Sarala Krishnagiri, MD
Internal Medicine · Chesapeake, VANPI 1598778664
Payments from drug & device makers
Across 192 payments — averaging $14.83 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novo Nordisk$579
- AbbVie$495
- GSK$475
- Pfizer$137
- Lilly USA, LLC$132
- Amgen$125
- plus $905 from 23 others
What the payments were for
- Food & beverage$2,82799%
- Education$211%
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 |
|---|---|---|
| Novo Nordisk | 42 | $579 |
| AbbVie | 37 | $495 |
| GSK | 32 | $475 |
| Pfizer | 9 | $137 |
| Lilly USA, LLC | 9 | $132 |
| Amgen | 8 | $125 |
| Novartis | 8 | $122 |
| AstraZeneca | 8 | $102 |
| Johnson & Johnson | 6 | $80 |
| Boston Scientific | 2 | $71 |
| Sanofi Pasteur Inc. | 3 | $60 |
| Boehringer Ingelheim | 3 | $53 |
| Biogen | 2 | $46 |
| E.r. Squibb & Sons, L.L.C. | 3 | $45 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 3 | $42 |
| Sanofi-aventis U.S. LLC | 2 | $37 |
| Abbott | 2 | $34 |
| Mylan Specialty L.p. | 2 | $34 |
| Esperion Therapeutics, Inc. | 1 | $24 |
| Xeris Pharmaceuticals, Inc. | 1 | $20 |
| Idorsia Pharmaceuticals US Inc | 1 | $19 |
| Bayer | 1 | $17 |
| Otsuka America Pharmaceutical, Inc. | 1 | $17 |
| Astellas Pharma US Inc | 1 | $15 |
| Avanir Pharmaceuticals, Inc. | 1 | $15 |
| Clarus Therapeutics Inc. | 1 | $14 |
| Seqirus USA Inc | 1 | $14 |
| Radius Health, Inc. | 1 | $12 |
| Merck | 1 | $12 |
How this compares
$2,847 in reported general payments places this provider in the 85th 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.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| OzempicSemaglutide | 49 | $69,759 |
| JanuviaSitagliptin Phosphate | 49 | $58,933 |
| EliquisApixaban | 73 | $57,988 |
| TrulicityDulaglutide | 26 | $52,776 |
| MounjaroTirzepatide | 34 | $52,322 |
| JardianceEmpagliflozin | 39 | $44,069 |
| XareltoRivaroxaban | 21 | $21,184 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 17 | $18,137 |
| Basaglar Kwikpen U-100Insulin Glargine,hum.Rec.Anlog | 15 | $6,219 |
| SynthroidLevothyroxine Sodium | 135 | $5,792 |
| Paroxetine Hcl | 55 | $4,475 |
| ShingrixVaricella-Zoster Ge/As01b/Pf | 20 | $4,428 |
| Fluticasone Propionate HfaFluticasone Propionate | 12 | $4,060 |
| Lantus SolostarInsulin Glargine,hum.Rec.Anlog | 20 | $3,813 |
| Levothyroxine Sodium | 308 | $3,456 |
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 | $132 | $105,09960 claims |
| Novo NordiskOzempic | $579 | $69,75949 claims |
| MerckJanuvia | $12 | $58,93349 claims |
| PfizerEliquis | $137 | $57,98873 claims |
| Boehringer IngelheimJardiance | $53 | $44,06939 claims |
| GSKTrelegy Ellipta, Shingrix | $475 | $22,56537 claims |
| Johnson & JohnsonXarelto | $80 | $21,18421 claims |
| AbbVieSynthroid | $495 | $5,792135 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 85th percentile of 2,724 internal medicine providers in Virginia.
Other internal medicine in Chesapeake
- Leroy VaughanRichmond$20.8M
- James ClarkCharlottesville$16.2M
- Nabil AndrawisBurke$8.5M
- Mary BlumbergNorfolk$6.5M
- David RamstadSuffolk$5.8M
- Andrew PoklepovicRichmond$4.6M
- Nashwa GabraBurke$4.3M
- Michael DevittCharlottesville$3.5M
- Richard JacksonRichmond$2.5M
- Sue BrownCharlottesville$2.4M
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.