Tishangi Agrawal, MD
Advanced Heart Failure and Transplant Cardiology · Pasadena, CANPI 1396003257
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $8,438 of the $12,574 with a category attached, or 67.1%. 27 manufacturers reported payments, led by Actelion Pharmaceuticals US, Inc. at 39.3% of the total. Reporting peaked in 2023 at $4,523 and has fallen 66.8% since, to $1,501 in 2025.
Across 269 payments — averaging $46.74 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Actelion Pharmaceuticals US, Inc.$5K
- Cvrx, Inc.$2K
- Abbott$782
- Novartis$745
- E.r. Squibb & Sons, L.L.C.$716
- Merck$660
- plus $3K from 21 others
Across 29 payments — averaging $1181.68 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Impulse Dynamics (USA) Inc.$34K
What the payments were for
- Consulting fees$2,47520%
- Travel & lodging$1,37411%
- Food & beverage$8,43867%
- Education$2872%
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 |
|---|---|---|
| Actelion Pharmaceuticals US, Inc. | 53 | $4,940 |
| Cvrx, Inc. | 9 | $2,073 |
| Abbott | 10 | $782 |
| Novartis | 46 | $745 |
| E.r. Squibb & Sons, L.L.C. | 25 | $716 |
| Merck | 21 | $660 |
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 19 | $520 |
| Boehringer Ingelheim | 13 | $391 |
| Pfizer | 19 | $326 |
| Novo Nordisk | 10 | $222 |
| Abiomed | 2 | $175 |
| United Therapeutics Corporation | 4 | $155 |
| Kiniksa Pharmaceuticals, Ltd. | 6 | $136 |
| Amgen | 5 | $127 |
| Johnson & Johnson | 5 | $92 |
| Kestra Medical Technology Services, Inc. | 3 | $86 |
| Bayer | 3 | $67 |
| AstraZeneca | 3 | $55 |
| Kiniksa Pharmaceuticals International, PLC | 2 | $50 |
| Lexicon Pharmaceuticals, Inc. | 2 | $49 |
| Alnylam Pharmaceuticals Inc. | 2 | $48 |
| Bristol Myers Squibb | 2 | $37 |
| Philips North America LLC | 1 | $28 |
| Sobi, Inc | 1 | $26 |
| Impulse Dynamics (USA) Inc. | 1 | $25 |
| Medtronic | 1 | $22 |
| Irhythm Technologies, Inc. | 1 | $21 |
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.
- OPSUMIT$3,543
- UPTRAVI$3,293
- Barostim Neo System$1,822
- CARDIOMEMS$375
- THORATEC HEARTMATE 3 LVAS IMPLANT KIT$174
- LifeVest$168
- Impella$149
- JARDIANCE$125
- WINREVAIR$124
- CAMZYOS$121
- VELETRI$109
How this compares
$12,574 in reported general payments places this provider in the 55th percentile of 111 advanced heart failure and transplant cardiology providers in California.
See all advanced heart failure and transplant cardiology providers in California →
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 |
|---|---|---|
| VyndamaxTafamidis | 24 | $683,089 |
| OpsumitMacitentan | 35 | $440,508 |
| EntrestoSacubitril/Valsartan | 296 | $361,905 |
| CamzyosMavacamten | 44 | $357,331 |
| UptraviSelexipag | 12 | $272,322 |
| AdempasRiociguat | 24 | $259,013 |
| JardianceEmpagliflozin | 187 | $195,803 |
| EliquisApixaban | 63 | $70,926 |
| FarxigaDapagliflozin Propanediol | 31 | $33,978 |
| Repatha SureclickEvolocumab | 23 | $14,297 |
| Sildenafil Citrate | 16 | $13,748 |
| Carvedilol | 239 | $2,053 |
| Atorvastatin Calcium | 148 | $1,975 |
| Bumetanide | 48 | $1,933 |
| Spironolactone | 204 | $1,892 |
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 |
|---|---|---|
| PfizerVyndamax, Eliquis | $326 | $754,01487 claims |
| Actelion Pharmaceuticals US, Inc.Opsumit, Uptravi | $4,940 | $712,83047 claims |
| NovartisEntresto | $745 | $361,905296 claims |
| E.r. Squibb & Sons, L.L.C.Camzyos | $716 | $357,33144 claims |
| BayerAdempas | $67 | $259,01324 claims |
| Boehringer IngelheimJardiance | $391 | $195,803187 claims |
| AstraZenecaFarxiga | $55 | $33,97831 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 55th percentile of 111 advanced heart failure and transplant cardiology providers in California.
Other advanced heart failure and transplant cardiology in Pasadena
- Richard WrightSanta Monica$1.7M
- James Heywoodla Jolla$1.2M
- Hirsch MehtaSan Diego$494K
- Teresa de MarcoSan Francisco$366K
- Rajeev Mohanla Jolla$357K
- Marcus UreySan Diego$341K
- Munir JanmohamedSacramento$314K
- Barry GreenbergSan Diego$270K
- Ronald WittelesStanford$251K
- Gurpreet SodhiSacramento$241K
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.