Rajani Vanam, MD
Internal Medicine · Selma, CANPI 1205045390
Payments from drug & device makers
Across 223 payments — averaging $20.78 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$912
- Lilly USA, LLC$579
- Amarin Pharma, Inc.$380
- Novo Nordisk$364
- GSK$312
- Boehringer Ingelheim$305
- plus $2K from 25 others
What the payments were for
- Food & beverage$4,633100%
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 |
|---|---|---|
| AstraZeneca | 47 | $912 |
| Lilly USA, LLC | 32 | $579 |
| Amarin Pharma, Inc. | 17 | $380 |
| Novo Nordisk | 18 | $364 |
| GSK | 17 | $312 |
| Boehringer Ingelheim | 16 | $305 |
| Amgen | 8 | $271 |
| Pfizer | 9 | $178 |
| AbbVie | 6 | $138 |
| Bayer | 5 | $130 |
| Abbott | 5 | $119 |
| Exact Sciences | 4 | $118 |
| Esperion Therapeutics, Inc. | 5 | $104 |
| Ironwood Pharmaceuticals, Inc | 4 | $86 |
| Radius Health, Inc. | 4 | $86 |
| Biohaven Pharmaceuticals, Inc. | 4 | $82 |
| Novartis | 4 | $78 |
| Abiomed | 2 | $53 |
| Baxter Healthcare | 2 | $48 |
| Aimmune Therapeutics, Inc. | 2 | $40 |
| Johnson & Johnson | 1 | $37 |
| Phathom Pharmaceuticals, Inc. | 2 | $35 |
| Viiv Healthcare Company | 1 | $29 |
| Biohaven Pharmaceutical Holding Company Ltd. | 1 | $25 |
| Nestle Healthcare Nutrition Inc. | 1 | $22 |
| Kowa Pharmaceuticals America, Inc. | 1 | $19 |
| Merck | 1 | $19 |
| Sumitomo Pharma America, Inc. | 1 | $19 |
| E.r. Squibb & Sons, L.L.C. | 1 | $17 |
| Dexcom, Inc. | 1 | $16 |
| Arbor Pharmaceuticals, 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.
- Vascepa$132
How this compares
$4,633 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 |
|---|---|---|
| OzempicSemaglutide | 77 | $103,599 |
| EliquisApixaban | 56 | $70,559 |
| MounjaroTirzepatide | 28 | $70,316 |
| JardianceEmpagliflozin | 49 | $68,336 |
| TrulicityDulaglutide | 32 | $56,226 |
| OtezlaApremilast | 12 | $54,994 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 68 | $46,481 |
| FarxigaDapagliflozin Propanediol | 33 | $38,244 |
| JanuviaSitagliptin Phosphate | 26 | $31,200 |
| XareltoRivaroxaban | 18 | $26,248 |
| VascepaIcosapent Ethyl | 22 | $20,889 |
| Repatha SureclickEvolocumab | 11 | $16,953 |
| MyrbetriqMirabegron | 11 | $14,279 |
| Breo ElliptaFluticasone/Vilanterol | 23 | $13,919 |
| Bydureon BciseExenatide Microspheres | 14 | $13,826 |
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 | $579 | $126,54260 claims |
| Novo NordiskOzempic | $364 | $103,59977 claims |
| Boehringer IngelheimJardiance, Tradjenta | $305 | $79,29764 claims |
| PfizerEliquis | $178 | $70,55956 claims |
| GSKTrelegy Ellipta, Breo Ellipta | $312 | $60,40091 claims |
| AmgenOtezla | $271 | $54,99412 claims |
| AstraZenecaFarxiga | $912 | $38,24433 claims |
| MerckJanuvia | $19 | $31,20026 claims |
| Johnson & JohnsonXarelto | $37 | $26,24818 claims |
| AbbVieSynthroid | $138 | $5,36650 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 Selma
- 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.