Vivek Sambhara, MD
Pulmonary Disease · Gainesville, GANPI 1093005852
Payments from drug & device makers
Across 453 payments — averaging $919.43 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- GSK$206K
- Regeneron Healthcare Solutions, Inc.$86K
- AstraZeneca$79K
- Sanofi$41K
- Amgen$2K
- Boehringer Ingelheim$501
- plus $1K from 12 others
What the payments were for
- Consulting fees$14,9904%
- Speaking & faculty fees$385,47093%
- Travel & lodging$3,5181%
- Food & beverage$12,4163%
- Education$1090%
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 |
|---|---|---|
| GSK | 182 | $206,140 |
| Regeneron Healthcare Solutions, Inc. | 58 | $85,993 |
| AstraZeneca | 85 | $79,286 |
| Sanofi | 50 | $41,302 |
| Amgen | 11 | $2,101 |
| Boehringer Ingelheim | 26 | $501 |
| United Therapeutics Corporation | 3 | $372 |
| Electromed, Inc. | 8 | $224 |
| Verona Pharma, Inc. | 18 | $145 |
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $110 |
| Sanofi-aventis U.S. LLC | 1 | $100 |
| Actelion Pharmaceuticals US, Inc. | 3 | $73 |
| Insmed, Inc. | 2 | $43 |
| Lilly USA, LLC | 1 | $33 |
| Baxter Healthcare | 1 | $28 |
| Merck | 1 | $21 |
| La Jolla Pharmaceutical Company | 1 | $16 |
| Aurinia Pharma U.S., Inc. | 1 | $15 |
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
$416,504 in reported general payments places this provider in the 95th percentile of 365 pulmonary disease 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 | 1,027 | $1,000,962 |
| OfevNintedanib Esylate | 67 | $857,933 |
| NucalaMepolizumab | 187 | $779,059 |
| Tyvaso DpiTreprostinil | 21 | $521,211 |
| TezspireTezepelumab-Ekko | 61 | $316,476 |
| Breztri AerosphereBudesonide/Glycopyr/Formoterol | 106 | $114,967 |
| Dupixent PenDupilumab | 28 | $102,582 |
| Fasenra PenBenralizumab | 18 | $98,531 |
| Breo ElliptaFluticasone/Vilanterol | 98 | $71,304 |
| Pirfenidone | 31 | $47,864 |
| EliquisApixaban | 32 | $45,240 |
| Anoro ElliptaUmeclidinium Brm/Vilanterol Tr | 60 | $40,235 |
| Stiolto RespimatTiotropium Br/Olodaterol Hcl | 35 | $26,704 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 482 | $21,728 |
| Combivent RespimatIpratropium/Albuterol Sulfate | 20 | $11,555 |
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, Breo Ellipta, Anoro Ellipta | $206,140 | $1,891,5591,372 claims |
| Boehringer IngelheimOfev, Stiolto Respimat, Combivent Respimat | $501 | $896,191122 claims |
| AstraZenecaTezspire, Breztri Aerosphere, Symbicort, Airsupra | $79,286 | $449,674203 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 95th percentile of 365 pulmonary disease providers in Georgia.
Other pulmonary disease in Gainesville
- Rahul SanganiGainesville$641K
- Vijaya Sivalingam RamalingamGainesville$50K
- Maria MascoloRincon$2.7M
- Chad MillerAustell$2M
- Amy CaseAustell$1.5M
- Srihari VeeraraghavanAtlanta$1.3M
- Jose MedinaValdosta$1.3M
- Micah FisherAtlanta$1.2M
- Frances LeeAtlanta$1.2M
- Vijay PatelNewnan$1.1M
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.