RxDoctor Payments Data

Srinadh Palacharla, MD

Nephrology · Smyrna, GANPI 1891724449

Payments from drug & device makers

$2,822in general payments, 2019–2025

Across 81 payments — averaging $34.84 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • AstraZeneca$953
  • Novo Nordisk$315
  • Otsuka America Pharmaceutical, Inc.$291
  • Bayer$228
  • Amgen$215
  • OPKO Pharmaceuticals, LLC$170
  • plus $650 from 9 others

What the payments were for

  • Food & beverage$2,75598%
  • Education$672%

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

$2,822 in reported general payments places this provider in the 60th percentile of 388 nephrology providers in Georgia.

See all nephrology providers in Georgia

Medicare billing

Part B allowed, 2024
$185,925
Medicare patients
212
Services billed
997

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
VelphoroSucroferric Oxyhydroxide54$155,317
AuryxiaFerric Citrate57$145,851
LokelmaSodium Zirconium Cyclosilicate29$38,965
Sevelamer Carbonate80$17,341
FarxigaDapagliflozin Propanediol13$15,598
MyrbetriqMirabegron13$5,747
Midodrine Hcl22$2,873
Nifedipine ErNifedipine41$1,713
Hydralazine Hcl101$1,219
Potassium Chloride26$904
Calcitriol39$858
Torsemide46$782
Nebivolol Hcl11$706
Amlodipine Besylate91$696
Metolazone12$676

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
Fresenius USA Marketing, Inc.Velphoro$57$155,31754 claims
AstraZenecaLokelma, Farxiga$953$54,56342 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 60th percentile of 388 nephrology providers in Georgia.

Other nephrology in Smyrna

See the full list for Georgia

Where these figures come from

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