Smitha Neerukonda
Cardiovascular Disease · Cheyenne, WYNPI 1669835013
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $2,250 of the $2,940 with a category attached, or 76.5%. 21 manufacturers reported payments, led by Boston Scientific at 42.4% of the total. Reporting peaked in 2024 at $1,437 and has fallen 75.4% since, to $354 in 2025.
Across 85 payments — averaging $34.59 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Boston Scientific$1K
- AstraZeneca$205
- Amgen$189
- Pfizer$153
- Astellas Pharma US Inc$150
- E.r. Squibb & Sons, L.L.C.$145
- plus $850 from 15 others
What the payments were for
- Travel & lodging$57420%
- Food & beverage$2,25077%
- Education$1154%
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 |
|---|---|---|
| Boston Scientific | 10 | $1,247 |
| AstraZeneca | 15 | $205 |
| Amgen | 5 | $189 |
| Pfizer | 9 | $153 |
| Astellas Pharma US Inc | 4 | $150 |
| E.r. Squibb & Sons, L.L.C. | 14 | $145 |
| Edwards Lifesciences | 1 | $128 |
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 2 | $116 |
| Novartis | 5 | $105 |
| Abiomed | 4 | $100 |
| Novo Nordisk | 1 | $98 |
| Esperion Therapeutics, Inc. | 4 | $59 |
| Medtronic | 2 | $44 |
| Abbott | 2 | $41 |
| Bridgebio Pharma, Inc. | 1 | $37 |
| Alnylam Pharmaceuticals Inc. | 1 | $31 |
| Philips North America LLC | 1 | $28 |
| Bayer | 1 | $19 |
| Biotronik Inc. | 1 | $15 |
| Merck | 1 | $15 |
| Boehringer Ingelheim | 1 | $14 |
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
$2,940 in reported general payments places this provider in the 75th percentile of 22 cardiovascular disease providers in Wyoming.
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 |
|---|---|---|
| EliquisApixaban | 45 | $55,805 |
| JardianceEmpagliflozin | 30 | $36,284 |
| FarxigaDapagliflozin Propanediol | 22 | $22,310 |
| XareltoRivaroxaban | 17 | $14,614 |
| Bumetanide | 43 | $2,144 |
| Atorvastatin Calcium | 222 | $1,858 |
| Metoprolol Succinate | 156 | $1,843 |
| Potassium Chloride | 59 | $1,685 |
| Rosuvastatin Calcium | 111 | $1,572 |
| Losartan Potassium | 97 | $998 |
| Ezetimibe | 39 | $652 |
| Furosemide | 121 | $651 |
| Metoprolol Tartrate | 95 | $627 |
| ClopidogrelClopidogrel Bisulfate | 56 | $510 |
| Amlodipine Besylate | 74 | $500 |
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 |
|---|---|---|
| PfizerEliquis | $153 | $55,80545 claims |
| Boehringer IngelheimJardiance | $14 | $36,28430 claims |
| AstraZenecaFarxiga | $205 | $22,31022 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 75th percentile of 22 cardiovascular disease providers in Wyoming.
Other cardiovascular disease in Cheyenne
- Isheeka EdwardsCheyenne$1K
- Mehdi GheshlaghiCheyenne$874
- Umer SaleemCheyenne$242
- Larry HattelCheyenne$108
- Michael HigginbothamCheyenne$17
- Michel SkafCasper$15K
- David GonzalezAfton$6K
- Brian KellyPowell$4K
- Robert NovickCasper$4K
- Adrian FlutureCasper$3K
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.