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Sikarin Upala, MD

Endocrinology, Diabetes & Metabolism · Union Gap, WANPI 1013334556

Payments from drug & device makers

$11,115in general payments, 2019–2025

Across 522 payments — averaging $21.29 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Medtronic$3K
  • Novo Nordisk$2K
  • AstraZeneca$660
  • Insulet Corporation$659
  • Dexcom, Inc.$607
  • Amgen$594
  • plus $4K from 35 others

What the payments were for

  • Consulting fees$3003%
  • Speaking & faculty fees$3003%
  • Travel & lodging$2,21120%
  • Food & beverage$8,14073%
  • Education$1641%

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

19
20
21
22
23
24
25

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.

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

$11,115 in reported general payments places this provider in the 70th percentile of 161 endocrinology, diabetes & metabolism providers in Washington.

See all endocrinology, diabetes & metabolism providers in Washington

Medicare billing

Part B allowed, 2024
$19,753
Medicare patients
114
Services billed
280

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

DrugClaimsCost to plans & patients
OzempicSemaglutide443$446,036
MounjaroTirzepatide94$115,062
ForteoTeriparatide26$109,677
Omnipod 5 Dexg7g6 Pods (Gen 5)Insulin Pump Cart,auto,bt,g6/7105$107,401
JardianceEmpagliflozin81$100,792
TrulicityDulaglutide69$85,950
Tresiba Flextouch U-200Insulin Degludec62$48,423
Toujeo SolostarInsulin Glargine,hum.Rec.Anlog55$33,991
Lantus SolostarInsulin Glargine,hum.Rec.Anlog224$31,584
JanuviaSitagliptin Phosphate20$29,727
FarxigaDapagliflozin Propanediol22$28,704
Fiasp FlextouchInsulin Aspart (Niacinamide)29$26,679
Tresiba Flextouch U-100Insulin Degludec31$26,291
HumalogInsulin Lispro118$26,190
FiaspInsulin Aspart (Niacinamide)31$23,844

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.

CompanyPaid to this providerPart D cost of their drugs
Novo NordiskOzempic, Fiasp, Novolog$1,633$477,008506 claims
Lilly USA, LLCMounjaro, Forteo, Trulicity, Humalog, Insulin Lispro$424$339,523337 claims
Boehringer IngelheimJardiance, Tradjenta$178$114,81994 claims
AstraZenecaFarxiga$660$28,70422 claims
Sanofi-aventis U.S. LLCLantus$148$2,04526 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 70th percentile of 161 endocrinology, diabetes & metabolism providers in Washington.

Other endocrinology, diabetes & metabolism in Union Gap

See the full list for Washington

Where these figures come from

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