RxDoctor Payments Data

Subash Nepal, MD

Cardiovascular Disease · Pikeville, KYNPI 1740701580

Payments from drug & device makers

$1,014in general payments, 2019–2025

Across 55 payments — averaging $18.43 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Boston Scientific$220
  • Novartis$206
  • Pfizer$162
  • Philips North America LLC$76
  • E.r. Squibb & Sons, L.L.C.$61
  • AstraZeneca$55
  • plus $233 from 9 others

What the payments were for

  • Food & beverage$1,014100%

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

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

$1,014 in reported general payments places this provider in the 25th percentile of 258 cardiovascular disease providers in Kentucky.

See all cardiovascular disease providers in Kentucky

Medicare billing

Part B allowed, 2024
$78,226
Medicare patients
836
Services billed
1,762

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
EntrestoSacubitril/Valsartan23$31,504
EliquisApixaban37$23,677
Amlodipine-ValsartanAmlodipine Besylate/Valsartan74$1,738
Potassium Chloride17$619
Atorvastatin Calcium110$394
Amlodipine Besylate113$334
Losartan Potassium22$333
Metoprolol Succinate53$294
Chlorthalidone25$289
Carvedilol53$259
Enalapril Maleate14$243
Spironolactone27$204
Ezetimibe28$196
Metoprolol Tartrate36$187
Lisinopril38$119

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
NovartisEntresto$206$31,50423 claims
PfizerEliquis$162$23,67737 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 25th percentile of 258 cardiovascular disease providers in Kentucky.

Other cardiovascular disease in Pikeville

See the full list for Kentucky

Where these figures come from

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