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Ranjit Nair, MD

Pulmonary Disease · N.richland Hills, TXNPI 1407055221

Payments from drug & device makers

$1,165,687in general payments, 2019–2025

Across 979 payments — averaging $1190.69 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • AstraZeneca$736K
  • Amgen$246K
  • Boehringer Ingelheim$36K
  • Sanofi US Services Inc.$33K
  • Mylan Specialty L.p.$30K
  • Regeneron$20K
  • plus $64K from 54 others

What the payments were for

  • Consulting fees$21,90417%
  • Speaking & faculty fees$70,35153%
  • Travel & lodging$7,6126%
  • Food & beverage$22,96317%
  • Education$9,2607%
  • Gifts$6010%

General payments by program year

19
20
21
22
23
24
25

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.

CompanyPaymentsTotal
AstraZeneca79$735,533
Amgen53$246,370
Boehringer Ingelheim78$36,296
Sanofi US Services Inc.2$33,000
Mylan Specialty L.p.75$30,197
Regeneron11$19,829
Jazz Pharmaceuticals Inc.80$19,011
Intuitive Surgical17$10,844
Pfizer2$7,017
Viatris Specialty LLC21$6,710
Sanofi44$3,433
Incyte Corporation1$3,395
GSK122$2,042
Inspire Medical Systems, Inc.27$1,467
Edwards Lifesciences8$1,067
Harmony Biosciences LLC24$796
Regeneron Healthcare Solutions, Inc.29$678
Boston Scientific14$588
Electromed, Inc.21$558
Insmed, Inc.21$549
Actelion Pharmaceuticals US, Inc.15$546
Takeda Pharmaceuticals U.S.A., Inc.29$440
Johnson & Johnson6$427
Baxter Healthcare30$417
Grifols USA, LLC12$410
Genentech USA, Inc.18$364
Avadel CNS Pharmaceuticals, LLC17$360
ZOLL Respicardia, Inc.5$347
United Therapeutics Corporation10$301
Sunovion Pharmaceuticals Inc.26$288
Novartis12$266
Pinnacle Biologics, Inc2$213
Advanced Respiratory, Inc10$184
Medivance, Inc.2$173
Vifor Pharma, Inc.6$150
Stryker1$144
Verona Pharma, Inc.9$136
Inogen, Inc.7$124
Abiomed1$114
Ceribell, Inc.1$106
Grifols Shared Services North America, Inc.1$98
Abbott1$95
Axsome Therapeutics, Inc.3$70
Fisher & Paykel Healthcare Inc2$53
Bayer3$44
Philips North America LLC3$41
Genentech, Inc.1$38
Shire North American Group Inc2$37
Itamar Medical Inc1$37
Pulmonx Corporation1$30
Merck2$28
Optinose US, Inc.1$27
Paratek Pharmaceuticals, Inc.1$25
EKOS Corporation1$24
Idorsia Pharmaceuticals US Inc1$22
Shionogi Inc1$22
Liquidia Technologies, Inc.1$21
Tactile Systems Technology Inc1$21
Lilly USA, LLC1$18
ANI Pharmaceuticals, Inc.1$18

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.

How this compares

$1,165,687 in reported general payments places this provider in the 95th percentile of 904 pulmonary disease providers in Texas.

See all pulmonary disease providers in Texas

Medicare billing

Part B allowed, 2024
$389,920
Medicare patients
1,177
Services billed
5,952

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

DrugClaimsCost to plans & patients
OfevNintedanib Esylate86$1,114,786
Trelegy ElliptaFluticasone/Umeclidin/Vilanter425$452,954
Breztri AerosphereBudesonide/Glycopyr/Formoterol365$361,396
Prolastin CAlpha-1-Proteinase Inhibitor31$250,236
Dupixent PenDupilumab37$160,420
TezspireTezepelumab-Ekko33$153,808
Pirfenidone32$95,787
Spiriva RespimatTiotropium Bromide76$56,995
Breo ElliptaFluticasone/Vilanterol83$54,026
Anoro ElliptaUmeclidinium Brm/Vilanterol Tr57$44,004
SymbicortBudesonide/Formoterol Fumarate84$33,723
Incruse ElliptaUmeclidinium Bromide50$26,638
Stiolto RespimatTiotropium Br/Olodaterol Hcl24$15,457
Combivent RespimatIpratropium/Albuterol Sulfate21$15,134
Fluticasone-SalmeterolFluticasone Propion/Salmeterol95$13,547

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.

CompanyPaid to this providerPart D cost of their drugs
Boehringer IngelheimOfev, Spiriva Respimat, Stiolto Respimat, Combivent Respimat$36,296$1,202,372207 claims
GSKTrelegy Ellipta, Breo Ellipta, Anoro Ellipta, Incruse Ellipta, Arnuity Ellipta$2,042$585,271638 claims
AstraZenecaBreztri Aerosphere, Tezspire, Symbicort$735,533$548,927482 claims
Grifols USA, LLCProlastin C$410$250,23631 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 904 pulmonary disease providers in Texas.

Other pulmonary disease in N.richland Hills

See the full list for Texas

Where these figures come from

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