Tim McGranahan, NP
Acute Care · Richmond, VANPI 1710061676
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (55.8%), travel and lodging and education — rather than concentrated in one kind of arrangement. 5 manufacturers reported payments, led by Boston Scientific at 49.7% of the total. 2025 is the largest year on record at $2,477, more than ten times the $50 reported in 2021. Among acute care clinicians in VA with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 55 payments — averaging $63.99 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Boston Scientific$2K
- Medtronic$2K
- Impulse Dynamics (USA) Inc.$68
- Johnson & Johnson$32
- Abbott$16
What the payments were for
- Travel & lodging$1,54244%
- Food & beverage$1,96456%
- Education$140%
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 |
|---|---|---|
| Boston Scientific | 18 | $1,749 |
| Medtronic | 32 | $1,655 |
| Impulse Dynamics (USA) Inc. | 2 | $68 |
| Johnson & Johnson | 2 | $32 |
| Abbott | 1 | $16 |
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.
- Watchman$1,264
- COBALT DR MRI SURESCAN$239
- LINQ II$128
How this compares
$3,520 in reported general payments places this provider in the 90th percentile of 599 acute care 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 |
|---|---|---|
| EliquisApixaban | 45 | $41,202 |
| Dofetilide | 79 | $15,172 |
| Colchicine | 48 | $1,126 |
| Amiodarone Hcl | 66 | $937 |
| Sucralfate | 33 | $789 |
| Naloxone Hcl | 13 | $778 |
| Mupirocin | 108 | $711 |
| Chlorhexidine Gluconate | 132 | $540 |
| Metoprolol Succinate | 30 | $488 |
| SotalolSotalol Hcl | 18 | $433 |
| ClopidogrelClopidogrel Bisulfate | 47 | $402 |
| Potassium Chloride | 16 | $274 |
| Spironolactone | 11 | $48 |
| Carvedilol | 14 | $32 |
Paid to pharmacies, not to this prescriber.
Other acute care in Richmond
- Rachel DukeRichmond$751K
- Mica FerlisRichmond$20K
- Jonathan PenderRichmond$13K
- Erin PerlmutterRichmond$13K
- Emily GilbertRichmond$10K
- Linda HazelgrenRichmond$9K
- Stephanie HerndonRichmond$9K
- Christine RobinsonRichmond$8K
- Kelly McAdamsRichmond$7K
- Linda KashiwabaraRichmond$7K
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.