---|---|---|
| OzempicSemaglutide | 63 | $93,832 |
| JardianceEmpagliflozin | 66 | $73,536 |
| TrulicityDulaglutide | 28 | $44,206 |
| EliquisApixaban | 31 | $42,710 |
| FarxigaDapagliflozin Propanediol | 33 | $26,957 |
| XareltoRivaroxaban | 20 | $21,595 |
| Bydureon BciseExenatide Microspheres | 19 | $15,179 |
| EntrestoSacubitril/Valsartan | 12 | $13,019 |
| Tresiba Flextouch U-100Insulin Degludec | 13 | $7,852 |
| Breo ElliptaFluticasone/Vilanterol | 12 | $7,126 |
| Rosuvastatin Calcium | 283 | $3,603 |
| Levothyroxine Sodium | 300 | $3,200 |
| Atorvastatin Calcium | 291 | $2,959 |
| Amlodipine Besylate | 357 | $2,854 |
| Losartan Potassium | 282 | $2,715 |
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 |
|---|---|---|
| Novo NordiskOzempic | $886 | $93,83263 claims |
| Boehringer IngelheimJardiance | $86 | $73,53666 claims |
| Lilly USA, LLCTrulicity | $127 | $44,20628 claims |
| PfizerEliquis | $37 | $42,71031 claims |
| AstraZenecaFarxiga | $245 | $26,95733 claims |
| Johnson & JohnsonXarelto | $50 | $21,59520 claims |
| NovartisEntresto | $33 | $13,01912 claims |
| GSKBreo Ellipta | $92 | $7,12612 claims |
| AbbVieSynthroid | $56 | $2,51834 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 80th percentile of 3,444 family medicine providers in North Carolina.
Other family medicine in Apex
- Brian ForrestApex$398K
- Douglas WadesonApex$97K
- Barton WilliamsWilmington$17.3M
- Alexander MurrayGreensboro$13M
- Arin PiramzadianJacksonville$13M
- Jonathan WilsonHickory$12.7M
- George RaadCharlotte$7.7M
- Cecil FarringtonSalisbury$6.4M
- Christian MartinShelby$5.4M
- John EarlHickory$4.7M
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.