Roshani Kandel
Primary Care · Council Bluffs, IANPI 1053095802
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 15 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 10 manufacturers, the largest accounting for just 20.8% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2023 at $214 and has fallen 93.0% since, to $15 in 2025. That places this record below the midpoint for primary care clinicians in IA, where the typical reported total is $294.
Across 15 payments — averaging $19.02 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$59
- Johnson & Johnson$52
- Lundbeck LLC$33
- Teva Pharmaceuticals USA, Inc.$29
- Exact Sciences$28
- Vanda Pharmaceuticals Inc.$20
- plus $64 from 4 others
What the payments were for
- Food & beverage$285100%
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 |
|---|---|---|
| AbbVie | 2 | $59 |
| Johnson & Johnson | 3 | $52 |
| Lundbeck LLC | 2 | $33 |
| Teva Pharmaceuticals USA, Inc. | 1 | $29 |
| Exact Sciences | 2 | $28 |
| Vanda Pharmaceuticals Inc. | 1 | $20 |
| Bayer | 1 | $18 |
| Otsuka America Pharmaceutical, Inc. | 1 | $18 |
| Noven Therapeutics, LLC | 1 | $14 |
| Lilly USA, LLC | 1 | $14 |
How this compares
$285 in reported general payments places this provider in the 45th percentile of 36 primary care providers in Iowa.
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 |
|---|---|---|
| OzempicSemaglutide | 64 | $78,092 |
| JardianceEmpagliflozin | 71 | $62,961 |
| TrulicityDulaglutide | 33 | $46,954 |
| MounjaroTirzepatide | 26 | $26,758 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 16 | $16,003 |
| XareltoRivaroxaban | 23 | $14,246 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 53 | $1,344 |
| Ventolin HfaAlbuterol Sulfate | 20 | $1,337 |
| Lantus SolostarInsulin Glargine,hum.Rec.Anlog | 15 | $1,092 |
| Midodrine Hcl | 11 | $784 |
| Gabapentin | 74 | $704 |
| Diclofenac Sodium | 22 | $650 |
| Atorvastatin Calcium | 138 | $562 |
| Levothyroxine Sodium | 56 | $391 |
| Lisinopril | 76 | $365 |
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 |
|---|---|---|
| Lilly USA, LLCTrulicity, Mounjaro | $14 | $73,71159 claims |
| Johnson & JohnsonXarelto | $52 | $14,24623 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 45th percentile of 36 primary care providers in Iowa.
Other primary care in Council Bluffs
- Emily WickhamCouncil Bluffs$7K
- Catherine VailCouncil Bluffs$748
- Cindy ShupeCouncil Bluffs$46
- Breanna FinleyCouncil Bluffs$36
- Erin SwailesHiawatha$4K
- Jessica OgdenNewton$2K
- Jody HorstmanWest Des Moines$2K
- Chimene CobbLenox$2K
- Mary PedersenJefferson$1K
- Jamie HicksMilford$847
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.