Rajneesh Agrawal, MD
Diagnostic Radiology · Las Vegas, NVNPI 1659319614
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (50.2%), speaking fees and food and beverage — rather than concentrated in one kind of arrangement. 19 manufacturers reported payments, led by Stryker at 53.9% of the total. Reporting peaked in 2021 at $47,470 and has fallen 89.0% since, to $5,243 in 2025. Among diagnostic radiology clinicians in NV with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 454 payments — averaging $319.48 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$78K
- Penumbra, Inc.$52K
- Microvention, Inc.$6K
- Medtronic$4K
- Boston Scientific$3K
- Shockwave Medical, Inc$541
- plus $2K from 13 others
What the payments were for
- Consulting fees$72,88050%
- Speaking & faculty fees$30,60021%
- Travel & lodging$12,9249%
- Food & beverage$28,64120%
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 |
|---|---|---|
| Stryker | 107 | $78,218 |
| Penumbra, Inc. | 197 | $51,596 |
| Microvention, Inc. | 32 | $5,708 |
| Medtronic(3 entities) | 70 | $3,558 |
| Boston Scientific | 20 | $3,396 |
| Shockwave Medical, Inc | 5 | $541 |
| Scientia Vascular | 1 | $344 |
| Sirtex Medical Inc | 2 | $290 |
| Imperative Care, Inc | 4 | $284 |
| Johnson & Johnson(2 entities) | 4 | $281 |
| Viz.ai, Inc. | 3 | $261 |
| Inari Medical, Inc. | 1 | $186 |
| Relievant Medsystems, Inc. | 1 | $113 |
| Bard Peripheral Vascular, Inc. | 1 | $110 |
| Angiodynamics, Inc. | 1 | $61 |
| Cardiovascular Systems Inc. | 2 | $35 |
| BTG International Inc. | 1 | $24 |
| Route 92 Medical, Inc. | 1 | $21 |
| Siemens Medical Solutions USA, Inc. | 1 | $19 |
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.
- Penumbra System$35,068
- SPINEJACK$32,695
- SURPASS EVOLVE$23,084
- IVS - VERTEBRAL AUGMENTATION PRODUCTS$18,928
- OPTABLATE$5,525
- Indigo System$4,775
- AVAFLEX$4,225
- AUTOPLEX$4,225
- IVAS$4,225
- VERTEPORT$4,225
- Penumbra Coil 400$3,022
- MULTIGEN 2$1,800
- WEB Aneurysm Embolization System$1,463
- Smart$1,377
- Indigo$1,227
- HawkOne$1,120
- RED 72$1,008
- RUBY Coil$814
- Penumbra SMART Coil$791
- STENT$678
How this compares
$145,045 in reported general payments places this provider in the 95th percentile of 246 diagnostic radiology providers in Nevada.
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 |
|---|---|---|
| ClopidogrelClopidogrel Bisulfate | 55 | $455 |
Paid to pharmacies, not to this prescriber.
Other diagnostic radiology in Las Vegas
- Mark WinklerLas Vegas$306K
- John OhLas Vegas$37K
- Oleksandra KutsenkoLas Vegas$26K
- Richard PenfilLas Vegas$26K
- Julian HardmanLas Vegas$24K
- Masters RichardsLas Vegas$23K
- Rajiv ShahLas Vegas$18K
- Ravishankar KonchadaLas Vegas$11K
- Trey PhamLas Vegas$11K
- Saravanan ValliappanLas Vegas$10K
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.