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

Madhukar Misra

Nephrology Columbia, MO Medical Doctor

NPI 1851342158 CMS profile 83467

1020 Hitt St, Columbia, MO 65212

Open in the dashboard

General payments

$2,537

53 records reported · program years 2019–2025

Research payments

$0

Paid to them · None reported · program years 2019–2025

Ownership & investment interest

$0

None reported

Through program year 2025, Madhukar Misra of Columbia, MO is reported in the CMS Open Payments database as having received $2,537 across 53 general payments and $0 in research payments paid 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.

General payments for this record sit in the 67th percentile of Nephrology profiles with reported payments. Percentile describes the distribution, not the conduct.

By program year

5 rows
Year Kind Relative to this record's peak year Amount Records
2025 General $404 18
2024 General $211 10
2023 General $1,502 9
2020 General $69 4
2019 General $351 12

Beside peers

Year by year, beside peers General payments · among profiles paid that year
  • Madhukar Misra
  • Nephrology median
  • Middle half of Nephrology
  • National median

In program year 2025, general payments to Madhukar Misra were reported at $404. Among 8,186 Nephrology profiles paid that year, the median was $310 and the middle half received between $104 and $880.

Show as a table
Year Madhukar Misra Nephrology median Middle half National median
2019 $351 $236 $90–$588 $163
2020 $69 $135 $46–$364 $114
2021 $0 $202 $67–$551 $132
2022 $0 $242 $77–$695 $149
2023 $1,502 $254 $84–$766 $160
2024 $211 $300 $99–$852 $164
2025 $404 $310 $104–$880 $169

Breakdown

Who paid General payments · program years 2019–2025
  1. Fresenius USA Marketing, Inc. $1,511 2 payments
  2. Retrophin, Inc. $167 13 payments
  3. Otsuka America Pharmaceutical, Inc. $114 6 payments
  4. Novartis Pharmaceuticals Corporation $113 4 payments
  5. Calliditas Therapeutics US Inc. $92 3 payments
  6. Vantive US Healthcare LLC $80 2 payments
  7. Baxter Healthcare $67 2 payments
  8. Relypsa, Inc. $55 3 payments
  9. Mallinckrodt Hospital Products Inc. $50 3 payments
  10. Akebia Therapeutics Inc $46 3 payments
  11. Other $243 12 payments

Every payment, record by record

What the payments were for General payments · program years 2019–2025
  1. Compensation for serving as faculty or as a speaker for a medical education program $1,350 1 payment
  2. Food and Beverage $1,167 50 payments
  3. Travel and Lodging $20 2 payments
Products named General payments · program years 2019–2025
  1. Fabhalta $113 4 payments
  2. JYNARQUE $96 5 payments
  3. Renal - PD $73 2 payments
  4. TARPEYO $65 2 payments
  5. Renal - Acute $59 1 payment
  6. TERLIVAZ $50 3 payments
  7. Auryxia $46 3 payments
  8. Veltassa $38 2 payments
  9. Triferic $32 2 payments
  10. Vanrafia $32 1 payment
  11. Other $308 15 payments

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

Prescribing to Medicare patients

Part D · data year 2024 · 12 drugs

Part D claims

267

Median for Nephrology: 954

Drug cost

$13,285

Median for Nephrology: $127,050

Branded share of claims

18%

Median for Nephrology: 17.9%

Drugs this doctor was counted under in Medicare Part D 2024, by drug cost
Drug Type Relative to their largest Claims Drug cost
Sevelamer Carbonate Generic 50 $9,437
Nifedipine Er Nifedipine Brand 48 $1,251
Calcium Acetate Generic 19 $1,081
Metoprolol Succinate Generic 13 $379
Hydralazine Hcl Generic 12 $249
Metolazone Generic 12 $231
Amlodipine Besylate Generic 27 $185
Losartan Potassium Generic 30 $152
Gabapentin Generic 11 $118
Lisinopril Generic 15 $108

The 10 drugs with the highest cost, of 12 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 9,003 Part D prescribers listed as Nephrology; they describe a distribution and say nothing about conduct.

Billing to Medicare

Part B · data year 2024 · 20 billing codes

Paid by Medicare

$61,298

Medicare's payments for the services billed

Medicare patients

167

Average age 68

Services billed

524

74 women, 93 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%
Chronic kidney disease 75%
Diabetes 59%
Heart failure 57%
Arthritis 45%
Ischemic heart disease 43%
Atrial fibrillation 35%
Depression 35%

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.

Payments and prescribing

3 products · payments 2024

Two separate records. The payments come from Open Payments and the claims from Medicare. They are set side by side because they name the same product; they do not show that a payment affected a prescription.

Products this doctor was paid in connection with in 2024, beside Medicare claims for the same product
Product Paid by Related payments Part D claims Part B services
Fabhalta
  • Novartis Pharmaceuticals Corporation $52
$52 — —
JYNARQUE
  • Otsuka America Pharmaceutical, Inc. $23
$23 — —
Kerendia
  • Bayer HealthCare Pharmaceuticals Inc. $21
$21 — —

A dash means Medicare published no figure for this doctor and product — fewer than 11 claims, or the product is not covered under that part — which is not the same as none. Payments are general payments only; one that names several products is split evenly between them, so an amount is payments related to the product, not money paid for it.

Records

53 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 Nephrology in Missouri

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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