RxDoctor Payments Data

Sachin Shrestha, MD

Nephrology · Wynnewood, PANPI 1861632325

Payments from drug & device makers

$381in general payments, 2019–2025

Across 16 payments — averaging $23.79 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Amgen$112
  • Novartis$58
  • Otsuka America Pharmaceutical, Inc.$55
  • Travere Therapeutics, Inc.$33
  • Lilly USA, LLC$31
  • Aurinia Pharma U.S., Inc.$29
  • plus $63 from 4 others

What the payments were for

  • Food & beverage$381100%

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
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.

How this compares

$381 in reported general payments places this provider in the 35th percentile of 586 nephrology providers in Pennsylvania.

See all nephrology providers in Pennsylvania

Medicare billing

Part B allowed, 2024
$162,611
Medicare patients
339
Services billed
2,443

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
JardianceEmpagliflozin47$42,202
LokelmaSodium Zirconium Cyclosilicate46$19,253
Nifedipine ErNifedipine59$3,349
Valsartan65$2,459
Cinacalcet Hcl11$1,723
Calcitriol99$1,485
Carvedilol120$1,295
Hydralazine Hcl59$1,202
Potassium Citrate ErPotassium Citrate14$704
Famotidine49$612
Diltiazem 24hr Er (Cd)Diltiazem Hcl11$434
Losartan Potassium51$424
Amlodipine Besylate61$301
Allopurinol30$289
Torsemide20$253

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
AstraZenecaLokelma$15$19,25346 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 586 nephrology providers in Pennsylvania.

Other nephrology in Wynnewood

See the full list for Pennsylvania

Where these figures come from

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