Sharad Virmani, MD
Nephrology · Lawrenceville, GANPI 1578795829
Payments from drug & device makers
What this record shows
The money is spread across several categories — speaking fees (43.6%), consulting fees and food and beverage — rather than concentrated in one kind of arrangement. 33 manufacturers reported payments, led by AstraZeneca at 54.8% of the total. Among nephrology clinicians in GA with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 357 payments — averaging $154.84 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$30K
- Travere Therapeutics, Inc.$12K
- Calliditas Therapeutics US Inc.$4K
- Otsuka America Pharmaceutical, Inc.$4K
- Amgen$743
- Mallinckrodt Hospital Products Inc.$606
- plus $4K from 27 others
Across 11 payments — averaging $99.24 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.
- Gilead$1K
What the payments were for
- Consulting fees$18,91134%
- Speaking & faculty fees$24,10044%
- Travel & lodging$3,3566%
- Food & beverage$8,44415%
- Education$4691%
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 |
|---|---|---|
| AstraZeneca(2 entities) | 64 | $30,320 |
| Travere Therapeutics, Inc. | 28 | $11,910 |
| Calliditas Therapeutics US Inc. | 13 | $4,246 |
| Otsuka America Pharmaceutical, Inc. | 32 | $3,567 |
| Amgen(2 entities) | 54 | $743 |
| Mallinckrodt Hospital Products Inc. | 10 | $606 |
| Novartis | 18 | $423 |
| OPKO Pharmaceuticals, LLC | 14 | $378 |
| Vifor Pharma, Inc. | 19 | $355 |
| Fresenius USA Marketing, Inc. | 20 | $348 |
| Outset Medical Inc | 3 | $317 |
| Bayer | 13 | $264 |
| Aurinia Pharma U.S., Inc. | 11 | $220 |
| Akebia Therapeutics Inc | 13 | $220 |
| Mallinckrodt Enterprises LLC | 3 | $150 |
| Novo Nordisk | 5 | $145 |
| Vantive US Healthcare LLC | 2 | $134 |
| Nxstage Medical, Inc. | 2 | $111 |
| Genentech, Inc. | 2 | $107 |
| Boehringer Ingelheim | 5 | $95 |
| E.r. Squibb & Sons, L.L.C. | 1 | $89 |
| Ardelyx, Inc. | 4 | $73 |
| Daiichi Sankyo Inc. | 3 | $67 |
| ANI Pharmaceuticals, Inc. | 3 | $67 |
| Baxter Healthcare | 3 | $66 |
| GSK | 4 | $63 |
| Sanofi | 2 | $60 |
| Cormedix Inc. | 1 | $38 |
| Scpharmaceuticals Inc. | 1 | $36 |
| Genentech USA, Inc. | 1 | $20 |
| Incyte Corporation | 1 | $18 |
| Apellis Pharmaceuticals, Inc. | 1 | $16 |
| Theracosbio, LLC | 1 | $6 |
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
$55,279 in reported general payments places this provider in the 95th percentile of 388 nephrology providers in Georgia.
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 |
|---|---|---|
| FarxigaDapagliflozin Propanediol | 107 | $101,849 |
| XphozahTenapanor Hcl | 14 | $51,507 |
| VelphoroSucroferric Oxyhydroxide | 19 | $43,156 |
| JardianceEmpagliflozin | 19 | $24,762 |
| LokelmaSodium Zirconium Cyclosilicate | 25 | $20,790 |
| VeltassaPatiromer Calcium Sorbitex | 13 | $16,748 |
| Sevelamer Carbonate | 55 | $8,054 |
| Calcitriol | 166 | $2,871 |
| Cinacalcet Hcl | 15 | $2,651 |
| Allopurinol | 226 | $2,561 |
| Nifedipine ErNifedipine | 57 | $2,504 |
| Losartan Potassium | 132 | $1,472 |
| Febuxostat | 14 | $1,446 |
| Valsartan | 33 | $1,357 |
| Hydralazine Hcl | 51 | $874 |
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 |
|---|---|---|
| AstraZenecaFarxiga, Lokelma | $30,320 | $122,640132 claims |
| Fresenius USA Marketing, Inc.Velphoro | $348 | $43,15619 claims |
| Boehringer IngelheimJardiance | $95 | $24,76219 claims |
| ANI Pharmaceuticals, Inc.Valsartan | $67 | $1,35733 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 95th percentile of 388 nephrology providers in Georgia.
Other nephrology in Lawrenceville
- James TumlinLawrenceville$434K
- William PaxtonLawrenceville$73K
- Lorin SanchezLawrenceville$23K
- Aakash AminLawrenceville$22K
- Kathryn ElmoreLawrenceville$12K
- Shaun ConlonLawrenceville$11K
- Nnamdi NwaohiriLawrenceville$11K
- Jusong ChoiLawrenceville$8K
- Sagar PanseMacon$542K
- Sheldon ShoreAtlanta$474K
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.