Usha Nayak, MD
Critical Care Medicine · Gainesville, GANPI 1548222474
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $3,063 of the $4,103 with a category attached, or 74.7%. It is spread thinly across 30 manufacturers, the largest accounting for just 23.6%.
Across 136 payments — averaging $30.17 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Olympus Corporation Of The Americas$969
- GSK$619
- Boehringer Ingelheim$315
- Regeneron Healthcare Solutions, Inc.$278
- United Therapeutics Corporation$248
- Actelion Pharmaceuticals US, Inc.$239
- plus $1K from 24 others
What the payments were for
- Travel & lodging$94323%
- Food & beverage$3,06375%
- Education$972%
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.
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
$4,103 in reported general payments places this provider in the 85th percentile of 265 critical care medicine providers in Georgia.
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 | 914 | $732,514 |
| OfevNintedanib Esylate | 30 | $395,849 |
| Prolastin CAlpha-1-Proteinase Inhibitor | 28 | $282,059 |
| NucalaMepolizumab | 33 | $121,963 |
| Anoro ElliptaUmeclidinium Brm/Vilanterol Tr | 110 | $65,464 |
| Breo ElliptaFluticasone/Vilanterol | 110 | $61,820 |
| Breztri AerosphereBudesonide/Glycopyr/Formoterol | 89 | $58,679 |
| Combivent RespimatIpratropium/Albuterol Sulfate | 65 | $40,512 |
| Spiriva RespimatTiotropium Bromide | 44 | $23,741 |
| Advair HfaFluticasone Propion/Salmeterol | 66 | $23,130 |
| XareltoRivaroxaban | 20 | $21,381 |
| Stiolto RespimatTiotropium Br/Olodaterol Hcl | 45 | $20,692 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 687 | $20,017 |
| EliquisApixaban | 29 | $19,851 |
| Azelastine Hcl | 694 | $17,032 |
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, Nucala, Anoro Ellipta, Breo Ellipta, Arnuity Ellipta | $619 | $990,4681,197 claims |
| Boehringer IngelheimOfev, Combivent Respimat, Spiriva Respimat, Stiolto Respimat | $315 | $480,793184 claims |
| Grifols USA, LLCProlastin C | $172 | $282,05928 claims |
| AstraZenecaBreztri Aerosphere, Symbicort | $203 | $68,595121 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 85th percentile of 265 critical care medicine providers in Georgia.
Other critical care medicine in Gainesville
- April McDonaldGainesville$41K
- Joe ClementsGainesville$3K
- Salman FidahusseinLagrange$852K
- Bruce FriedmanAugusta$629K
- Gregory MauldinSnellville$221K
- Ramzy RimawiAtlanta$72K
- Rafael Alba YunenBrunswick$58K
- Matthew SchmittAtlanta$32K
- Prasad GarimellaBraselton$20K
- James PalazzoloAlbany$16K
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.