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

Vivek Agarwal

Nephrology Lima, OH Medical Doctor

NPI 1982918199 CMS profile 1273376

750 W High St, Suite 150, Lima, OH 45801

Open in the dashboard

General payments

$4,439

206 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, Vivek Agarwal of Lima, OH is reported in the CMS Open Payments database as having received $4,439 across 206 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 78th percentile of Nephrology profiles with reported payments. Percentile describes the distribution, not the conduct.

By program year

7 rows
Year Kind Relative to this record's peak year Amount Records
2025 General $676 38
2024 General $170 4
2023 General $980 41
2022 General $1,089 47
2021 General $136 5
2020 General $574 25
2019 General $814 46

Beside peers

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

In program year 2025, general payments to Vivek Agarwal were reported at $676. 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 Vivek Agarwal Nephrology median Middle half National median
2019 $814 $236 $90–$588 $163
2020 $574 $135 $46–$364 $114
2021 $136 $202 $67–$551 $132
2022 $1,089 $242 $77–$695 $149
2023 $980 $254 $84–$766 $160
2024 $170 $300 $99–$852 $164
2025 $676 $310 $104–$880 $169

Breakdown

Who paid General payments · program years 2019–2025
  1. Aurinia Pharma U.S., Inc. $461 12 payments
  2. Otsuka America Pharmaceutical, Inc. $456 19 payments
  3. Amgen Inc. $424 24 payments
  4. AstraZeneca Pharmaceuticals LP $403 18 payments
  5. Mallinckrodt Hospital Products Inc. $373 13 payments
  6. Novartis Pharmaceuticals Corporation $293 13 payments
  7. Relypsa, Inc. $255 11 payments
  8. OPKO Pharmaceuticals, LLC $188 11 payments
  9. Fresenius USA Marketing, Inc. $172 10 payments
  10. Mallinckrodt Enterprises LLC $168 6 payments
  11. Other $1,246 69 payments

Every payment, record by record

What the payments were for General payments · program years 2019–2025
  1. Food and Beverage $3,918 179 payments
  2. Education $521 27 payments
Products named General payments · program years 2019–2025
  1. ACTHAR Immunology $373 13 payments
  2. TAVNEOS $262 14 payments
  3. JYNARQUE Nephrology $252 9 payments
  4. LUPKYNIS $240 10 payments
  5. LOKELMA $176 11 payments
  6. ACTHAR Autoimmune And Rare Disease $168 6 payments
  7. JYNARQUE Nephrology $162 11 payments
  8. TARPEYO $160 4 payments
  9. FARXIGA $160 6 payments
  10. RAYALDEE $127 7 payments
  11. Other $1,750 97 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 · 39 drugs

Part D claims

3,024

Median for Nephrology: 954

Drug cost

$307,044

Median for Nephrology: $127,050

Branded share of claims

11.4%

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
Velphoro Sucroferric Oxyhydroxide Brand 53 $131,364
Lokelma Sodium Zirconium Cyclosilicate Brand 50 $38,758
Farxiga Dapagliflozin Propanediol Brand 25 $26,469
Fosrenol Lanthanum Carbonate Brand 21 $25,738
Veltassa Patiromer Calcium Sorbitex Brand 18 $17,994
Lanthanum Carbonate Generic 26 $14,553
Sevelamer Carbonate Generic 110 $11,318
Bumetanide Generic 223 $6,701
Midodrine Hcl Generic 59 $5,405
Potassium Chloride Generic 213 $4,117

The 10 drugs with the highest cost, of 39 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 · 18 billing codes

Paid by Medicare

$253,379

Medicare's payments for the services billed

Medicare patients

829

Average age 76

Services billed

3,204

402 women, 427 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%
Ischemic heart disease 61%
Diabetes 60%
Arthritis 54%
Heart failure 51%
Atrial fibrillation 39%
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

2 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
TARPEYO
  • CALLIDITAS THERAPEUTICS US INC. $99
$99 — —
JYNARQUE
  • Otsuka America Pharmaceutical, Inc. $18
$18 — —

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

206 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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