Raj Munshi, MD
Pediatric Nephrology · Seattle, WANPI 1669630240
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $589 of the $589 with a category attached, or 100.0%. Every reported general payment came from a single manufacturer, Kaneka Medical America LLC. That places this record below the midpoint for pediatric nephrology clinicians in WA, where the typical reported total is $770.
Across 1 payment — averaging $589.00 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Kaneka Medical America LLC$589
Across 22 payments — averaging $8597.93 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.
- Vantive US Healthcare LLC$114K
- Akebia Therapeutics Inc$73K
- Medtronic$1K
What the payments were for
- Speaking & faculty fees$589100%
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 |
|---|---|---|
| Kaneka Medical America LLC | 1 | $589 |
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.
- LIPOSORBER$589
How this compares
$589 in reported general payments places this provider in the 45th percentile of 21 pediatric nephrology providers in Washington.
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 |
|---|---|---|
| Prednisone | 11 | $56 |
Paid to pharmacies, not to this prescriber.
Other pediatric nephrology in Seattle
- Shaun JacksonSeattle$27K
- Sangeeta HingoraniSeattle$26K
- Jodi SmithSeattle$8K
- Daryl OkamuraSeattle$7K
- Coral HanevoldSeattle$6K
- Ruth McDonaldSeattle$5K
- Susan HalbachSeattle$3K
- Joseph FlynnSeattle$3K
- Elizabeth NguyenSeattle$2K
- Sonal AvasareSeattle$770
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.