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

Shyam Bhupalam

Nephrology Duluth, MN Medical Doctor

NPI 1124078332 CMS profile 907432

400 E 3Rd St, Duluth, MN 55805

Open in the dashboard

General payments

$1,364

25 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, Shyam Bhupalam of Duluth, MN is reported in the CMS Open Payments database as having received $1,364 across 25 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 55th percentile of Nephrology profiles with reported payments. Percentile describes the distribution, not the conduct.

By program year

4 rows
Year Kind Relative to this record's peak year Amount Records
2025 General $1,078 8
2024 General $28 1
2020 General $27 2
2019 General $231 14

Beside peers

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

In program year 2025, general payments to Shyam Bhupalam were reported at $1,078. 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 Shyam Bhupalam Nephrology median Middle half National median
2019 $231 $236 $90–$588 $163
2020 $27 $135 $46–$364 $114
2021 $0 $202 $67–$551 $132
2022 $0 $242 $77–$695 $149
2023 $0 $254 $84–$766 $160
2024 $28 $300 $99–$852 $164
2025 $1,078 $310 $104–$880 $169

Breakdown

Who paid General payments · program years 2019–2025
  1. Vantive US Healthcare LLC $1,078 8 payments
  2. Akebia Therapeutics Inc $66 5 payments
  3. Amgen Inc. $54 3 payments
  4. Shire North American Group Inc $43 2 payments
  5. AstraZeneca Pharmaceuticals LP $38 3 payments
  6. NxStage Medical, Inc. $28 1 payment
  7. Amicus Therapeutics, Inc. $22 1 payment
  8. Janssen Pharmaceuticals, Inc $19 1 payment
  9. Fresenius USA Marketing, Inc. $15 1 payment

Every payment, record by record

What the payments were for General payments · program years 2019–2025
  1. Travel and Lodging $770 2 payments
  2. Food and Beverage $593 23 payments
Products named General payments · program years 2019–2025
  1. Renal - Acute $1,078 8 payments
  2. Auryxia $66 5 payments
  3. Parsabiv $54 3 payments
  4. LOKELMA $38 3 payments
  5. NXSTAGE SYSTEM ONE $28 1 payment
  6. NATPARA (PARATHYROID HORMONE) $25 1 payment
  7. GALAFOLD $22 1 payment
  8. INVOKANA $19 1 payment
  9. Critline - Monitors $15 1 payment

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 · 16 drugs

Part D claims

521

Median for Nephrology: 954

Drug cost

$40,653

Median for Nephrology: $127,050

Branded share of claims

8.8%

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
Lokelma Sodium Zirconium Cyclosilicate Brand 22 $18,511
Sevelamer Carbonate Generic 77 $15,623
Calcium Acetate Generic 22 $1,496
Calcitriol Generic 36 $937
Lisinopril Generic 45 $623
Amlodipine Besylate Generic 78 $532
Furosemide Generic 71 $469
Torsemide Generic 24 $421
Hydralazine Hcl Generic 25 $307
Losartan Potassium Generic 28 $300

The 10 drugs with the highest cost, of 16 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 · 28 billing codes

Paid by Medicare

$77,227

Medicare's payments for the services billed

Medicare patients

150

Average age 65

Services billed

798

69 women, 81 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 64%
Heart failure 61%
Ischemic heart disease 55%
Arthritis 45%
Atrial fibrillation 41%
Depression 39%

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

25 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.

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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