Sankar Chirumamilla, MD
Physical Medicine & Rehabilitation · Pikeville, KYNPI 1124346705
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (55.0%), travel and lodging and education — rather than concentrated in one kind of arrangement. 17 manufacturers reported payments, led by KCI USA, Inc. at 52.2% of the total. Reporting peaked in 2023 at $1,472 and has fallen 83.1% since, to $249 in 2025.
Across 71 payments — averaging $34.09 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- KCI USA, Inc.$1K
- Gilead$274
- AbbVie$219
- Dexcom, Inc.$145
- AstraZeneca$112
- Madrigal Pharmaceuticals$91
- plus $314 from 11 others
What the payments were for
- Travel & lodging$1,05444%
- Food & beverage$1,33155%
- Education$351%
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 |
|---|---|---|
| KCI USA, Inc. | 7 | $1,264 |
| Gilead | 18 | $274 |
| AbbVie(2 entities) | 20 | $219 |
| Dexcom, Inc. | 4 | $145 |
| AstraZeneca(2 entities) | 2 | $112 |
| Madrigal Pharmaceuticals | 1 | $91 |
| Johnson & Johnson | 5 | $71 |
| Abbott | 2 | $36 |
| Merck | 2 | $36 |
| GSK | 2 | $33 |
| Amgen | 2 | $30 |
| Merz Pharmaceuticals, LLC | 1 | $24 |
| Boehringer Ingelheim | 1 | $22 |
| Lilly USA, LLC | 1 | $18 |
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $17 |
| Shionogi Inc | 1 | $14 |
| Biogen | 1 | $13 |
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.
- Tegaderm$1,184
- PREVENA$1,184
- 3M Cavilon$1,084
- FISTULA SOLUTION$771
- V.A.C. VERAFLO CLEANSE CHOICE$771
- Cavilon$100
How this compares
$2,420 in reported general payments places this provider in the 85th percentile of 104 physical medicine & rehabilitation providers in Kentucky.
See all physical medicine & rehabilitation providers in Kentucky →
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 |
|---|---|---|
| EliquisApixaban | 27 | $15,372 |
| Dantrolene Sodium | 13 | $1,203 |
| Baclofen | 38 | $754 |
| Pantoprazole Sodium | 111 | $638 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 17 | $547 |
| Tizanidine Hcl | 54 | $344 |
| Sucralfate | 13 | $316 |
| Levothyroxine Sodium | 25 | $243 |
| Duloxetine Hcl | 17 | $199 |
| Atorvastatin Calcium | 51 | $183 |
| Potassium Chloride | 22 | $179 |
| Bumetanide | 13 | $157 |
| Metoprolol Succinate | 24 | $134 |
| Nitroglycerin | 11 | $128 |
| Tamsulosin Hcl | 25 | $119 |
Paid to pharmacies, not to this prescriber.
Other physical medicine & rehabilitation in Pikeville
- Clay GuynnLexington$193K
- Lester DuplechanCrestview Hills$28K
- Darryl KaelinLouisville$19K
- Dhruv PandyaAshland$14K
- Raechel PercyLexington$8K
- Ushma PatelAshland$7K
- Melanie LedfordLexington$6K
- Joseph PorterOwensboro$4K
- Cecil HollenLexington$4K
- Stephen PorterLexington$4K
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.