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Sivalingam Kanagasegar, MD

Rheumatology · Crossville, TNNPI 1982666012

Payments from drug & device makers

$24,311in general payments, 2019–2025

Across 1,306 payments — averaging $18.62 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Amgen$5K
  • Eli Lilly$4K
  • AbbVie$4K
  • Johnson & Johnson$2K
  • UCB, Inc.$2K
  • Novartis$2K
  • plus $6K from 30 others
$30,442in research payments, 2019–2025

Across 4 payments — averaging $7610.50 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.

  • Eli Lilly$30K

What the payments were for

  • Consulting fees$4202%
  • Speaking & faculty fees$1,2006%
  • Grants$2401%
  • Food & beverage$18,11790%
  • Education$2651%

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

$24,311 in reported general payments places this provider in the 70th percentile of 127 rheumatology providers in Tennessee.

See all rheumatology providers in Tennessee

Medicare billing

Part B allowed, 2024
$2,840,638
Medicare patients
670
Services billed
164,886

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
Enbrel SureclickEtanercept311$2,432,110
Humira(Cf) PenAdalimumab228$1,662,035
RinvoqUpadacitinib179$1,248,010
Orencia ClickjectAbatacept92$524,964
Cosentyx Sensoready (2 Pens)Secukinumab45$352,435
TremfyaGuselkumab24$336,208
KevzaraSarilumab56$277,113
Xeljanz XrTofacitinib Citrate42$256,339
Cosentyx Unoready PenSecukinumab29$221,283
Taltz AutoinjectorIxekizumab29$196,253
OtezlaApremilast36$195,457
Actemra ActpenTocilizumab40$171,734
TymlosAbaloparatide48$145,879
Enbrel MiniEtanercept20$143,728
Cimzia (2 Pack)Certolizumab Pegol23$133,827

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
AbbVieRinvoq, Savella$3,554$1,261,313193 claims
Johnson & JohnsonTremfya, Simponi Aria$2,301$420,25036 claims
AmgenOtezla, Enbrel, Prolia$5,028$335,13479 claims
SanofiKevzara$182$277,11356 claims
Radius Health, Inc.Tymlos$487$145,87948 claims
UCB, Inc.Cimzia (2 Pack)$1,773$133,82723 claims
PfizerXeljanz$1,359$86,63115 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 127 rheumatology providers in Tennessee.

Other rheumatology in Crossville

See the full list for Tennessee

Where these figures come from

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