Sharnjit Purewal, MD
Family Medicine · Clovis, CANPI 1740251818
Payments from drug & device makers
Across 128 payments — averaging $20.56 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$278
- Lilly USA, LLC$259
- Boehringer Ingelheim$212
- Amgen$208
- AbbVie$207
- Astellas Pharma US Inc$162
- plus $1K from 23 others
What the payments were for
- Food & beverage$2,626100%
- Education$60%
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 |
|---|---|---|
| AstraZeneca | 16 | $278 |
| Lilly USA, LLC | 9 | $259 |
| Boehringer Ingelheim | 12 | $212 |
| Amgen | 10 | $208 |
| AbbVie(2 entities) | 8 | $207 |
| Astellas Pharma US Inc | 9 | $162 |
| GSK | 9 | $144 |
| Johnson & Johnson | 6 | $129 |
| Organogenesis Inc. | 1 | $118 |
| Pfizer | 7 | $107 |
| Novo Nordisk | 5 | $91 |
| Abbott | 3 | $83 |
| Lundbeck LLC | 4 | $82 |
| Otsuka America Pharmaceutical, Inc. | 4 | $79 |
| Radius Health, Inc. | 3 | $68 |
| Novartis | 4 | $64 |
| Merck | 4 | $61 |
| Medtronic | 1 | $45 |
| Sanofi Pasteur Inc. | 2 | $43 |
| Bayer | 1 | $34 |
| Amarin Pharma, Inc. | 2 | $24 |
| Dynavax Technologies Corporation | 1 | $24 |
| Ultragenyx Pharmaceutical Inc. | 1 | $20 |
| Esperion Therapeutics, Inc. | 1 | $19 |
| Phathom Pharmaceuticals, Inc. | 1 | $19 |
| Boston Scientific | 1 | $17 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 1 | $12 |
| Daiichi Sankyo Inc. | 1 | $11 |
| Therapeuticsmd, Inc. | 1 | $11 |
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
$2,632 in reported general payments places this provider in the 85th percentile of 10,533 family medicine 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 | 83 | $85,309 |
| TrulicityDulaglutide | 55 | $76,680 |
| OzempicSemaglutide | 54 | $72,133 |
| EliquisApixaban | 72 | $69,926 |
| MyrbetriqMirabegron | 87 | $61,718 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 43 | $46,104 |
| JanuviaSitagliptin Phosphate | 43 | $43,584 |
| FarxigaDapagliflozin Propanediol | 33 | $36,511 |
| XareltoRivaroxaban | 26 | $33,336 |
| Nurtec OdtRimegepant Sulfate | 15 | $23,227 |
| RybelsusSemaglutide | 19 | $22,092 |
| TradjentaLinagliptin | 26 | $18,799 |
| Tresiba Flextouch U-100Insulin Degludec | 14 | $15,912 |
| GemtesaVibegron | 15 | $12,564 |
| VascepaIcosapent Ethyl | 12 | $11,645 |
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 |
|---|---|---|
| Boehringer IngelheimJardiance, Tradjenta | $212 | $104,109109 claims |
| Novo NordiskOzempic, Rybelsus | $91 | $94,22573 claims |
| PfizerEliquis, Nurtec Odt | $107 | $93,15387 claims |
| Lilly USA, LLCTrulicity | $259 | $76,68055 claims |
| GSKTrelegy Ellipta, Anoro Ellipta, Breo Ellipta | $144 | $64,69972 claims |
| Astellas Pharma US IncMyrbetriq | $162 | $61,71887 claims |
| MerckJanuvia | $61 | $43,58443 claims |
| AstraZenecaFarxiga | $278 | $36,51133 claims |
| Johnson & JohnsonXarelto | $129 | $33,33626 claims |
| AbbVieLinzess | $207 | $10,46113 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 10,533 family medicine providers in California.
Other family medicine in Clovis
- Amina HaggagNorthridge$112.8M
- Steven ReynoldsLong Beach$53M
- Rizwana MohseniLake Forest$26.7M
- Daniel JohnsonSan Diego$15.7M
- Stacey LayleSan Diego$14.8M
- Apinya VutikullirdCypress$14.3M
- Hanid AudishSpring Valley$13.6M
- Augusto FocilOxnard$12.6M
- Jack VuLong Beach$10.1M
- Suzanne FussellOxnard$8.9M
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.