Swaroopa Rani Nalamalapu, MD
Critical Care Medicine · Waterloo, IANPI 1770947517
Payments from drug & device makers
What this record shows
This record is dominated by travel and lodging: $1,106 of the $1,599 with a category attached, or 69.2%. Olympus Corporation Of The Americas accounts for 72.4% of it on its own, with 5 other manufacturers making up the rest. Reporting peaked in 2022 at $1,114 and has fallen 93.4% since, to $73 in 2025.
Across 20 payments — averaging $79.94 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Olympus Corporation Of The Americas$1K
- AstraZeneca$228
- Intuitive Surgical$77
- Medtronic$73
- Insmed, Inc.$49
- GSK$14
What the payments were for
- Travel & lodging$1,10669%
- Food & beverage$44428%
- Education$493%
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 |
|---|---|---|
| Olympus Corporation Of The Americas | 11 | $1,158 |
| AstraZeneca | 2 | $228 |
| Intuitive Surgical | 1 | $77 |
| Medtronic | 2 | $73 |
| Insmed, Inc. | 3 | $49 |
| GSK | 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.
- SINGLE USE SUCTION VALVE (Sterile)$823
- Olympus$186
- TEZSPIRE$125
- BREZTRI$103
How this compares
$1,599 in reported general payments places this provider in the 75th percentile of 33 critical care medicine providers in Iowa.
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 |
|---|---|---|
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 170 | $119,387 |
| Anoro ElliptaUmeclidinium Brm/Vilanterol Tr | 56 | $31,581 |
| Breztri AerosphereBudesonide/Glycopyr/Formoterol | 28 | $19,680 |
| Breo ElliptaFluticasone/Vilanterol | 33 | $19,635 |
| Stiolto RespimatTiotropium Br/Olodaterol Hcl | 22 | $12,515 |
| SymbicortBudesonide/Formoterol Fumarate | 28 | $8,846 |
| Advair HfaFluticasone Propion/Salmeterol | 16 | $7,877 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 98 | $3,126 |
| Montelukast Sodium | 65 | $868 |
| Fluticasone Propionate | 53 | $723 |
| Azelastine Hcl | 13 | $646 |
| Bupropion Hcl SrBupropion Hcl | 34 | $567 |
| Azithromycin | 39 | $471 |
| Famotidine | 51 | $468 |
| Omeprazole | 14 | $315 |
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 |
|---|---|---|
| GSKTrelegy Ellipta, Anoro Ellipta, Breo Ellipta | $14 | $170,603259 claims |
| AstraZenecaBreztri Aerosphere, Symbicort | $228 | $28,52656 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 33 critical care medicine providers in Iowa.
Other critical care medicine in Waterloo
- Humphrey WongDavenport$31K
- Amal El-BakushCedar Rapids$19K
- Lovkesh AroraIowa City$5K
- Charles RappaportIowa City$4K
- David KaczkaIowa City$4K
- Amith George JacobIowa City$3K
- Katherine KavanaughCedar Rapids$2K
- Gregory SchmidtIowa City$2K
- Iaswarya GanapathirajuDes Moines$1K
- Brian GrossDavenport$1K
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.