Varsha Babu, MD
Endocrinology, Diabetes & Metabolism · Fresno, CANPI 1972755452
Payments from drug & device makers
Across 298 payments — averaging $23.88 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Amgen$777
- Dexcom, Inc.$667
- Novo Nordisk$607
- Lilly USA, LLC$527
- Abbott$424
- Bayer$337
- plus $4K from 33 others
What the payments were for
- Food & beverage$7,05699%
- Gifts$591%
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(2 entities) | 27 | $777 |
| Dexcom, Inc. | 25 | $667 |
| Novo Nordisk | 23 | $607 |
| Lilly USA, LLC | 37 | $527 |
| Abbott | 31 | $424 |
| Bayer | 14 | $337 |
| AstraZeneca(2 entities) | 15 | $326 |
| Tandem Diabetes Care, Inc. | 4 | $292 |
| Mannkind Corporation | 10 | $250 |
| Radius Health, Inc. | 5 | $250 |
| Medtronic(2 entities) | 14 | $236 |
| Corcept Therapeutics | 9 | $233 |
| Insulet Corporation | 12 | $225 |
| Recordati_rare_diseases_inc. | 6 | $213 |
| Boehringer Ingelheim | 9 | $185 |
| Xeris Pharmaceuticals, Inc. | 9 | $166 |
| Antares Pharma, Inc. | 3 | $165 |
| Boston Scientific | 1 | $139 |
| AbbVie | 1 | $120 |
| Nevro Corp. | 3 | $110 |
| Ascensia Diabetes Care US Inc. | 5 | $107 |
| Sanofi-aventis U.S. LLC | 6 | $103 |
| Neurocrine Biosciences, Inc. | 1 | $103 |
| Ipsen Biopharmaceuticals, Inc | 3 | $67 |
| EUSA Pharma (US) LLC | 3 | $65 |
| Amryt Pharma Holdings Ltd | 3 | $58 |
| Pfizer | 2 | $44 |
| Lifescan, Inc. | 2 | $40 |
| IBSA Pharma Inc. | 2 | $39 |
| Ultragenyx Pharmaceutical Inc. | 2 | $34 |
| Esperion Therapeutics, Inc. | 2 | $33 |
| Eisai Inc. | 2 | $32 |
| Ascendis Pharma Endocrinology Inc | 1 | $26 |
| Amarin Pharma, Inc. | 1 | $24 |
| Zealand Pharma US, Inc. | 1 | $23 |
| Halozyme Inc | 1 | $21 |
| Kyowa Kirin, Inc. | 1 | $18 |
| Acella Pharmaceuticals, LLC | 1 | $16 |
| Bigfoot Biomedical Inc | 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.
- WaveWriter Alpha Prime 16$139
- t:slim X2 insulin pump$125
- Wegovy$125
- XYOSTED$125
- TLANDO$125
- EVENITY$125
- Tymlos$122
- t-slim insulin pump$121
- MOUNJARO$120
- Synthroid$120
- Ozempic$118
- FreeStyle Libre 2$111
- DEXCOM G7 GSS (161)$107
- CRENESSITY$103
- Kerendia$100
How this compares
$7,115 in reported general payments places this provider in the 70th percentile of 952 endocrinology, diabetes & metabolism providers in California.
See all endocrinology, diabetes & metabolism 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 |
|---|---|---|
| OzempicSemaglutide | 273 | $415,671 |
| Signifor LarPasireotide Pamoate | 12 | $223,264 |
| TrulicityDulaglutide | 103 | $172,948 |
| JardianceEmpagliflozin | 81 | $121,581 |
| MounjaroTirzepatide | 86 | $119,782 |
| Teriparatide | 24 | $87,411 |
| FarxigaDapagliflozin Propanediol | 70 | $85,305 |
| Toujeo Max SolostarInsulin Glargine,hum.Rec.Anlog | 37 | $39,078 |
| TymlosAbaloparatide | 15 | $38,222 |
| RybelsusSemaglutide | 33 | $36,917 |
| JanuviaSitagliptin Phosphate | 32 | $35,926 |
| Toujeo SolostarInsulin Glargine,hum.Rec.Anlog | 32 | $21,049 |
| KerendiaFinerenone | 13 | $19,814 |
| Tresiba Flextouch U-100Insulin Degludec | 28 | $18,346 |
| Basaglar Kwikpen U-100Insulin Glargine,hum.Rec.Anlog | 30 | $16,017 |
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 |
|---|---|---|
| Novo NordiskOzempic, Rybelsus | $607 | $452,588306 claims |
| Lilly USA, LLCTrulicity, Mounjaro, Humalog | $527 | $297,666212 claims |
| Recordati_rare_diseases_inc.Signifor Lar | $213 | $223,26412 claims |
| Boehringer IngelheimJardiance | $185 | $121,58181 claims |
| AstraZenecaFarxiga | $326 | $85,30570 claims |
| Radius Health, Inc.Tymlos | $250 | $38,22215 claims |
| BayerKerendia | $337 | $19,81413 claims |
| AbbVieSynthroid | $120 | $15,917129 claims |
| Sanofi-aventis U.S. LLCLantus | $103 | $4,48317 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 70th percentile of 952 endocrinology, diabetes & metabolism providers in California.
Other endocrinology, diabetes & metabolism in Fresno
- Paul NorwoodFresno$6.2M
- Jerrold OlefskySan Diego$26.5M
- Mark ChristiansenWalnut Creek$22.9M
- Timothy BaileyEscondido$22.3M
- Stanley HsiaLos Angeles$19.8M
- Juan FriasSan Diego$14.1M
- Athena Philis-Tsimikasla Jolla$6M
- David AhnNewport Beach$5.8M
- Shlomo MelmedLos Angeles$3.3M
- Leila ChaychiSan Carlos$3.2M
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.