Sreesh Iyengar, MD
Nephrology · San Bernardino, CANPI 1699069146
Payments from drug & device makers
Across 755 payments — averaging $211.12 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Takeda Pharmaceuticals U.S.A., Inc.$83K
- Amgen$64K
- Vifor Pharma, Inc.$2K
- AstraZeneca$2K
- Mallinckrodt Hospital Products Inc.$1K
- Akebia Therapeutics Inc$1K
- plus $7K from 26 others
What the payments were for
- Consulting fees$82,23852%
- Speaking & faculty fees$53,87834%
- Travel & lodging$6,4674%
- Food & beverage$16,09610%
- Education$7170%
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 |
|---|---|---|
| Takeda Pharmaceuticals U.S.A., Inc. | 38 | $82,574 |
| Amgen(2 entities) | 177 | $63,870 |
| Vifor Pharma, Inc. | 65 | $1,909 |
| AstraZeneca | 72 | $1,908 |
| Mallinckrodt Hospital Products Inc. | 53 | $1,216 |
| Akebia Therapeutics Inc | 70 | $1,198 |
| Ardelyx, Inc. | 32 | $762 |
| GSK | 20 | $665 |
| OPKO Pharmaceuticals, LLC | 36 | $652 |
| Bayer | 32 | $575 |
| Otsuka Pharmaceutical Development & Commercialization, Inc. | 1 | $513 |
| Calliditas Therapeutics US Inc. | 23 | $446 |
| Travere Therapeutics, Inc. | 15 | $444 |
| Aurinia Pharma U.S., Inc. | 11 | $426 |
| ANI Pharmaceuticals, Inc. | 25 | $405 |
| Otsuka America Pharmaceutical, Inc. | 19 | $352 |
| Fresenius USA Marketing, Inc. | 16 | $279 |
| Mallinckrodt Enterprises LLC | 13 | $259 |
| Boehringer Ingelheim | 10 | $195 |
| Novo Nordisk | 5 | $194 |
| Novartis | 6 | $142 |
| Baxter Healthcare | 1 | $125 |
| Johnson & Johnson | 4 | $82 |
| Pfizer | 2 | $37 |
| Shield Therapeutics Inc | 2 | $33 |
| Genentech USA, Inc. | 1 | $26 |
| E.r. Squibb & Sons, L.L.C. | 1 | $23 |
| Scpharmaceuticals Inc. | 1 | $21 |
| Eisai Inc. | 1 | $20 |
| Lilly USA, LLC | 1 | $19 |
| Sanofi | 1 | $15 |
| Ultragenyx Pharmaceutical Inc. | 1 | $11 |
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
$159,396 in reported general payments places this provider in the 90th percentile of 1,341 nephrology providers in California.
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 |
|---|---|---|
| KrystexxaPegloticase | 34 | $1,951,180 |
| LokelmaSodium Zirconium Cyclosilicate | 115 | $115,815 |
| FarxigaDapagliflozin Propanediol | 122 | $112,829 |
| VelphoroSucroferric Oxyhydroxide | 31 | $104,562 |
| VeltassaPatiromer Calcium Sorbitex | 58 | $80,481 |
| BenlystaBelimumab | 14 | $69,460 |
| RayaldeeCalcifediol | 48 | $63,027 |
| XphozahTenapanor Hcl | 24 | $62,028 |
| AuryxiaFerric Citrate | 60 | $58,255 |
| DapagliflozinDapagliflozin Propanediol | 85 | $56,601 |
| KerendiaFinerenone | 37 | $34,743 |
| JardianceEmpagliflozin | 14 | $14,090 |
| ProsolParenteral Amino Acid 20% No.1 | 80 | $10,658 |
| ClinisolParenteral Amino Acid 15% No.5 | 52 | $9,811 |
| Cinacalcet Hcl | 11 | $7,361 |
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 |
|---|---|---|
| AmgenKrystexxa | $63,870 | $1,951,18034 claims |
| AstraZenecaLokelma, Farxiga | $1,908 | $228,645237 claims |
| Fresenius USA Marketing, Inc.Velphoro | $279 | $104,56231 claims |
| GSKBenlysta | $665 | $69,46014 claims |
| OPKO Pharmaceuticals, LLCRayaldee | $652 | $63,02748 claims |
| Akebia Therapeutics IncAuryxia | $1,198 | $58,25560 claims |
| BayerKerendia | $575 | $34,74337 claims |
| Boehringer IngelheimJardiance | $195 | $14,09014 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 1,341 nephrology providers in California.
Other nephrology in San Bernardino
- Anjay RastogiLos Angeles$6.3M
- Aamir JamalSan Dimas$5.5M
- Mohamed El-ShahawyLos Angeles$4.4M
- Kalpesh PatelCalabasas$3.6M
- Jehad HaggiagiMission Hills$3.6M
- Malvin YanSouth Gate$3.3M
- Sohan DuaNorthridge$3.2M
- Richard LafayetteStanford$3M
- Anant DesaiGranada Hills$2.9M
- Glenn ChertowStanford$2.2M
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.