Roman Shingarev, MD
Nephrology · South Salt Lake, UTNPI 1457564601
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 99.4% of the total across 82 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 19 manufacturers, the largest accounting for just 19.8% — the pattern of someone who eats at a lot of different presentations.
Across 82 payments — averaging $26.50 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Amgen$430
- AstraZeneca$272
- W. L. Gore & Associates, Inc.$213
- Vifor Pharma, Inc.$170
- Ardelyx, Inc.$137
- Otsuka America Pharmaceutical, Inc.$125
- plus $824 from 13 others
What the payments were for
- Food & beverage$2,15999%
- Education$141%
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(2 entities) | 19 | $430 |
| AstraZeneca(2 entities) | 11 | $272 |
| W. L. Gore & Associates, Inc. | 1 | $213 |
| Vifor Pharma, Inc. | 7 | $170 |
| Ardelyx, Inc. | 6 | $137 |
| Otsuka America Pharmaceutical, Inc. | 8 | $125 |
| Travere Therapeutics, Inc. | 4 | $124 |
| Lilly USA, LLC | 4 | $118 |
| Novartis | 6 | $108 |
| Aurinia Pharma U.S., Inc. | 1 | $108 |
| GSK | 1 | $99 |
| Calliditas Therapeutics US Inc. | 4 | $64 |
| Novo Nordisk | 2 | $54 |
| Fresenius USA Marketing, Inc. | 2 | $40 |
| Sanofi | 2 | $35 |
| Otsuka Pharmaceutical Development & Commercialization, Inc. | 1 | $25 |
| Boehringer Ingelheim | 1 | $20 |
| Nxstage Medical, Inc. | 1 | $16 |
| Cormedix Inc. | 1 | $14 |
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.
- GORE ACUSEAL Vascular Graft$213
- KRYSTEXXA$125
- LUPKYNIS$108
How this compares
$2,173 in reported general payments places this provider in the 65th percentile of 74 nephrology providers in Utah.
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 | 46 | $33,843 |
| FarxigaDapagliflozin Propanediol | 13 | $16,957 |
| Losartan Potassium | 76 | $802 |
| Lisinopril | 63 | $578 |
| Amlodipine Besylate | 63 | $425 |
| Furosemide | 35 | $366 |
| Chlorthalidone | 26 | $273 |
| Valsartan | 14 | $204 |
| Atorvastatin Calcium | 12 | $202 |
| Carvedilol | 27 | $195 |
| Allopurinol | 21 | $188 |
| Olmesartan Medoxomil | 13 | $159 |
| Hydrochlorothiazide | 18 | $141 |
| Hydralazine Hcl | 11 | $82 |
| Spironolactone | 21 | $29 |
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 | $20 | $33,84346 claims |
| AstraZenecaFarxiga | $272 | $16,95713 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 65th percentile of 74 nephrology providers in Utah.
Other nephrology in South Salt Lake
- Sanjiv AnandSouth Salt Lake$144K
- Sey LauSouth Salt Lake$3K
- Arasu GopinathSouth Salt Lake$3K
- Donald MorrisSouth Salt Lake$3K
- Ruth IndahyungSouth Salt Lake$3K
- Kevin JansenSouth Salt Lake$3K
- Indraneel MogaralaSouth Salt Lake$2K
- Dave TienSouth Salt Lake$2K
- Landon DicksonSouth Salt Lake$2K
- Jeff BarklowSouth Salt Lake$1K
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.