Sanjaya Khanal, MD
Cardiovascular Disease · Lancaster, CANPI 1952460248
Payments from drug & device makers
What this record shows
The money is spread across several categories — travel and lodging (56.4%), food and beverage and education — rather than concentrated in one kind of arrangement. 20 manufacturers reported payments, led by Medtronic at 34.5% of the total. Reporting peaked in 2024 at $7,043 and has fallen 72.8% since, to $1,916 in 2025.
Across 169 payments — averaging $61.07 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$4K
- Abbott$3K
- Edwards Lifesciences$2K
- Boston Scientific$687
- E.r. Squibb & Sons, L.L.C.$253
- ZOLL Services LLC (a/k/a ZOLL Lifecor Corp)$208
- plus $739 from 14 others
Across 2 payments — averaging $63,446 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- AstraZeneca$127K
What the payments were for
- Travel & lodging$5,81756%
- Food & beverage$4,46243%
- Education$420%
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 |
|---|---|---|
| Medtronic(2 entities) | 36 | $3,559 |
| Abbott | 21 | $2,520 |
| Edwards Lifesciences | 20 | $2,356 |
| Boston Scientific | 22 | $687 |
| E.r. Squibb & Sons, L.L.C. | 14 | $253 |
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 29 | $208 |
| Abiomed | 12 | $199 |
| Kowa Pharmaceuticals America, Inc. | 1 | $132 |
| AstraZeneca | 3 | $124 |
| Impulse Dynamics (USA) Inc. | 1 | $43 |
| Bayer | 1 | $42 |
| Chiesi USA, Inc. | 1 | $32 |
| United Therapeutics Corporation | 1 | $30 |
| Baxter Healthcare | 1 | $30 |
| Amgen | 1 | $24 |
| Johnson & Johnson | 1 | $18 |
| Kiniksa Pharmaceuticals International, PLC | 1 | $18 |
| Cathworks, Inc. | 1 | $16 |
| Heartflow, Inc. | 1 | $15 |
| Regeneron Healthcare Solutions, Inc. | 1 | $15 |
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.
- COREVALVE EVOLUT R$1,621
- Edwards SAPIEN 3 Transcatheter Heart Valve$1,308
- AMPLATZER AMULET$1,112
- TRICLIP$854
- WATCHMAN Access System$370
- SAPIEN 3 Ultra RESILIA$291
- AMPLATZER TORQVUE 45 X 45$205
- Livalo$132
- Bystolic$132
- EVOQUE$107
- SelectSecure$107
How this compares
$10,321 in reported general payments places this provider in the 75th percentile of 2,184 cardiovascular disease providers in California.
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 | 240 | $328,790 |
| EliquisApixaban | 189 | $221,947 |
| OzempicSemaglutide | 163 | $191,390 |
| XareltoRivaroxaban | 117 | $170,101 |
| SynjardyEmpagliflozin/Metformin Hcl | 138 | $165,686 |
| EntrestoSacubitril/Valsartan | 77 | $128,856 |
| FarxigaDapagliflozin Propanediol | 37 | $51,790 |
| MounjaroTirzepatide | 25 | $37,117 |
| JanuviaSitagliptin Phosphate | 15 | $12,923 |
| Repatha SyringeEvolocumab | 11 | $10,442 |
| Repatha SureclickEvolocumab | 12 | $9,648 |
| Rosuvastatin Calcium | 378 | $8,231 |
| Diltiazem 24hr Er (Cd)Diltiazem Hcl | 179 | $7,881 |
| Advair HfaFluticasone Propion/Salmeterol | 19 | $7,639 |
| Metoprolol Succinate | 396 | $5,809 |
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 |
|---|---|---|
| Johnson & JohnsonXarelto | $18 | $170,101117 claims |
| AstraZenecaFarxiga | $124 | $51,79037 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 75th percentile of 2,184 cardiovascular disease providers in California.
Other cardiovascular disease in Lancaster
- Ted LoveHillsborough$102.8M
- Paul KurthSanta Barbara$6.1M
- Jason RogersSacramento$4.4M
- Matthew BudoffTorrance$3.6M
- Eric Topolla Jolla$2.2M
- Cathleen Bairey-MerzLos Angeles$1.2M
- Gagan SinghSacramento$1.2M
- Pam Taubla Jolla$1.2M
- Wilber SuStanford$1.1M
- Thomas SmithSacramento$942K
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.