RxDoctor Payments Data

Vivek Agarwal, MD

Nephrology · Lima, OHNPI 1982918199

Payments from drug & device makers

$4,439in general payments, 2019–2025

Across 206 payments — averaging $21.55 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • AstraZeneca$462
  • Aurinia Pharma U.S., Inc.$461
  • Otsuka America Pharmaceutical, Inc.$456
  • Amgen$424
  • Mallinckrodt Hospital Products Inc.$373
  • Novartis$293
  • plus $2K from 25 others

What the payments were for

  • Food & beverage$3,91888%
  • Education$52112%

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

19
20
21
22
23
24
25

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.

How this compares

$4,439 in reported general payments places this provider in the 75th percentile of 450 nephrology providers in Ohio.

See all nephrology providers in Ohio

Medicare billing

Part B allowed, 2024
$334,954
Medicare patients
829
Services billed
3,204

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

DrugClaimsCost to plans & patients
VelphoroSucroferric Oxyhydroxide53$131,364
LokelmaSodium Zirconium Cyclosilicate50$38,758
FarxigaDapagliflozin Propanediol25$26,469
FosrenolLanthanum Carbonate21$25,738
VeltassaPatiromer Calcium Sorbitex18$17,994
Lanthanum Carbonate26$14,553
Sevelamer Carbonate110$11,318
Bumetanide223$6,701
Midodrine Hcl59$5,405
Potassium Chloride213$4,117
Potassium Citrate ErPotassium Citrate35$3,797
Losartan Potassium265$2,376
Hydralazine Hcl218$2,253
Doxazosin Mesylate124$2,038
Desmopressin Acetate23$1,701

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.

CompanyPaid to this providerPart D cost of their drugs
Fresenius USA Marketing, Inc.Velphoro$172$131,36453 claims
AstraZenecaLokelma, Farxiga$462$65,22875 claims
Takeda Pharmaceuticals U.S.A., Inc.Fosrenol$103$25,73821 claims
ANI Pharmaceuticals, Inc.Valsartan$50$80430 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 75th percentile of 450 nephrology providers in Ohio.

Other nephrology in Lima

See the full list for Ohio

Where these figures come from

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