Srinagesh Paluvoi, MD
Allergy · Lansdowne, VANPI 1699842187
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 99.1% of the total across 282 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 28 manufacturers, the largest accounting for just 16.9% — the pattern of someone who eats at a lot of different presentations.
Across 282 payments — averaging $22.12 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$1K
- Pfizer$915
- GSK$813
- Regeneron Healthcare Solutions, Inc.$643
- Sanofi$481
- Takeda Pharmaceuticals U.S.A., Inc.$384
- plus $2K from 22 others
What the payments were for
- Consulting fees$250%
- Food & beverage$6,17899%
- Education$331%
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 |
|---|---|---|
| AstraZeneca | 54 | $1,051 |
| Pfizer | 52 | $915 |
| GSK | 39 | $813 |
| Regeneron Healthcare Solutions, Inc. | 22 | $643 |
| Sanofi | 17 | $481 |
| Takeda Pharmaceuticals U.S.A., Inc. | 16 | $384 |
| Grifols USA, LLC | 14 | $294 |
| Novartis | 13 | $281 |
| Kaleo, Inc. | 8 | $156 |
| ARS Pharmaceuticals Operations, Inc. | 6 | $131 |
| AbbVie | 1 | $125 |
| Biocryst US Sales Co., LLC | 1 | $117 |
| Alk-abello, Inc | 5 | $99 |
| Novo Nordisk | 1 | $97 |
| Optinose US, Inc. | 5 | $97 |
| Genentech USA, Inc. | 4 | $80 |
| Shire North American Group Inc | 3 | $70 |
| CSL Behring | 3 | $65 |
| Incyte Corporation | 4 | $61 |
| Amgen | 2 | $49 |
| Pharming Healthcare, Inc. | 2 | $41 |
| Teva Pharmaceuticals USA, Inc. | 2 | $39 |
| Phadia US Inc. | 2 | $37 |
| Aimmune Therapeutics, Inc. | 2 | $27 |
| ADMA Biomanufacturing LLC | 1 | $25 |
| Bio Products Laboratory USA, Inc. | 1 | $21 |
| Merck | 1 | $20 |
| Esperion Therapeutics, Inc. | 1 | $18 |
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
$6,237 in reported general payments places this provider in the 60th percentile of 26 allergy providers in Virginia.
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 |
|---|---|---|
| Azelastine Hcl | 26 | $1,018 |
| Budesonide-Formoterol FumarateBudesonide/Formoterol Fumarate | 14 | $726 |
| Montelukast Sodium | 62 | $478 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 21 | $355 |
| Levocetirizine Dihydrochloride | 35 | $219 |
| Ipratropium Bromide | 13 | $140 |
Paid to pharmacies, not to this prescriber.
Other allergy in Lansdowne
- Lawrence GelberRichmond$1.9M
- Robert CallRichmond$1.9M
- William HarkRichmond$945K
- Thomas Platts MillsCharlottesville$35K
- Kelly MaplesNorfolk$26K
- Muhammad RaisRichmond$16K
- Jaimin PatelHenrico$14K
- Sarah SprietFort Belvoir$9K
- Laura IspasLeesburg$9K
- Zeeshan KhakwaniRichmond$8K
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.