Rakesh Shah, MD
Cardiovascular Disease · Webster, TXNPI 1447292206
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $137,089 of the $206,230 with a category attached, or 66.5%. 60 manufacturers reported payments, led by Esperion Therapeutics, Inc. at 25.6% of the total. Reporting peaked in 2019 at $78,071 and has fallen 81.3% since, to $14,620 in 2025. Among cardiovascular disease clinicians in TX 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 995 payments — averaging $207.27 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Esperion Therapeutics, Inc.$53K
- Boehringer Ingelheim$25K
- Johnson & Johnson$24K
- Abbott$21K
- Sanofi-aventis U.S. LLC$20K
- AstraZeneca$18K
- plus $45K from 54 others
Across 60 payments — averaging $5019.40 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.
- Novartis$239K
- Astrazeneca UK Limited$55K
- ZOLL Services LLC (a/k/a ZOLL Lifecor Corp)$6K
- Novo Nordisk AS$1K
What the payments were for
- Consulting fees$19,2189%
- Speaking & faculty fees$137,08966%
- Travel & lodging$15,8228%
- Food & beverage$33,95216%
- Education$1500%
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.
- NEXLIZET$51,922
- NEXLETOL$51,922
- JARDIANCE$37,320
- XARELTO$22,985
- FARXIGA$17,066
- PRALUENT$12,039
- MULTAQ$7,759
- DRAGONFLY OPSTAR$6,646
- ENTRESTO$6,600
- Perclose ProStyle$3,631
- CoreValve Evolut$3,086
- COREVALVE EVOLUT R$2,541
- Sublime 014 Rx PTA Balloon Dilatation Catheter$1,881
- Mitra Clip system$1,752
- AMPLATZER AMULET$1,170
- SUPERA$1,154
- Sublime Radial Access 018 RX PTA Dilatation Catheter$941
- Sublime Microcatheter, 014, 65cm, Straight$941
- Sublime Microcatheter, 014, 65cm, Angle$941
- OPTIMIZER$602
How this compares
$206,230 in reported general payments places this provider in the 95th percentile of 1,515 cardiovascular disease providers in Texas.
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 |
|---|---|---|
| EliquisApixaban | 690 | $789,835 |
| XareltoRivaroxaban | 345 | $449,401 |
| EntrestoSacubitril/Valsartan | 206 | $302,605 |
| BrilintaTicagrelor | 131 | $107,847 |
| JardianceEmpagliflozin | 84 | $103,067 |
| FarxigaDapagliflozin Propanediol | 50 | $64,565 |
| OzempicSemaglutide | 46 | $64,548 |
| Repatha SureclickEvolocumab | 84 | $57,750 |
| Praluent PenAlirocumab | 49 | $38,437 |
| Repatha SyringeEvolocumab | 32 | $30,055 |
| NexlizetBempedoic Acid/Ezetimibe | 36 | $29,628 |
| Metoprolol Succinate | 1,227 | $18,691 |
| Rosuvastatin Calcium | 1,123 | $17,049 |
| ClopidogrelClopidogrel Bisulfate | 1,189 | $15,413 |
| Amiodarone Hcl | 222 | $13,863 |
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 |
|---|---|---|
| PfizerEliquis | $118 | $789,835690 claims |
| Johnson & JohnsonXarelto | $24,257 | $449,401345 claims |
| NovartisEntresto | $7,943 | $302,605206 claims |
| AstraZenecaBrilinta, Farxiga | $17,643 | $172,412181 claims |
| Boehringer IngelheimJardiance | $25,041 | $103,06784 claims |
| Novo NordiskOzempic | $231 | $64,54846 claims |
| Esperion Therapeutics, Inc.Nexlizet | $52,881 | $29,62836 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 95th percentile of 1,515 cardiovascular disease providers in Texas.
Other cardiovascular disease in Webster
- Abdelkader AlmanfiWebster$244K
- Ramin Farzaneh-FarDallas$17.1M
- John OsborneGrapevine$1.3M
- Darren McGuireDallas$1.2M
- Peter McCulloughDallas$664K
- Ann NavarDallas$616K
- Biykem BozkurtHouston$606K
- Milton PackerDallas$530K
- Amarinder BindraDallas$512K
- Robert SalazarKingwood$478K
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.