Varuna Nargunan, MD
Endocrinology, Diabetes & Metabolism · Odessa, TXNPI 1386807089
Payments from drug & device makers
Across 340 payments — averaging $17.74 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novo Nordisk$884
- AstraZeneca$816
- Amgen$775
- Lilly USA, LLC$766
- Boehringer Ingelheim$648
- Abbott$307
- plus $2K from 30 others
What the payments were for
- Food & beverage$5,93298%
- Education$1012%
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 |
|---|---|---|
| Novo Nordisk | 67 | $884 |
| AstraZeneca(2 entities) | 47 | $816 |
| Amgen(2 entities) | 39 | $775 |
| Lilly USA, LLC | 44 | $766 |
| Boehringer Ingelheim | 32 | $648 |
| Abbott | 15 | $307 |
| Insulet Corporation | 8 | $276 |
| Sanofi-aventis U.S. LLC | 15 | $233 |
| Xeris Pharmaceuticals, Inc. | 11 | $208 |
| Bayer | 8 | $161 |
| Tandem Diabetes Care, Inc. | 6 | $112 |
| Astellas Pharma US Inc | 4 | $84 |
| Mannkind Corporation | 3 | $82 |
| Dexcom, Inc. | 4 | $68 |
| Medtronic(2 entities) | 3 | $53 |
| Amarin Pharma, Inc. | 3 | $52 |
| Pfizer | 3 | $51 |
| Johnson & Johnson | 4 | $50 |
| IBSA Pharma Inc. | 2 | $41 |
| Sequel Med Tech, LLC | 2 | $40 |
| Kyowa Kirin, Inc. | 2 | $38 |
| Eisai Inc. | 2 | $37 |
| Amryt Pharma Holdings Ltd | 2 | $34 |
| Radius Health, Inc. | 2 | $27 |
| Sun Pharmaceutical Industries Inc. | 1 | $23 |
| Novartis | 1 | $22 |
| Ascendis Pharma Endocrinology Inc | 1 | $18 |
| Ultragenyx Pharmaceutical Inc. | 1 | $17 |
| Ascensia Diabetes Care US Inc. | 1 | $17 |
| Esperion Therapeutics, Inc. | 1 | $15 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 1 | $14 |
| Sanofi Pasteur Inc. | 1 | $14 |
| Shire North American Group Inc | 1 | $14 |
| AbbVie | 1 | $13 |
| Corcept Therapeutics | 1 | $12 |
| Merck | 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.
- Omnipod$128
How this compares
$6,033 in reported general payments places this provider in the 55th percentile of 658 endocrinology, diabetes & metabolism providers in Texas.
See all endocrinology, diabetes & metabolism providers in Texas →
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 | 252 | $423,231 |
| MounjaroTirzepatide | 172 | $263,014 |
| JardianceEmpagliflozin | 95 | $128,866 |
| TrulicityDulaglutide | 66 | $127,828 |
| Tresiba Flextouch U-100Insulin Degludec | 124 | $90,165 |
| Janumet XrSitagliptin Phos/Metformin Hcl | 65 | $72,933 |
| RybelsusSemaglutide | 35 | $72,209 |
| FarxigaDapagliflozin Propanediol | 61 | $71,348 |
| Toujeo Max SolostarInsulin Glargine,hum.Rec.Anlog | 61 | $70,530 |
| Tresiba Flextouch U-200Insulin Degludec | 62 | $63,171 |
| Fiasp FlextouchInsulin Aspart (Niacinamide) | 86 | $60,210 |
| Lyumjev Kwikpen U-100Insulin Lispro-Aabc | 61 | $57,737 |
| GlyxambiEmpagliflozin/Linagliptin | 54 | $56,392 |
| Synjardy XrEmpagliflozin/Metformin Hcl | 48 | $55,747 |
| Toujeo SolostarInsulin Glargine,hum.Rec.Anlog | 48 | $54,846 |
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, Novolog | $884 | $501,960314 claims |
| Lilly USA, LLCMounjaro, Trulicity, Humalog | $766 | $396,252257 claims |
| Boehringer IngelheimJardiance, Glyxambi, Synjardy Xr, Synjardy, Jentadueto Xr | $648 | $294,671249 claims |
| MerckJanumet Xr, Janumet | $12 | $84,58977 claims |
| AstraZenecaFarxiga | $816 | $71,34861 claims |
| AmgenProlia | $775 | $25,80015 claims |
| BayerKerendia | $161 | $24,44116 claims |
| Sanofi-aventis U.S. LLCLantus | $233 | $3,44415 claims |
| AbbVieSynthroid | $13 | $1,81043 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 658 endocrinology, diabetes & metabolism providers in Texas.
Other endocrinology, diabetes & metabolism in Odessa
- Julio RosenstockDallas$24.9M
- Michelle WelchShavano Park$17.3M
- Maria CabanillasHouston$16.4M
- Sumana GangiMesquite$13.2M
- Damaris VegaHouston$12.3M
- Mark KipnesSan Antonio$10.3M
- Amer Al KaradshehHouston$8.8M
- Ildiko LingvayDallas$8.2M
- Eduardo LunaEdinburg$7.6M
- Thomas BlevinsAustin$7.4M
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.