Payment Breakdown by Category
Payments by Nature
| Nature of Payment | Amount | Transactions | Share |
|---|---|---|---|
| Consulting Fee | $28,378 | 2 | 60.4% |
| Acquisitions | $15,582 | 4 | 33.2% |
| Food and Beverage | $2,648 | 96 | 5.6% |
| Education | $389.03 | 6 | 0.8% |
Top Paying Companies
| Company | Total | Records | Latest Year |
|---|---|---|---|
| GE HEALTHCARE | $24,978 | 1 | $0 (2019) |
| Medtronic, Inc. | $15,869 | 12 | $0 (2024) |
| Merit Medical Systems Inc | $3,400 | 1 | $0 (2024) |
| Avenu Medical Inc. | $418.38 | 3 | $0 (2020) |
| OPKO Pharmaceuticals, LLC | $302.76 | 21 | $0 (2024) |
| Covidien LP | $298.82 | 1 | $0 (2017) |
| Vifor Pharma, Inc. | $162.90 | 8 | $0 (2024) |
| Amgen Inc. | $147.32 | 8 | $0 (2024) |
| Otsuka America Pharmaceutical, Inc. | $144.91 | 8 | $0 (2019) |
| Relypsa, Inc. | $130.86 | 3 | $0 (2017) |
Payment History by Year
| Year | Amount | Transactions | Top Company |
|---|---|---|---|
| 2024 | $4,092 | 28 | Merit Medical Systems Inc ($3,400) |
| 2023 | $3,290 | 17 | Medtronic, Inc. ($2,930) |
| 2022 | $1,225 | 9 | Medtronic, Inc. ($1,083) |
| 2021 | $11,659 | 5 | Medtronic, Inc. ($11,600) |
| 2020 | $480.93 | 7 | Avenu Medical Inc. ($410.88) |
| 2019 | $25,439 | 22 | GE HEALTHCARE ($24,978) |
| 2018 | $233.49 | 8 | Fresenius USA Marketing, Inc. ($121.43) |
| 2017 | $578.21 | 12 | Covidien LP ($298.82) |
All Payment Transactions
108 individual payment records from CMS Open Payments — Page 1 of 5
| Date | Company | Product | Nature | Form | Amount | Type |
|---|---|---|---|---|---|---|
| 12/12/2024 | Medtronic, Inc. | ELLIPSYS VASCULAR ACCESS SYSTEM (Device) | Food and Beverage | In-kind items and services | $20.63 | General |
| Category: Catheters | ||||||
| 12/05/2024 | AKEBIA THERAPEUTICS INC | Vafseo (Drug) | Food and Beverage | In-kind items and services | $27.06 | General |
| Category: Nephrology | ||||||
| 11/20/2024 | CorMedix Inc. | DefenCath (Drug) | Food and Beverage | In-kind items and services | $44.72 | General |
| Category: Catheter Lock Solution | ||||||
| 11/14/2024 | Vifor Pharma, Inc. | Veltassa (Drug) | Food and Beverage | In-kind items and services | $18.44 | General |
| Category: Hyperkalemia | ||||||
| 10/30/2024 | Merit Medical Systems Inc | Peritoneal Dialysis Systems (Device) | Consulting Fee | Cash or cash equivalent | $3,400.00 | General |
| Category: Cardiology | ||||||
| 10/24/2024 | Novo Nordisk Inc | Ozempic (Drug), Rybelsus | Food and Beverage | In-kind items and services | $24.10 | General |
| Category: Diabetes | ||||||
| 10/23/2024 | Medtronic, Inc. | ELLIPSYS VASCULAR ACCESS SYSTEM (Device) | Food and Beverage | In-kind items and services | $46.33 | General |
| Category: Catheters | ||||||
| 10/22/2024 | Amgen Inc. | TAVNEOS (Drug) | Food and Beverage | In-kind items and services | $21.87 | General |
| Category: Inflammation | ||||||
| 10/14/2024 | Novartis Pharmaceuticals Corporation | Fabhalta (Drug) | Food and Beverage | In-kind items and services | $22.19 | General |
| Category: Immunology | ||||||
| 10/10/2024 | AstraZeneca Pharmaceuticals LP | FARXIGA (Drug) | Food and Beverage | In-kind items and services | $14.37 | General |
| Category: Cardiovascular and Metabolism | ||||||
| 10/08/2024 | Bayer Healthcare Pharmaceuticals Inc. | Kerendia (Drug) | Food and Beverage | In-kind items and services | $20.27 | General |
| Category: Cardio-renal | ||||||
| 09/24/2024 | Bayer Healthcare Pharmaceuticals Inc. | Kerendia (Drug) | Food and Beverage | In-kind items and services | $25.66 | General |
| Category: Cardio-renal | ||||||
| 08/15/2024 | Medtronic, Inc. | ELLIPSYS VASCULAR ACCESS SYSTEM (Device) | Food and Beverage | In-kind items and services | $7.54 | General |
| Category: Catheters | ||||||
| 07/25/2024 | OPKO Pharmaceuticals, LLC | RAYALDEE (Drug) | Food and Beverage | In-kind items and services | $14.88 | General |
| Category: NEPHROLOGY | ||||||
| 07/17/2024 | Amgen Inc. | KRYSTEXXA (Biological) | Food and Beverage | In-kind items and services | $17.97 | General |
| Category: Inflammation/Rare Disease | ||||||
| 06/25/2024 | OPKO Pharmaceuticals, LLC | RAYALDEE (Drug) | Food and Beverage | In-kind items and services | $14.80 | General |
| Category: NEPHROLOGY | ||||||
| 06/11/2024 | Travere Therapeutics, Inc. | — | Food and Beverage | In-kind items and services | $15.54 | General |
| 05/15/2024 | Aurinia Pharma U.S., Inc. | LUPKYNIS (Drug) | Food and Beverage | In-kind items and services | $26.97 | General |
| Category: LUPUS NEPHRITIS | ||||||
| 05/02/2024 | OPKO Pharmaceuticals, LLC | RAYALDEE (Drug) | Food and Beverage | In-kind items and services | $18.53 | General |
| Category: NEPHROLOGY | ||||||
| 04/18/2024 | Amgen Inc. | KRYSTEXXA (Biological) | Food and Beverage | In-kind items and services | $14.00 | General |
| Category: Inflammation/Rare Disease | ||||||
| 04/16/2024 | Medtronic, Inc. | ELLIPSYS VASCULAR ACCESS SYSTEM (Device) | Food and Beverage | In-kind items and services | $11.93 | General |
| Category: Catheters | ||||||
| 04/11/2024 | OPKO Pharmaceuticals, LLC | RAYALDEE (Drug) | Food and Beverage | In-kind items and services | $18.64 | General |
| Category: NEPHROLOGY | ||||||
| 03/28/2024 | Novo Nordisk Inc | Ozempic (Drug), Rybelsus | Food and Beverage | In-kind items and services | $19.76 | General |
| Category: Diabetes | ||||||
| 02/24/2024 | Medtronic, Inc. | ELLIPSYS VASCULAR ACCESS SYSTEM (Device) | Food and Beverage | In-kind items and services | $163.98 | General |
| Category: Catheters | ||||||
| 02/14/2024 | Vifor Pharma, Inc. | Veltassa (Drug) | Food and Beverage | In-kind items and services | $22.14 | General |
| Category: Hyperkalemia | ||||||
Medicare Billing by Year
| Year | Procedures | Beneficiaries | Services | Submitted | Medicare Paid |
|---|---|---|---|---|---|
| 2023 | 28 | 916 | 5,382 | $968,199 | $233,681 |
| 2022 | 26 | 835 | 4,784 | $991,533 | $249,163 |
| 2021 | 31 | 1,144 | 7,507 | $1.4M | $378,914 |
| 2020 | 42 | 1,896 | 12,416 | $2.8M | $669,613 |
All Medicare Procedures & Services
135 procedure records from CMS Medicare Utilization — Page 1 of 6
| HCPCS | Description | Setting | Year | Patients | Services | Charges | Medicare Paid | Ratio |
|---|---|---|---|---|---|---|---|---|
| 36902 | Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist | Office | 2023 | 54 | 59 | $207,779 | $54,560 | 26.3% |
| 36905 | Removal and/or dissolving of blood clot in hemodialysis circuit and balloon dilation of dialysis segment with imaging review by radiologist, with balloon tube | Office | 2023 | 21 | 24 | $159,764 | $42,255 | 26.4% |
| 36215 | Insertion of tube into chest or arm artery, each first order branch | Office | 2023 | 33 | 40 | $120,560 | $18,104 | 15.0% |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | Facility | 2023 | 104 | 226 | $46,782 | $13,734 | 29.4% |
| 49418 | Insertion of abdominal tube using imaging guidance with review by radiologist | Office | 2023 | 18 | 18 | $51,984 | $13,698 | 26.4% |
| 49083 | Drainage of fluid from abdominal cavity using imaging guidance | Office | 2023 | 11 | 53 | $45,649 | $11,806 | 25.9% |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | Facility | 2023 | 40 | 104 | $30,888 | $9,300 | 30.1% |
| 36558 | Insertion of tunneled central venous tube for infusion (5 years or older) | Office | 2023 | 14 | 15 | $36,465 | $9,087 | 24.9% |
| 36901 | Insertion of needle and/or tube into hemodialysis circuit with review by radiologist | Office | 2023 | 19 | 19 | $39,153 | $8,632 | 22.0% |
| 36581 | Replacement of tunneled central venous tube | Office | 2023 | 13 | 14 | $31,836 | $8,050 | 25.3% |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Office | 2023 | 50 | 73 | $27,279 | $5,355 | 19.6% |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | Facility | 2023 | 51 | 52 | $18,033 | $5,128 | 28.4% |
| 75710 | Review by radiologist of arm or leg artery image | Office | 2023 | 33 | 40 | $17,560 | $4,541 | 25.9% |
| 36589 | Removal of tunneled central venous tube | Office | 2023 | 35 | 35 | $16,821 | $4,142 | 24.6% |
| 49999 | Other procedure on abdomen | Office | 2023 | 21 | 24 | $9,576 | $3,848 | 40.2% |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | Office | 2023 | 40 | 53 | $28,037 | $3,732 | 13.3% |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | Facility | 2023 | 21 | 21 | $12,075 | $2,576 | 21.3% |
| 49400 | Injection of air or x-ray contrast into abdominal cavity | Office | 2023 | 22 | 25 | $10,975 | $2,405 | 21.9% |
| 77001 | Fluoroscopic guidance for insertion or removal of central vein access device | Office | 2023 | 26 | 29 | $8,497 | $2,266 | 26.7% |
| 99152 | Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes | Office | 2023 | 50 | 54 | $7,830 | $2,096 | 26.8% |
| 76705 | Limited ultrasound scan of abdomen | Office | 2023 | 28 | 28 | $7,221 | $1,747 | 24.2% |
| 36556 | Insertion of non-tunneled central venous tube for infusion (5 years or older) | Facility | 2023 | 23 | 24 | $5,856 | $1,516 | 25.9% |
| 93990 | Ultrasound of hemodialysis access | Office | 2023 | 15 | 15 | $6,375 | $1,410 | 22.1% |
| 74190 | Review by radiologist of abdominal cavity lining image | Office | 2023 | 22 | 25 | $1,750 | $1,402 | 80.1% |
| 90935 | Hemodialysis procedure with physician evaluation | Facility | 2023 | 13 | 14 | $2,982 | $740.52 | 24.8% |
About Dr. Rajeev Narayan, M.D
Dr. Rajeev Narayan, M.D is a Nephrology healthcare provider based in San Antonio, Texas. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 10/13/2006. The National Provider Identifier (NPI) number assigned to this provider is 1093805863.
According to the Centers for Medicare & Medicaid Services (CMS) Open Payments database, Dr. Rajeev Narayan, M.D has received a total of $46,997 in payments from pharmaceutical and medical device companies, with $4,092 received in 2024. These payments were reported across 108 transactions from 30 companies. The most common payment nature is "Consulting Fee" ($28,378).
As a Medicare-enrolled provider, Narayan has provided services to 4,791 Medicare beneficiaries, totaling 30,089 services with total Medicare billing of $1.5M. Data is available for 4 years (2020–2023), covering 135 distinct procedure/service records.
Practice Information
- Specialty Nephrology
- Other Specialties Nephrology
- Location San Antonio, TX
- Active Since 10/13/2006
- Last Updated 08/13/2015
- Taxonomy Code 207RN0300X
- Entity Type Individual
- NPI Number 1093805863
Products in Payments
- Ellipsys (Device) $12,011
- ELLIPSYS VASCULAR ACCESS SYSTEM (Device) $4,256
- Peritoneal Dialysis Systems (Device) $3,400
- VenaSeal (Device) $298.82
- Veltassa (Drug) $293.76
- RAYALDEE (Drug) $167.15
- KRYSTEXXA (Biological) $161.99
- Rayaldee (Drug) $135.61
- NXSTAGE SYSTEM ONE (Device) $124.45
- Velphoro (Drug) $121.43
- AMPLATZER Occluders (Device) $105.41
- JYNARQUE (Drug) $97.97
- CoreValve Evolut (Device) $93.73
- Ozempic (Drug) $64.97
- Tavneos (Drug) $60.24
- SAMSCA (Drug) $46.94
- Kerendia (Drug) $45.93
- DefenCath (Drug) $44.72
- ACTHAR (Biological) $40.04
- ACCRUFER (Drug) $37.38
Data Sources
Provider data from NPPES. Payment data from CMS Open Payments. Medicare data from CMS Medicare Provider Utilization. All data is public and updated periodically.
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