Shona Varghese, MD
Internal Medicine · Greenville, NCNPI 1730162850
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 99.9% of the total across 184 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 27 manufacturers, the largest accounting for just 13.5% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2019 at $917 and has fallen 67.8% since, to $295 in 2025.
Across 184 payments — averaging $18.09 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Salix Pharmaceuticals, A Division Of Bausch Health US, LLC$449
- Merck$434
- AstraZeneca$403
- Inari Medical, Inc.$388
- Johnson & Johnson$284
- AbbVie$170
- plus $1K from 21 others
What the payments were for
- Food & beverage$3,327100%
- Education$20%
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 |
|---|---|---|
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 24 | $449 |
| Merck | 29 | $434 |
| AstraZeneca(2 entities) | 24 | $403 |
| Inari Medical, Inc. | 14 | $388 |
| Johnson & Johnson | 17 | $284 |
| AbbVie | 12 | $170 |
| E.r. Squibb & Sons, L.L.C. | 11 | $165 |
| Melinta Therapeutics, LLC | 7 | $158 |
| Vifor Pharma, Inc. | 6 | $99 |
| Boehringer Ingelheim | 4 | $92 |
| Otsuka America Pharmaceutical, Inc. | 3 | $66 |
| Portola Pharmaceuticals, LLC | 3 | $65 |
| Amgen | 3 | $63 |
| Gilead | 4 | $63 |
| Alkermes, Inc. | 3 | $57 |
| Stryker | 2 | $53 |
| Tetraphase Pharmaceuticals, Inc. | 4 | $52 |
| Recor Medical Inc | 2 | $51 |
| Argenx US, Inc. | 2 | $50 |
| Novartis | 2 | $42 |
| Abiomed | 1 | $27 |
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 2 | $26 |
| Seagen Inc. | 1 | $20 |
| Boston Scientific | 1 | $17 |
| Bioxcel Therapeutics, Inc. | 1 | $15 |
| Pfizer | 1 | $14 |
| Biomerieux Inc | 1 | $8 |
How this compares
$3,329 in reported general payments places this provider in the 85th percentile of 3,302 internal medicine providers in North Carolina.
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 Greenville
- Nirmish ShahDurham$862K
- Eugene WrightFayetteville$839K
- Saad UsmaniCharlotte$551K
- Bhakti PaulRaleigh$536K
- Mary KlotmanDurham$478K
- Manesh PatelDurham$435K
- Millie LongChapel Hill$374K
- Marc JohnsonCharlotte$342K
- Christina CraterRaleigh$330K
- Jamy ArdWinston Salem$293K
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.