Sara Ashraf, MD
Internal Medicine · Salem, VANPI 1538301817
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $3,500 of the $4,543 with a category attached, or 77.0%. Gilead accounts for 77.0% of it on its own, with 11 other manufacturers making up the rest. Reporting peaked in 2022 at $3,597 and has fallen 91.5% since, to $304 in 2025. Among internal medicine clinicians in VA with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 27 payments — averaging $168.27 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Gilead$4K
- GSK$199
- E.r. Squibb & Sons, L.L.C.$182
- Verona Pharma, Inc.$106
- AMAG Pharmaceuticals, Inc.$102
- Intuitive Surgical$97
- plus $357 from 6 others
What the payments were for
- Consulting fees$3,50077%
- Food & beverage$1,02723%
- Education$160%
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 |
|---|---|---|
| Gilead | 1 | $3,500 |
| GSK | 11 | $199 |
| E.r. Squibb & Sons, L.L.C. | 3 | $182 |
| Verona Pharma, Inc. | 1 | $106 |
| AMAG Pharmaceuticals, Inc. | 1 | $102 |
| Intuitive Surgical | 1 | $97 |
| Genentech USA, Inc. | 1 | $91 |
| Bristol Myers Squibb | 1 | $86 |
| Beigene USA, Inc. | 1 | $50 |
| La Jolla Pharmaceutical Company | 2 | $46 |
| AstraZeneca | 2 | $43 |
| Johnson & Johnson(2 entities) | 2 | $42 |
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
$4,543 in reported general payments places this provider in the 90th percentile of 2,724 internal medicine providers in Virginia.
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.
Other internal medicine in Salem
- Kumar AbhishekMechanicsville$1M
- Amit MahajanFalls Church$1M
- Kevin DonohueFalls Church$655K
- Denise BrunerArlington$227K
- Anjali KaloreMidlothian$215K
- Scott GerrishVienna$207K
- Lawrence SchwartzRichmond$205K
- Wally SmithRichmond$177K
- Gautam GulatiMc Lean$136K
- Francesse BatailleDumfries$109K
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.