Medical Doctor Program year 2025 Reported 2020–2025 Source: CMS Open Payments, 2026 publication

Sridhar Thirumalai

Internal Medicine Warrensburg, MO Medical Doctor

NPI 1376765057 CMS profile 516258

511 Burkarth Rd, Warrensburg, MO 64093

Open in the dashboard

General payments

$8,380

564 records reported · program years 2020–2025

Research payments

$0

Paid to them · None reported · program years 2020–2025

Ownership & investment interest

$0

None reported

Through program year 2025, Sridhar Thirumalai of Warrensburg, MO is reported in the CMS Open Payments database as having received $8,380 across 564 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 93rd percentile of Internal Medicine profiles with reported payments. Percentile describes the distribution, not the conduct.

By program year

6 rows
Year Kind Relative to this record's peak year Amount Records
2025 General $1,156 75
2024 General $1,650 103
2023 General $2,126 135
2022 General $1,879 135
2021 General $1,289 97
2020 General $280 19

Beside peers

Year by year, beside peers General payments · among profiles paid that year
  • Sridhar Thirumalai
  • Internal Medicine median
  • Middle half of Internal Medicine
  • National median

In program year 2025, general payments to Sridhar Thirumalai were reported at $1,156. Among 52,115 Internal Medicine profiles paid that year, the median was $156 and the middle half received between $47 and $551.

Show as a table
Year Sridhar Thirumalai Internal Medicine median Middle half National median
2019 $0 $159 $48–$570 $163
2020 $280 $119 $33–$402 $114
2021 $1,289 $135 $37–$521 $132
2022 $1,879 $141 $42–$496 $149
2023 $2,126 $149 $45–$519 $160
2024 $1,650 $154 $47–$537 $164
2025 $1,156 $156 $47–$551 $169

Breakdown

Who paid General payments · program years 2020–2025
  1. AbbVie, Inc. $1,938 138 payments
  2. Novo Nordisk Inc $732 64 payments
  3. AstraZeneca Pharmaceuticals LP $698 35 payments
  4. Amgen Inc. $465 32 payments
  5. Lilly USA, LLC $464 32 payments
  6. Merck Sharp & Dohme Corporation $350 21 payments
  7. Pfizer Inc. $321 23 payments
  8. Boehringer Ingelheim Pharmaceuticals, Inc. $296 18 payments
  9. Salix Pharmaceuticals, a division of Bausch Health US, LLC $248 19 payments
  10. Novartis Pharmaceuticals Corporation $245 19 payments
  11. Other $2,624 163 payments

Every payment, record by record

What the payments were for General payments · program years 2020–2025
  1. Food and Beverage $8,347 561 payments
  2. Education $34 3 payments
Products named General payments · program years 2020–2025
  1. VRAYLAR Neuroscience $853 52 payments
  2. RYBELSUS $557 53 payments
  3. Ozempic $555 53 payments
  4. Otezla $326 21 payments
  5. QULIPTA $314 28 payments
  6. FARXIGA $296 11 payments
  7. VRAYLAR Neuroscience $283 21 payments
  8. Repatha $282 19 payments
  9. BREZTRI $258 11 payments
  10. UBRELVY $256 29 payments
  11. Other $7,739 496 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 · 201 drugs

Part D claims

14,101

Median for Internal Medicine: 777

Drug cost

$1,398,829

Median for Internal Medicine: $73,373

Branded share of claims

21.6%

Median for Internal Medicine: 19.3%

Drugs this doctor was counted under in Medicare Part D 2024, by drug cost
Drug Type Relative to their largest Claims Drug cost
Mounjaro Tirzepatide Brand 124 $143,415
Jardiance Empagliflozin Brand 145 $137,062
Eliquis Apixaban Brand 197 $122,471
Avonex (4 Pack) Interferon Beta-1a Brand 14 $116,311
Xarelto Rivaroxaban Brand 130 $102,525
Ozempic Semaglutide Brand 80 $86,847
Dupixent Pen Dupilumab Brand 12 $48,203
Xifaxan Rifaximin Brand 12 $45,492
Januvia Sitagliptin Phosphate Brand 24 $38,878
Vraylar Cariprazine Hcl Brand 25 $35,388

The 10 drugs with the highest cost, of 201 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 104,182 Part D prescribers listed as Internal Medicine; they describe a distribution and say nothing about conduct.

Billing to Medicare

Part B · data year 2024 · 43 billing codes

Paid by Medicare

$205,425

Medicare's payments for the services billed

Medicare patients

399

Average age 75

Services billed

3,080

222 women, 177 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%
Arthritis 70%
Depression 37%
Ischemic heart disease 36%
Diabetes 35%
Heart failure 32%
Chronic kidney disease 25%
COPD 25%

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

First 5 of 39 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
VRAYLAR
  • AbbVie, Inc. $241
$241 25 —
REXULTI
  • Lundbeck LLC $73
  • Otsuka America Pharmaceutical, Inc. $47
$119 — —
AIRSUPRA
  • AstraZeneca Pharmaceuticals LP $112
$112 — —
RYBELSUS
  • Novo Nordisk Inc $110
$110 — —
Ozempic
  • Novo Nordisk Inc $89
$89 80 —

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.

See more in the dashboard: 25 with a free account, all 39 with Patron

Records

564 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 Internal Medicine 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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