Ramandeep Aulakh, PA
Medical · Fresno, CANPI 1326277153
Payments from drug & device makers
Across 239 payments — averaging $16.10 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Amgen$791
- AstraZeneca$654
- AbbVie$368
- GSK$365
- Pfizer$282
- Novo Nordisk$188
- plus $1K from 23 others
What the payments were for
- Food & beverage$3,82899%
- Education$201%
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 |
|---|---|---|
| Amgen | 73 | $791 |
| AstraZeneca | 29 | $654 |
| AbbVie | 20 | $368 |
| GSK | 26 | $365 |
| Pfizer | 18 | $282 |
| Novo Nordisk | 11 | $188 |
| Ironwood Pharmaceuticals, Inc | 10 | $154 |
| Novartis | 5 | $101 |
| Lilly USA, LLC | 6 | $100 |
| Boehringer Ingelheim | 5 | $82 |
| Lundbeck LLC | 3 | $75 |
| Bayer | 4 | $73 |
| Biocryst US Sales Co., LLC | 3 | $69 |
| Sumitomo Pharma America, Inc. | 3 | $66 |
| Exact Sciences | 2 | $59 |
| Baxter Healthcare | 2 | $54 |
| Merck | 3 | $45 |
| Phathom Pharmaceuticals, Inc. | 2 | $40 |
| Sanofi-aventis U.S. LLC | 2 | $38 |
| Otsuka America Pharmaceutical, Inc. | 2 | $32 |
| Abiomed | 1 | $29 |
| Abbott | 1 | $28 |
| Takeda Pharmaceuticals U.S.A., Inc. | 2 | $28 |
| Corcept Therapeutics | 1 | $26 |
| Xeris Pharmaceuticals, Inc. | 1 | $25 |
| Qiagen, LLC | 1 | $24 |
| Nevro Corp. | 1 | $19 |
| Biohaven Pharmaceuticals, Inc. | 1 | $16 |
| Vanda Pharmaceuticals Inc. | 1 | $16 |
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.
- Otezla$101
How this compares
$3,848 in reported general payments places this provider in the 80th percentile of 2,087 medical 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 |
|---|---|---|
| JardianceEmpagliflozin | 25 | $34,773 |
| FarxigaDapagliflozin Propanediol | 25 | $28,968 |
| TrulicityDulaglutide | 22 | $26,146 |
| OzempicSemaglutide | 11 | $22,688 |
| Tresiba Flextouch U-100Insulin Degludec | 23 | $21,879 |
| Repatha SureclickEvolocumab | 32 | $20,640 |
| TradjentaLinagliptin | 15 | $19,663 |
| MyrbetriqMirabegron | 17 | $12,340 |
| EliquisApixaban | 14 | $11,402 |
| Dexlansoprazole DrDexlansoprazole | 12 | $4,245 |
| Basaglar Kwikpen U-100Insulin Glargine,hum.Rec.Anlog | 12 | $2,753 |
| SynthroidLevothyroxine Sodium | 27 | $2,367 |
| Levothyroxine Sodium | 158 | $1,561 |
| Atorvastatin Calcium | 186 | $1,439 |
| Metoprolol Succinate | 95 | $1,231 |
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 |
|---|---|---|
| Boehringer IngelheimJardiance, Tradjenta | $82 | $54,43640 claims |
| AstraZenecaFarxiga | $654 | $28,96825 claims |
| Lilly USA, LLCTrulicity | $100 | $26,14622 claims |
| Novo NordiskOzempic | $188 | $22,68811 claims |
| PfizerEliquis | $282 | $11,40214 claims |
| AbbVieSynthroid | $368 | $2,36727 claims |
| Sanofi-aventis U.S. LLCLantus | $38 | $76411 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 2,087 medical providers in California.
Other medical in Fresno
- David PenaFresno$18K
- Nicola LowreyOrange$655K
- Justin LoveLoma Linda$553K
- David DoriguzziLancaster$514K
- Alison GracomIrvine$467K
- Jeffrey BonnaudLos Angeles$314K
- Ana TorresLaguna Beach$229K
- Heather ParlettRedlands$168K
- Deirdre MoxleyFullerton$149K
- Tri leGardena$127K
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.