Payment overview · 2025
General Payments
$4,786.09
49 reported records · 11 companies
Healthcare provider profile · identity verified
Mahesh Anantha Narayanan, MD
Allopathic & Osteopathic Physicians|Internal Medicine|Interventional Cardiology · LITTLE ROCK, AR · NPI 1154763449
Verified facts
What the public records show
CMS Open Payments records show Mahesh Anantha Narayanan, MD received $4,786.09 in general payments during 2025 across 49 reported records.
Medtronic, Inc. accounted for 50.4% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 15 associated products.
A separate comparison found the same explicitly named product in public Medicare Part D data: Verquvo.
Merck Sharp & Dohme LLC reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported VERQUVO as an associated drug or biological on 38060 records involving 12268 distinct recipient NPIs. Public Medicare Part D data also shows 11 claims for Verquvo by this doctor in 2024.
These records do not establish that a payment influenced prescribing or medical care.
Separate record types
Research & Ownership
Research Payments (direct recipient): not present in the loaded data
Associated Research Funding (for example, named PI): not present in the loaded data
Ownership / Investment: not present in the loaded data
These categories are never added into the General Payments headline. Associated research funding must not be described as money the doctor personally received unless the source record supports that conclusion.
Who paid this doctor?
Companies in 2025 General Payments
| Reported company | Canonical company | Amount | Share | Records | Year |
|---|---|---|---|---|---|
| Medtronic, Inc. |
Medtronic, Inc. exact · evidence 2025-07-22 |
$2,413.02 | 50.4% | 24 | 2025 |
| Abbott Laboratories | Unresolved — no canonical attribution shown | $986.00 | 20.6% | 9 | 2025 |
| Endologix LLC | Unresolved — no canonical attribution shown | $723.06 | 15.1% | 3 | 2025 |
| Shockwave Medical, Inc | Unresolved — no canonical attribution shown | $451.05 | 9.4% | 5 | 2025 |
| ABIOMED | Unresolved — no canonical attribution shown | $52.68 | 1.1% | 1 | 2025 |
| Boston Scientific Corporation | Unresolved — no canonical attribution shown | $52.06 | 1.1% | 1 | 2025 |
| Merck Sharp & Dohme LLC | Unresolved — no canonical attribution shown | $38.05 | 0.8% | 2 | 2025 |
| Bard Peripheral Vascular, Inc. | Unresolved — no canonical attribution shown | $20.25 | 0.4% | 1 | 2025 |
| AngioDynamics, Inc. | Unresolved — no canonical attribution shown | $19.45 | 0.4% | 1 | 2025 |
| CVRx, Inc. | Unresolved — no canonical attribution shown | $16.92 | 0.3% | 1 | 2025 |
| Bayer Healthcare Pharmaceuticals Inc. | Unresolved — no canonical attribution shown | $13.55 | 0.3% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $2,551.49 | 37 |
| Travel and Lodging | $2,234.60 | 12 |
A meal, consulting fee, royalty, and travel payment describe different kinds of reported relationships and should not be interpreted as equivalent.
Analysis 1 · Payment-linked products
Products named in Open Payments records
| Reported product | Type | Reported company | Related amount* | Records | Year |
|---|---|---|---|---|---|
| MICRA Normalized: micra |
Device | Medtronic, Inc. | $2,194.10 | 18 | 2025 |
Source payment records
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| AVEIR Normalized: aveir |
Device | Abbott Laboratories | $986.00 | 9 | 2025 |
Source payment records
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| AFX2 Bifurcated Endograft System Normalized: afx2 bifurcated endograft system |
Device | Endologix LLC | $500.88 | 1 | 2025 |
Source payment records
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| Shockwave IVL System with the Shockwave C2 Coronary IVL Catheter Normalized: shockwave ivl system with the shockwave c2 coronary ivl catheter |
Device | Shockwave Medical, Inc | $451.05 | 5 | 2025 |
Source payment records
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| Alto Abdominal Stent Graft System Normalized: alto abdominal stent graft system |
Device | Endologix LLC | $222.18 | 2 | 2025 |
Source payment records
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| AZURE XT DR MRI SURESCAN Normalized: azure xt dr mri surescan |
Device | Medtronic, Inc. | $100.00 | 1 | 2025 |
Source payment records
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| SYMPLICITY G3 Normalized: symplicity g3 |
Device | Medtronic, Inc. | $88.34 | 3 | 2025 |
Source payment records
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| General - Vascular Access Normalized: general vascular access |
Device | Boston Scientific Corporation | $52.06 | 1 | 2025 |
Source payment records
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| VERQUVO Normalized: verquvo |
Drug | Merck Sharp & Dohme LLC | $38.05 | 2 | 2025 |
Source payment records
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| DXTERITY Normalized: dxterity |
Device | Medtronic, Inc. | $26.67 | 1 | 2025 |
Source payment records
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| RotarexS 6 F x 135 cm Normalized: rotarexs 6 f x 135 cm |
Device | Bard Peripheral Vascular, Inc. | $20.25 | 1 | 2025 |
Source payment records
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| ALPHAVAC Normalized: alphavac |
Device | AngioDynamics, Inc. | $19.45 | 1 | 2025 |
Source payment records
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| Barostim Neo System Normalized: barostim neo system |
Device | CVRx, Inc. | $16.92 | 1 | 2025 |
Source payment records
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| Kerendia Normalized: kerendia |
Drug | Bayer Healthcare Pharmaceuticals Inc. | $13.55 | 1 | 2025 |
Source payment records
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| FFRANGIO Normalized: ffrangio |
Device | Medtronic, Inc. | $3.91 | 1 | 2025 |
Source payment records
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* Product-associated amounts are non-additive because one payment record may name more than one product.
These products were named on specific Open Payments records. A named product does not show that the payment influenced treatment or prescribing.
Public prescribing for products named in payments
| Open Payments product | Payment year | Part D brand | Part D year | Claims | Match method | Source |
|---|---|---|---|---|---|---|
| VERQUVO verquvo |
2025 | Verquvo | 2024 | 11 Beneficiary count suppressed |
exact normalized | Medicare Part D |
The presence of the same drug in both datasets does not show that a payment caused or influenced a prescription.
Analysis 2 · Same-company prescribing overlap
Drugs reported in other payments from the same company that also appear in Medicare Part D
This analysis is independent from products named on this doctor’s individual payment records. A row appears only when the exact Open Payments reporting entity paid this doctor, that same reporting entity reported the drug or biological on at least 10 loaded General Payment records involving at least 2 distinct recipient NPIs, and this doctor has the same non-generic brand in public Part D data. This does not mean the company owns or manufactures the drug.
| Paying company | Payment year | Drug reported by same entity | Open Payments evidence | Part D | Claims | Beneficiaries |
|---|---|---|---|---|---|---|
| Merck Sharp & Dohme LLC Exact reporting entity; no affiliate inference |
2025 | VERQUVO open payments reported associated product |
CMS Open Payments — General Payments 38060 supporting records · 12268 recipient NPIs · example record 1237992208 |
Verquvo · 2024 Exact normalized brand match · 1 Part D row |
11 | suppressed by CMS |
These facts do not show that a payment was for the drug, that the company owns or manufactures the drug, or that a payment caused or influenced prescribing.
Public Medicare Part D data
Provider-and-drug rows loaded for 2024
| Brand | Generic | Claims | Beneficiaries |
|---|---|---|---|
| Furosemide | Furosemide | 494 | 119 |
| Atorvastatin Calcium | Atorvastatin Calcium | 476 | 114 |
| Clopidogrel | Clopidogrel Bisulfate | 435 | 121 |
| Metoprolol Tartrate | Metoprolol Tartrate | 328 | 79 |
| Eliquis | Apixaban | 309 | 61 |
| Isosorbide Mononitrate Er | Isosorbide Mononitrate | 296 | 76 |
| Carvedilol | Carvedilol | 295 | 62 |
| Metoprolol Succinate | Metoprolol Succinate | 277 | 66 |
| Losartan Potassium | Losartan Potassium | 222 | 46 |
| Amlodipine Besylate | Amlodipine Besylate | 171 | 49 |
| Spironolactone | Spironolactone | 146 | 29 |
| Pantoprazole Sodium | Pantoprazole Sodium | 134 | 32 |
| Xarelto | Rivaroxaban | 130 | 24 |
| Entresto | Sacubitril/Valsartan | 127 | 34 |
| Lisinopril | Lisinopril | 127 | 38 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 120 | 23 |
| Amiodarone Hcl | Amiodarone Hcl | 104 | 25 |
| Diltiazem 24hr Er (Cd) | Diltiazem Hcl | 99 | 23 |
| Repatha Sureclick | Evolocumab | 91 | 16 |
| Farxiga | Dapagliflozin Propanediol | 89 | 22 |
| Potassium Chloride | Potassium Chloride | 89 | 23 |
| Prasugrel Hcl | Prasugrel Hcl | 84 | 17 |
| Torsemide | Torsemide | 83 | 30 |
| Hydrochlorothiazide | Hydrochlorothiazide | 81 | 17 |
| Ezetimibe | Ezetimibe | 61 | 12 |
| Hydralazine Hcl | Hydralazine Hcl | 53 | suppressed |
| Sotalol | Sotalol Hcl | 53 | 11 |
| Jardiance | Empagliflozin | 42 | 12 |
| Nitroglycerin | Nitroglycerin | 35 | 21 |
| Brilinta | Ticagrelor | 32 | 12 |
| Ranolazine Er | Ranolazine | 30 | suppressed |
| Enoxaparin Sodium | Enoxaparin Sodium | 28 | 24 |
| Dilt-Xr | Diltiazem Hcl | 22 | suppressed |
| Pravastatin Sodium | Pravastatin Sodium | 21 | suppressed |
| Omeprazole | Omeprazole | 18 | suppressed |
| Diltiazem 24hr Er | Diltiazem Hcl | 16 | suppressed |
| Bumetanide | Bumetanide | 15 | suppressed |
| Diltiazem Hcl | Diltiazem Hcl | 15 | suppressed |
| Tamsulosin Hcl | Tamsulosin Hcl | 14 | suppressed |
| Nebivolol Hcl | Nebivolol Hcl | 13 | suppressed |
| Atenolol | Atenolol | 11 | suppressed |
| Trelegy Ellipta | Fluticasone/Umeclidin/Vilanter | 11 | suppressed |
| Verquvo | Vericiguat | 11 | suppressed |
Timeline
Payment and prescribing data by year
Open Payments and Medicare Part D may refer to different years. They are shown separately rather than aligned as if they describe the same period.
| Year | General Payments | Main payer | Explicit products | Company overlaps | Part D coverage |
|---|---|---|---|---|---|
| 2025 | $4,786.09 · 49 records | Medtronic, Inc. | AFX2 Bifurcated Endograft System, ALPHAVAC, AVEIR, AZURE XT DR MRI SURESCAN, Alto Abdominal Stent Graft System, Barostim Neo System, DXTERITY, FFRANGIO, General - Vascular Access, Kerendia, MICRA, RotarexS 6 F x 135 cm, SYMPLICITY G3, Shockwave IVL System with the Shockwave C2 Coronary IVL Catheter, VERQUVO | 1 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- What role, if any, does Verquvo play in your treatment recommendations for me?
- How do you evaluate evidence when you have a financial relationship with Merck Sharp & Dohme LLC?
- Are there reasonable alternatives I should understand when we discuss treatment options?
- How should I interpret the industry-payment records shown here in the context of my care?
These are general questions generated from reviewed templates. They are not personalized medical advice.
Sources and limitations
How to read this page
- Payment and Medicare prescribing data can cover different years; every comparison shows both years explicitly.
- Part D does not represent a doctor’s entire practice; it excludes many patients and is subject to CMS public-release thresholds.
- Company–drug relationships must have an auditable source, a precise relationship type, and a valid evidence period. Unresolved mappings are not published.
- Generic drug claims are not attributed to a specific manufacturer without manufacturer-level evidence.
- When a source extract is incomplete, missing rows are never treated as proof of no payments or no prescriptions.
Loaded source releases
| Dataset | Year | Publication | Source |
|---|---|---|---|
| CMS Open Payments — General Payments | 2025 | 2026-06-30 | Original source |
| Medicare Part D Prescribers by Provider and Drug | 2024 | 2026-05-06 | Original source |
| NPPES Data Dissemination V2 | current / reference data | 2026-08-10 | Original source |
Full methodology · Questions & answers · Report a possible error