RxDoctor Payments Data

Roshan Karki, MD

Clinical Cardiac Electrophysiology · Rochester, NYNPI 1104057165

Payments from drug & device makers

$15,905in general payments, 2019–2025

Across 73 payments — averaging $217.88 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Medtronic$12K
  • Boston Scientific$2K
  • Biosense Webster, Inc.$301
  • Abbott$276
  • Kiniksa Pharmaceuticals International, PLC$125
  • Impulse Dynamics (USA) Inc.$107
  • plus $497 from 18 others

What the payments were for

  • Grants$10,00063%
  • Travel & lodging$2,88918%
  • Food & beverage$3,01619%

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

$15,905 in reported general payments places this provider in the 35th percentile of 214 clinical cardiac electrophysiology providers in New York.

See all clinical cardiac electrophysiology providers in New York

Medicare billing

Part B allowed, 2024
$59,842
Medicare patients
179
Services billed
425

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
EliquisApixaban85$107,134
Amiodarone Hcl44$2,692
Metoprolol Succinate123$2,134
Diltiazem 24hr Er (Cd)Diltiazem Hcl25$701
Bisoprolol Fumarate14$586
Flecainide Acetate16$578
Nadolol14$487
Metoprolol Tartrate17$118
Spironolactone17$52

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$49$107,13485 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 35th percentile of 214 clinical cardiac electrophysiology providers in New York.

Other clinical cardiac electrophysiology in Rochester

See the full list for New York

Where these figures come from

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