Shylasree Krishnan, MD
Internal Medicine · Rochester, NYNPI 1023048543
Payments from drug & device makers
Across 646 payments — averaging $13.98 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Lilly USA, LLC$1K
- AstraZeneca$1K
- GSK$1K
- Novo Nordisk$867
- Pfizer$723
- Johnson & Johnson$606
- plus $3K from 18 others
What the payments were for
- Food & beverage$9,026100%
- Education$50%
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 |
|---|---|---|
| Lilly USA, LLC | 135 | $1,482 |
| AstraZeneca | 72 | $1,138 |
| GSK | 75 | $1,050 |
| Novo Nordisk | 55 | $867 |
| Pfizer | 62 | $723 |
| Johnson & Johnson | 51 | $606 |
| Boehringer Ingelheim | 29 | $572 |
| AbbVie | 25 | $430 |
| Takeda Pharmaceuticals U.S.A., Inc. | 29 | $350 |
| Astellas Pharma US Inc | 20 | $328 |
| Merck | 18 | $240 |
| Biohaven Pharmaceutical Holding Company Ltd. | 19 | $213 |
| Amgen | 11 | $209 |
| Novartis | 10 | $194 |
| Teva Pharmaceuticals USA, Inc. | 11 | $191 |
| Sanofi Pasteur Inc. | 8 | $151 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 5 | $80 |
| Biohaven Pharmaceuticals, Inc. | 2 | $47 |
| Bayer | 2 | $44 |
| Amarin Pharma, Inc. | 2 | $30 |
| Esperion Therapeutics, Inc. | 2 | $26 |
| Abbott | 1 | $24 |
| Sanofi-aventis U.S. LLC | 1 | $23 |
| Genentech USA, Inc. | 1 | $15 |
How this compares
$9,031 in reported general payments places this provider in the 90th percentile of 9,771 internal medicine providers in New York.
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 |
|---|---|---|
| OzempicSemaglutide | 91 | $84,480 |
| EliquisApixaban | 77 | $77,126 |
| TrulicityDulaglutide | 51 | $47,207 |
| JardianceEmpagliflozin | 36 | $37,531 |
| FarxigaDapagliflozin Propanediol | 21 | $28,825 |
| XareltoRivaroxaban | 11 | $11,777 |
| Atorvastatin Calcium | 626 | $11,002 |
| LinzessLinaclotide | 16 | $10,102 |
| Rosuvastatin Calcium | 342 | $8,064 |
| Lantus SolostarInsulin Glargine,hum.Rec.Anlog | 66 | $7,207 |
| MyrbetriqMirabegron | 13 | $6,792 |
| Spiriva RespimatTiotropium Bromide | 12 | $6,288 |
| Toujeo SolostarInsulin Glargine,hum.Rec.Anlog | 14 | $5,532 |
| Budesonide-Formoterol FumarateBudesonide/Formoterol Fumarate | 19 | $4,918 |
| Levothyroxine Sodium | 286 | $4,641 |
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 |
|---|---|---|
| Novo NordiskOzempic | $867 | $84,48091 claims |
| PfizerEliquis | $723 | $77,12677 claims |
| Lilly USA, LLCTrulicity | $1,482 | $47,20751 claims |
| Boehringer IngelheimJardiance, Spiriva Respimat | $572 | $43,81948 claims |
| AstraZenecaFarxiga | $1,138 | $28,82521 claims |
| AbbVieLinzess, Synthroid | $430 | $12,70140 claims |
| Johnson & JohnsonXarelto | $606 | $11,77711 claims |
| Astellas Pharma US IncMyrbetriq | $328 | $6,79213 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 90th percentile of 9,771 internal medicine providers in New York.
Other internal medicine in Rochester
- Patrick ReaganRochester$9.4M
- Angela BrancheRochester$7.9M
- Patrick ConnorsRochester$4M
- Richard DunneRochester$1.6M
- Helena YuNew York$50.9M
- Neha KordeNew York$21.2M
- Karen AutioNew York$18.5M
- Ingo MellinghoffNew York$16.1M
- Gopakumar IyerNew York$12.4M
- David DoveEast Hampton$12.3M
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.