Ranju Chandrashekariah, MD
Pulmonary Disease · Tuscaloosa, ALNPI 1851354385
Payments from drug & device makers
Across 840 payments — averaging $17.08 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$4K
- GSK$3K
- Boehringer Ingelheim$1K
- Mallinckrodt Hospital Products Inc.$1K
- Regeneron Healthcare Solutions, Inc.$898
- Insmed, Inc.$475
- plus $4K from 32 others
What the payments were for
- Consulting fees$360%
- Food & beverage$13,97397%
- Education$3352%
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 | 203 | $3,884 |
| GSK | 213 | $2,773 |
| Boehringer Ingelheim | 81 | $1,415 |
| Mallinckrodt Hospital Products Inc. | 72 | $1,217 |
| Regeneron Healthcare Solutions, Inc. | 42 | $898 |
| Insmed, Inc. | 22 | $475 |
| Grifols USA, LLC | 18 | $412 |
| Amgen | 19 | $368 |
| Pfizer | 17 | $335 |
| Electromed, Inc. | 30 | $313 |
| Sanofi | 12 | $292 |
| Takeda Pharmaceuticals U.S.A., Inc. | 12 | $248 |
| Gilead | 13 | $223 |
| Mylan Specialty L.p. | 12 | $210 |
| Philips North America LLC | 11 | $200 |
| Genentech USA, Inc. | 9 | $155 |
| Sunovion Pharmaceuticals Inc. | 13 | $135 |
| Inogen, Inc. | 5 | $118 |
| Sanofi-aventis U.S. LLC | 1 | $90 |
| United Therapeutics Corporation | 4 | $83 |
| ANI Pharmaceuticals, Inc. | 3 | $50 |
| Portola Pharmaceuticals, LLC | 4 | $48 |
| Baxter Healthcare | 2 | $46 |
| Merck | 3 | $37 |
| ADMA Biomanufacturing LLC | 1 | $36 |
| Actelion Pharmaceuticals US, Inc. | 2 | $34 |
| Astellas Pharma US Inc | 2 | $33 |
| Novartis | 2 | $33 |
| Shire North American Group Inc | 2 | $31 |
| 3b Medical, Inc. | 2 | $30 |
| Sandoz | 1 | $20 |
| Pulmonx Corporation | 1 | $18 |
| CSL Behring | 1 | $17 |
| La Jolla Pharmaceutical Company | 1 | $15 |
| Viatris Specialty LLC | 1 | $14 |
| Fisher & Paykel Healthcare Inc | 1 | $14 |
| Jazz Pharmaceuticals Inc. | 1 | $13 |
| Vapotherm Inc | 1 | $12 |
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
$14,344 in reported general payments places this provider in the 80th percentile of 215 pulmonary disease providers in Alabama.
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 |
|---|---|---|
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 1,164 | $857,927 |
| TezspireTezepelumab-Ekko | 58 | $234,417 |
| Breztri AerosphereBudesonide/Glycopyr/Formoterol | 235 | $182,453 |
| Breo ElliptaFluticasone/Vilanterol | 226 | $101,704 |
| Dupixent PenDupilumab | 13 | $49,670 |
| Spiriva RespimatTiotropium Bromide | 58 | $44,405 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 912 | $37,169 |
| SymbicortBudesonide/Formoterol Fumarate | 57 | $25,058 |
| Montelukast Sodium | 996 | $9,781 |
| Fluticasone-SalmeterolFluticasone Propion/Salmeterol | 37 | $8,040 |
| Anoro ElliptaUmeclidinium Brm/Vilanterol Tr | 12 | $6,271 |
| BreynaBudesonide/Formoterol Fumarate | 24 | $5,848 |
| Arnuity ElliptaFluticasone Furoate | 19 | $4,816 |
| Ventolin HfaAlbuterol Sulfate | 72 | $4,419 |
| Budesonide-Formoterol FumarateBudesonide/Formoterol Fumarate | 13 | $3,728 |
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 |
|---|---|---|
| GSKTrelegy Ellipta, Breo Ellipta, Anoro Ellipta, Arnuity Ellipta | $2,773 | $970,7181,421 claims |
| AstraZenecaTezspire, Breztri Aerosphere, Symbicort | $3,884 | $441,927350 claims |
| Boehringer IngelheimSpiriva Respimat | $1,415 | $44,40558 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 215 pulmonary disease providers in Alabama.
Other pulmonary disease in Tuscaloosa
- Mohammad AzamTuscaloosa$58K
- Pedro LopezTuscaloosa$18K
- Fausto SalinasTuscaloosa$17K
- Kyathanahally Dinesh-ChandraTuscaloosa$13K
- Robert GarverAndalusia$4.6M
- Allan SeibertMobile$2.4M
- Tejaswini KulkarniBirmingham$1.7M
- Jan WestermanJasper$834K
- Bryan GarciaBirmingham$606K
- A RidgewaySheffield$434K
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.