Shaun Joshi, MD
Nephrology · Hayden, IDNPI 1073629150
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $3,887 of the $4,763 with a category attached, or 81.6%. It is spread thinly across 25 manufacturers, the largest accounting for just 19.0% — the pattern of someone who eats at a lot of different presentations.
Across 232 payments — averaging $20.53 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$904
- Novartis$651
- Akebia Therapeutics Inc$535
- Amgen$504
- Travere Therapeutics, Inc.$322
- GSK$235
- plus $2K from 19 others
What the payments were for
- Consulting fees$4008%
- Speaking & faculty fees$3758%
- Food & beverage$3,88782%
- Education$1012%
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(2 entities) | 36 | $904 |
| Novartis | 26 | $651 |
| Akebia Therapeutics Inc | 23 | $535 |
| Amgen(2 entities) | 25 | $504 |
| Travere Therapeutics, Inc. | 14 | $322 |
| GSK | 20 | $235 |
| Otsuka America Pharmaceutical, Inc. | 11 | $204 |
| Novo Nordisk | 12 | $193 |
| Vifor Pharma, Inc. | 12 | $193 |
| Bayer | 10 | $188 |
| OPKO Pharmaceuticals, LLC | 10 | $180 |
| Aurinia Pharma U.S., Inc. | 8 | $154 |
| Calliditas Therapeutics US Inc. | 5 | $110 |
| Lundbeck LLC | 4 | $81 |
| Ardelyx, Inc. | 4 | $67 |
| ANI Pharmaceuticals, Inc. | 2 | $52 |
| Mallinckrodt Hospital Products Inc. | 2 | $40 |
| AbbVie | 1 | $30 |
| Recordati_rare_diseases_inc. | 1 | $25 |
| Cormedix Inc. | 1 | $23 |
| Exact Sciences | 1 | $18 |
| Fresenius USA Marketing, Inc. | 1 | $15 |
| Otsuka Pharmaceutical Development & Commercialization, Inc. | 1 | $15 |
| Johnson & Johnson | 1 | $12 |
| Alnylam Pharmaceuticals Inc. | 1 | $12 |
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
$4,763 in reported general payments places this provider in the 85th percentile of 30 nephrology providers in Idaho.
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 |
|---|---|---|
| Tolvaptan | 11 | $98,023 |
| VelphoroSucroferric Oxyhydroxide | 24 | $54,432 |
| XphozahTenapanor Hcl | 12 | $34,101 |
| LokelmaSodium Zirconium Cyclosilicate | 29 | $29,421 |
| OzempicSemaglutide | 14 | $15,937 |
| FarxigaDapagliflozin Propanediol | 22 | $11,110 |
| Sevelamer Carbonate | 45 | $10,924 |
| EliquisApixaban | 15 | $10,348 |
| Combivent RespimatIpratropium/Albuterol Sulfate | 13 | $6,255 |
| Lanthanum Carbonate | 11 | $5,384 |
| Torsemide | 159 | $3,387 |
| Clonidine | 13 | $1,016 |
| Aripiprazole | 28 | $844 |
| Pantoprazole Sodium | 27 | $616 |
| Carvedilol | 83 | $540 |
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 |
|---|---|---|
| Otsuka Pharmaceutical Development & Commercialization, Inc.Tolvaptan | $15 | $98,02311 claims |
| Fresenius USA Marketing, Inc.Velphoro | $15 | $54,43224 claims |
| AstraZenecaLokelma, Farxiga | $904 | $40,53051 claims |
| Novo NordiskOzempic | $193 | $15,93714 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 30 nephrology providers in Idaho.
Other nephrology in Hayden
- Sherwin FosterHayden$657
- Arnold SilvaMeridian$626K
- Liang WuMeridian$386K
- Mary DittrichMeridian$7K
- Heidi JoistNampa$4K
- Naeem RahimChubbuck$696
- Kevin MitchellMeridian$679
- Ajith KumarLewiston$672
- Fahim RahimChubbuck$524
- Nagraj NarasimhanTwin Falls$415
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.