Shyam Joshi, MD
Allergy & Immunology · Portland, ORNPI 1114364247
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $83,955 of the $115,954 with a category attached, or 72.4%. 13 manufacturers reported payments, led by Novartis at 44.4% of the total. 2025 is the largest year on record at $55,926, more than ten times the $2,766 reported in 2019. Among allergy & immunology clinicians in OR 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 89 payments — averaging $1302.86 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novartis$51K
- Sanofi$18K
- GSK$11K
- Sanofi-aventis U.S. LLC$9K
- Genentech USA, Inc.$7K
- Jubilant Hollisterstier LLC$6K
- plus $14K from 7 others
Across 25 payments — averaging $5613.76 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.
- Sanofi$104K
- GSK$31K
- Novartis$6K
What the payments were for
- Consulting fees$83,95572%
- Speaking & faculty fees$12,53711%
- Grants$11,50010%
- Travel & lodging$6,0995%
- Food & beverage$1,8442%
- Education$190%
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 |
|---|---|---|
| Novartis | 38 | $51,495 |
| Sanofi | 8 | $17,853 |
| GSK | 17 | $11,167 |
| Sanofi-aventis U.S. LLC | 4 | $8,512 |
| Genentech USA, Inc. | 8 | $6,520 |
| Jubilant Hollisterstier LLC | 1 | $5,967 |
| LEO Pharma Inc. | 2 | $5,660 |
| Takeda Pharmaceuticals U.S.A., Inc. | 3 | $3,059 |
| Regeneron | 2 | $2,826 |
| Regeneron Healthcare Solutions, Inc. | 2 | $1,649 |
| Biocryst Pharmaceuticals, Inc. | 1 | $1,125 |
| AstraZeneca | 2 | $96 |
| CSL Behring | 1 | $25 |
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
$115,954 in reported general payments places this provider in the 95th percentile of 33 allergy & immunology providers in Oregon.
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 |
|---|---|---|
| TakhzyroLanadelumab-Flyo | 12 | $605,349 |
| Dupixent PenDupilumab | 59 | $225,697 |
| HizentraImmun Glob G(Igg)/Pro/Iga 0-50 | 33 | $223,332 |
| Dupixent SyringeDupilumab | 35 | $139,019 |
| XolairOmalizumab | 29 | $113,740 |
| TezspireTezepelumab-Ekko | 14 | $56,778 |
| Breo ElliptaFluticasone/Vilanterol | 16 | $9,317 |
| Budesonide-Formoterol FumarateBudesonide/Formoterol Fumarate | 18 | $4,758 |
| Epinephrine | 11 | $2,960 |
| Fluticasone-SalmeterolFluticasone Propion/Salmeterol | 17 | $2,765 |
| BreynaBudesonide/Formoterol Fumarate | 12 | $2,044 |
| Tranexamic Acid | 13 | $1,377 |
| Montelukast Sodium | 58 | $706 |
| Wixela InhubFluticasone Propion/Salmeterol | 11 | $526 |
| Azelastine Hcl | 12 | $255 |
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 |
|---|---|---|
| Takeda Pharmaceuticals U.S.A., Inc.Takhzyro | $3,059 | $605,34912 claims |
| CSL BehringHizentra | $25 | $223,33233 claims |
| AstraZenecaTezspire | $96 | $56,77814 claims |
| GSKBreo Ellipta | $11,167 | $9,31716 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 33 allergy & immunology providers in Oregon.
Other allergy & immunology in Portland
- Anthony MontanaroPortland$25K
- Karen AnsteyPortland$20K
- Michael OsbornePortland$11K
- Jessica MacdougallPortland$11K
- Renganathan SrinivasanPortland$5K
- James BakerPortland$4K
- Cristina SwansonPortland$3K
- Michael NoonanPortland$2K
- Gregory OwensPortland$1K
- Navid ZiaiePortland$530
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.