RxDoctor Payments Data

Rohit Parmar, MD

Nuclear Cardiology · Dallas, TXNPI 1114985405

Payments from drug & device makers

What this record shows

Almost everything reported here is food and beverage — 99.6% of the total across 188 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 23 manufacturers, the largest accounting for just 23.5% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2023 at $828 and has fallen 63.4% since, to $303 in 2025.

$3,168in general payments, 2019–2025

Across 188 payments — averaging $16.85 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Novartis$746
  • Amgen$513
  • Pfizer$356
  • E.r. Squibb & Sons, L.L.C.$289
  • Heartflow, Inc.$168
  • Medtronic$163
  • plus $932 from 17 others

What the payments were for

  • Food & beverage$3,156100%
  • Education$120%

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

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.

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

Too few nuclear cardiology providers in Texasto place this figure against a meaningful peer group, so we don't.

Medicare billing

Part B allowed, 2024
$533,562
Medicare patients
2,580
Services billed
12,387

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
EliquisApixaban468$499,165
Repatha SureclickEvolocumab133$138,634
EntrestoSacubitril/Valsartan99$134,367
XareltoRivaroxaban77$78,848
JardianceEmpagliflozin34$46,095
Praluent PenAlirocumab53$33,797
FarxigaDapagliflozin Propanediol21$23,761
Metoprolol Succinate508$6,731
Olmesartan-HydrochlorothiazideOlmesartan/Hydrochlorothiazide163$5,610
Atorvastatin Calcium398$4,212
Rosuvastatin Calcium336$4,171
Carvedilol346$3,120
Flecainide Acetate35$2,190
ClopidogrelClopidogrel Bisulfate143$1,808
Losartan Potassium155$1,769

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
PfizerEliquis$356$499,165468 claims
NovartisEntresto$746$134,36799 claims
Johnson & JohnsonXarelto$93$78,84877 claims
Boehringer IngelheimJardiance$77$46,09534 claims
AstraZenecaFarxiga$15$23,76121 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. There are too few nuclear cardiology providers in Texason file to place this against a meaningful peer group, so we don't.

Other nuclear cardiology in Dallas

See the full list for Texas

Where these figures come from

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