Upama Giri, MD
Medical Oncology · Fairfax, VANPI 1215324363
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 31 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 13 manufacturers, the largest accounting for just 15.0% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2020 at $288 and has fallen 67.1% since, to $95 in 2025. That places this record below the midpoint for medical oncology clinicians in VA, where the typical reported total is $926.
Across 31 payments — averaging $26.63 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Amgen$124
- Sanofi$115
- Sobi, Inc$107
- Lilly USA, LLC$86
- Exelixis Inc.$82
- Merck$77
- plus $234 from 7 others
What the payments were for
- Food & beverage$825100%
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 |
|---|---|---|
| Amgen | 6 | $124 |
| Sanofi | 2 | $115 |
| Sobi, Inc | 1 | $107 |
| Lilly USA, LLC | 4 | $86 |
| Exelixis Inc. | 3 | $82 |
| Merck | 4 | $77 |
| Bristol Myers Squibb | 2 | $60 |
| Eisai Inc. | 3 | $57 |
| Incyte Corporation | 2 | $40 |
| AbbVie | 1 | $25 |
| Bayer | 1 | $20 |
| Jazz Pharmaceuticals Inc. | 1 | $20 |
| GSK | 1 | $12 |
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.
- DOPTELET$107
How this compares
$825 in reported general payments places this provider in the 45th percentile of 95 medical oncology 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 |
|---|---|---|
| PromactaEltrombopag Olamine | 15 | $291,513 |
| TavalisseFostamatinib Disodium | 13 | $193,857 |
| EliquisApixaban | 174 | $168,849 |
| Gamunex-CImmune Globul G/Gly/Iga Avg 46 | 11 | $50,801 |
| XareltoRivaroxaban | 42 | $49,150 |
| Enoxaparin Sodium | 25 | $5,072 |
| Hydroxyurea | 49 | $1,622 |
| Cyanocobalamin InjectionCyanocobalamin (Vitamin B-12) | 11 | $177 |
| Warfarin Sodium | 20 | $139 |
Paid to pharmacies, not to this prescriber.
Other medical oncology in Fairfax
- Janakiraman SubramanianFairfax$562K
- Alexander SpiraFairfax$533K
- Roy BeveridgeFairfax$216K
- Kathleen HarndenFairfax$195K
- Nagla Abdel KarimFairfax$131K
- Lauren MauroFairfax$53K
- Donald TrumpFairfax$20K
- Timothy CannonFairfax$11K
- Arthur WinerFairfax$10K
- Danijela JelovacFairfax$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.