Medical Doctor Program year 2025 Reported 2019–2025 Source: CMS Open Payments, 2026 publication

Hemal Nayak

Clinical Cardiac Electrophysiology San Antonio, TX Medical Doctor

NPI 1306892765 CMS profile 285624

8300 Floyd Curl Dr Fl 3, Fl 3, San Antonio, TX 78229

Open in the dashboard

General payments

$285,130

709 records reported · program years 2019–2025

Research payments

$150,000

Paid to them · 1 record reported · program years 2019–2025

Ownership & investment interest

$0

None reported

Research they led as principal investigator

$256,500 paid to institutions, not to them · program years 2019–2025

Through program year 2025, Hemal Nayak of San Antonio, TX is reported in the CMS Open Payments database as having received $285,130 across 709 general payments and $150,000 in research payments paid to them. Separately, studies naming them as principal investigator received $256,500 in research payments, paid to institutions rather than to them.

No combined total General, research and ownership are kept apart. Each is reported under its own rules, and ownership is not money that moved at all but the value of a stake held. A meal, a clinical trial grant and a shareholding do not add up to anything meaningful, so this site does not add them. The principal-investigator line is research money paid to institutions for studies they led — not to them — and is not added to anything either.

General payments for this record sit in the 97th percentile of Clinical Cardiac Electrophysiology profiles with reported payments. Percentile describes the distribution, not the conduct.

By program year

8 rows
Year Kind Relative to this record's peak year Amount Records
2025 General $18,942 84
2024 General $20,115 81
2023 General $19,617 48
2022 General $29,361 92
2021 General $40,014 108
2020 General $89,479 119
2019 General $67,602 177
2019 Research $150,000 1

Beside peers

Year by year, beside peers General payments · among profiles paid that year
  • Hemal Nayak
  • Clinical Cardiac Electrophysiology median
  • Middle half of Clinical Cardiac Electrophysiology
  • National median

In program year 2025, general payments to Hemal Nayak were reported at $18,942. Among 3,064 Clinical Cardiac Electrophysiology profiles paid that year, the median was $2,462 and the middle half received between $733 and $7,710.

Show as a table
Year Hemal Nayak Clinical Cardiac Electrophysiology median Middle half National median
2019 $67,602 $2,361 $585–$8,260 $163
2020 $89,479 $993 $247–$4,351 $114
2021 $40,014 $1,185 $326–$4,739 $132
2022 $29,361 $2,073 $554–$6,789 $149
2023 $19,617 $2,568 $759–$8,159 $160
2024 $20,115 $2,557 $703–$7,403 $164
2025 $18,942 $2,462 $733–$7,710 $169

Breakdown

Who paid General payments · program years 2019–2025
  1. Pfizer Inc. $48,907 72 payments
  2. Boston Scientific Corporation $41,537 134 payments
  3. Medtronic Vascular, Inc. $36,065 103 payments
  4. Philips Electronics North America Corporation $27,115 29 payments
  5. Respicardia, Inc. $22,664 16 payments
  6. Biotronik Inc. $20,705 72 payments
  7. ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) $17,284 31 payments
  8. E.R. Squibb & Sons, L.L.C. $16,869 17 payments
  9. Sanofi-Aventis U.S. LLC $16,318 9 payments
  10. Medtronic, Inc. $13,070 61 payments
  11. Other $24,598 165 payments

Every payment, record by record

What the payments were for General payments · program years 2019–2025
  1. Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program $133,474 51 payments
  2. Consulting Fee $60,915 27 payments
  3. Travel and Lodging $31,106 135 payments
  4. Food and Beverage $27,911 481 payments
  5. Compensation for serving as faculty or as a speaker for a non-accredited and noncertified continuing education program $14,700 5 payments
  6. Honoraria $9,025 6 payments
  7. Compensation for serving as faculty or as a speaker for a medical education program $8,000 4 payments
Products named General payments · program years 2019–2025
  1. ELIQUIS Cardiovascular;Metabolic Disease $48,789 64 payments
  2. remede System $22,664 16 payments
  3. LifeVest $17,284 31 payments
  4. ELIQUIS Cardiovascular $16,852 16 payments
  5. EMBLEM MRI S-ICD $11,320 21 payments
  6. (9520) IGT Devices Undivided $9,153 4 payments
  7. Micra $8,185 20 payments
  8. ECM Patch,Pouch $6,975 9 payments
  9. Spectranetics Undiv $6,135 5 payments
  10. Arctic Front $5,265 15 payments
  11. Other $85,552 461 payments

A payment can name more than one product, so these amounts overlap and do not add up to the general-payment figure.

Research payments came from Research payments · program years 2019–2025
  1. Philips Electronics North America Corporation $150,000 1 payment

Prescribing to Medicare patients

Part D · data year 2024 · 13 drugs

Part D claims

454

Median for Clinical Cardiac Electrophysiology: 1,090

Drug cost

$204,883

Median for Clinical Cardiac Electrophysiology: $354,841

Branded share of claims

43.8%

Median for Clinical Cardiac Electrophysiology: 38.3%

Drugs this doctor was counted under in Medicare Part D 2024, by drug cost
Drug Type Relative to their largest Claims Drug cost
Eliquis Apixaban Brand 88 $109,294
Xarelto Rivaroxaban Brand 50 $60,205
Multaq Dronedarone Hcl Brand 19 $29,559
Flecainide Acetate Generic 50 $2,251
Metoprolol Succinate Generic 81 $1,591
Amiodarone Hcl Generic 26 $639
Sotalol Sotalol Hcl Brand 22 $482
Metoprolol Tartrate Generic 39 $277
Lisinopril Generic 16 $204
Clopidogrel Clopidogrel Bisulfate Brand 20 $196

The 10 drugs with the highest cost, of 13 counted.

Drug cost is what was paid for the drugs at the pharmacy — by Medicare, the patient and others — and is not money to the prescriber. Medicare Part D only: drugs dispensed to Medicare beneficiaries. A drug with fewer than 11 claims for this prescriber is not published, so a missing drug does not mean zero. The medians are for the 2,573 Part D prescribers listed as Clinical Cardiac Electrophysiology; they describe a distribution and say nothing about conduct.

Billing to Medicare

Part B · data year 2024 · 68 billing codes

Paid by Medicare

$73,466

Medicare's payments for the services billed

Medicare patients

526

Average age 75

Services billed

1,030

245 women, 281 men among their patients

Share of this provider's Medicare patients with each condition
Condition among their Medicare patients Relative to the most common Share of patients
High blood pressure 75%
Atrial fibrillation 53%
Arthritis 48%
Ischemic heart disease 46%
Diabetes 45%
Heart failure 43%
Chronic kidney disease 38%
Depression 26%

Medicare Part B only: services billed to Medicare. Rows covering fewer than 11 beneficiaries are not published. Only drugs given in the clinic are itemised here; the rest of what this provider billed is in the total above.

Records

710 reported

Every payment, record by record

Date, company, amount, what it was for and the product named — filter by year, kind and company, or download as CSV.

Other Clinical Cardiac Electrophysiology in Texas

Related records

What this means

U.S. law requires drug and medical device manufacturers to report payments and transfers of value they make to physicians and teaching hospitals. The Centers for Medicare & Medicaid Services publishes that record each year. This page shows what was reported about this person, and nothing else.

An ownership interest is different from the other two. It is not a payment: it is a stake — shares, options, a partnership holding — that a physician or an immediate family member held in a manufacturer during that year. The figure shown is what the stake was reported to be worth.

Research payments frequently pass through a clinician to the institution running a trial, and rarely represent personal income. They should be read differently from general payments.

Provenance

Source: CMS Open Payments · through program year 2025

Data current to program year 2025, from CMS's 2026 publication.

We reproduce what manufacturers reported. We do not verify, edit or correct the underlying records.

A payment record is not evidence of wrongdoing. Financial relationships between industry and medicine are legal, common and often necessary for research. Who Paid My Doc reports what was disclosed; it does not judge it.

Who Paid My Doc is independent and is not affiliated with, endorsed by or sponsored by CMS or any U.S. government agency. It is not a consumer reporting agency and this is not a consumer report; do not use it for decisions covered by the Fair Credit Reporting Act.

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