Payment overview · 2025
General Payments
279 reported records · 23 companies
Healthcare provider profile · identity verified
Allopathic & Osteopathic Physicians|Psychiatry & Neurology|Neurology · KIRKLAND, WA · NPI 1245223296
Verified facts
CMS Open Payments records show Pinky Agarwal, MD received $183,527.61 in general payments during 2025 across 279 reported records.
MDD US Operations, LLC accounted for 54.2% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 22 associated products.
A separate comparison found the same explicitly named product in public Medicare Part D data: Gocovri, Ingrezza, Nuplazid.
ACADIA Pharmaceuticals Inc reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported NUPLAZID as an associated drug or biological on 20845 records involving 6448 distinct recipient NPIs. Public Medicare Part D data also shows 67 claims for Nuplazid by this doctor in 2024.
Amneal Pharmaceuticals 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 CREXONT as an associated drug or biological on 11358 records involving 3581 distinct recipient NPIs. Public Medicare Part D data also shows 20 claims for Crexont by this doctor in 2024.
Amneal Pharmaceuticals 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 RYTARY as an associated drug or biological on 200 records involving 121 distinct recipient NPIs. Public Medicare Part D data also shows 228 claims for Rytary by this doctor in 2024.
MDD US Operations, 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 Gocovri as an associated drug or biological on 3202 records involving 1029 distinct recipient NPIs. Public Medicare Part D data also shows 55 claims for Gocovri by this doctor in 2024.
Neurocrine BioSciences, Inc. reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported INGREZZA as an associated drug or biological on 126456 records involving 27390 distinct recipient NPIs. Public Medicare Part D data also shows 12 claims for Ingrezza by this doctor in 2024.
These records do not establish that a payment influenced prescribing or medical care.
Payment overview · 2025
279 reported records · 23 companies
Separate record types
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?
| Reported company | Canonical company | Amount | Share | Records | Year |
|---|---|---|---|---|---|
| MDD US Operations, LLC | Unresolved — no canonical attribution shown | $99,439.92 | 54.2% | 140 | 2025 |
| Neurocrine BioSciences, Inc. | Unresolved — no canonical attribution shown | $22,256.88 | 12.1% | 29 | 2025 |
| Merz Pharmaceuticals, LLC | Unresolved — no canonical attribution shown | $20,559.69 | 11.2% | 24 | 2025 |
| ABBVIE INC. | Unresolved — no canonical attribution shown | $17,607.67 | 9.6% | 26 | 2025 |
| ACADIA Pharmaceuticals Inc | Unresolved — no canonical attribution shown | $11,894.65 | 6.5% | 23 | 2025 |
| Eli Lilly and Company | Unresolved — no canonical attribution shown | $6,133.86 | 3.3% | 4 | 2025 |
| Tanabe Pharma America, Inc. | Unresolved — no canonical attribution shown | $3,300.00 | 1.8% | 1 | 2025 |
| Bayer Healthcare Pharmaceuticals Inc. | Unresolved — no canonical attribution shown | $1,687.64 | 0.9% | 10 | 2025 |
| Janssen Biotech, Inc. | Unresolved — no canonical attribution shown | $142.98 | 0.1% | 5 | 2025 |
| Eisai Inc. | Unresolved — no canonical attribution shown | $103.13 | 0.1% | 1 | 2025 |
| Supernus Pharmaceuticals, Inc. | Unresolved — no canonical attribution shown | $54.57 | 0.0% | 2 | 2025 |
| Abbott Laboratories | Unresolved — no canonical attribution shown | $43.16 | 0.0% | 1 | 2025 |
| Teva Pharmaceuticals USA, Inc. | Unresolved — no canonical attribution shown | $41.55 | 0.0% | 1 | 2025 |
| Lilly USA, LLC | Unresolved — no canonical attribution shown | $38.05 | 0.0% | 3 | 2025 |
| EMD Serono, Inc. | Unresolved — no canonical attribution shown | $34.12 | 0.0% | 1 | 2025 |
| UCB, Inc. | Unresolved — no canonical attribution shown | $32.88 | 0.0% | 1 | 2025 |
| Ipsen Biopharmaceuticals, Inc | Unresolved — no canonical attribution shown | $28.70 | 0.0% | 1 | 2025 |
| Alnylam Pharmaceuticals Inc. | Unresolved — no canonical attribution shown | $28.30 | 0.0% | 1 | 2025 |
| Boston Scientific Corporation | Unresolved — no canonical attribution shown | $23.30 | 0.0% | 1 | 2025 |
| TG Therapeutics, Inc. | Unresolved — no canonical attribution shown | $22.38 | 0.0% | 1 | 2025 |
| ARGENX US, INC. | Unresolved — no canonical attribution shown | $19.27 | 0.0% | 1 | 2025 |
| Amneal Pharmaceuticals LLC | Unresolved — no canonical attribution shown | $17.47 | 0.0% | 1 | 2025 |
| Amgen Inc. | Unresolved — no canonical attribution shown | $17.44 | 0.0% | 1 | 2025 |
What were the payments for?
| Category | Amount | Records |
|---|---|---|
| Honoraria | $74,005.00 | 18 |
| Consulting Fee | $41,018.50 | 10 |
| Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program | $38,100.00 | 11 |
| Travel and Lodging | $25,859.78 | 108 |
| Food and Beverage | $4,544.33 | 132 |
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
| Reported product | Type | Reported company | Related amount* | Records | Year |
|---|---|---|---|---|---|
| INGREZZA Normalized: ingrezza |
Drug | Neurocrine BioSciences, Inc. | $22,256.88 | 29 | 2025 |
Source payment records
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| INBRIJA Normalized: inbrija |
Drug | Merz Pharmaceuticals, LLC | $20,530.97 | 23 | 2025 |
Source payment records
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| NUPLAZID Normalized: nuplazid |
Drug | ACADIA Pharmaceuticals Inc | $11,894.65 | 23 | 2025 |
Source payment records
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| BOTOX Normalized: botox |
Biological | ABBVIE INC. | $9,494.48 | 11 | 2025 |
Source payment records
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| Gocovri Normalized: gocovri |
Drug | MDD US Operations, LLC | $2,545.42 | 13 | 2025 |
Source payment records
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| VYALEV Normalized: vyalev |
Drug | ABBVIE INC. | $221.46 | 5 | 2025 |
Source payment records
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| Leqembi Normalized: leqembi |
Drug | Eisai Inc. | $103.13 | 1 | 2025 |
Source payment records
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| Xeomin Normalized: xeomin |
Biological | Merz Pharmaceuticals, LLC | $68.12 | 3 | 2025 |
Source payment records
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| Qelbree Normalized: qelbree |
Drug | Supernus Pharmaceuticals, Inc. | $54.57 | 2 | 2025 |
Source payment records
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| INFINITY Normalized: infinity |
Device | Abbott Laboratories | $43.16 | 1 | 2025 |
Source payment records
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| AUSTEDO XR Normalized: austedo xr |
Drug | Teva Pharmaceuticals USA, Inc. | $41.55 | 1 | 2025 |
Source payment records
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| KISUNLA Normalized: kisunla |
Drug | Lilly USA, LLC | $38.05 | 3 | 2025 |
Source payment records
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| Rystiggo Normalized: rystiggo |
Drug | UCB, Inc. | $32.88 | 1 | 2025 |
Source payment records
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| Dysport Normalized: dysport |
Drug | Ipsen Biopharmaceuticals, Inc | $28.70 | 1 | 2025 |
Source payment records
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| AMVUTTRA Normalized: amvuttra |
Drug | Alnylam Pharmaceuticals Inc. | $28.30 | 1 | 2025 |
Source payment records
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| Vercise Normalized: vercise |
Device | Boston Scientific Corporation | $23.30 | 1 | 2025 |
Source payment records
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| QULIPTA Normalized: qulipta |
Drug | ABBVIE INC. | $23.02 | 1 | 2025 |
Source payment records
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| BRIUMVI Normalized: briumvi |
Drug | TG Therapeutics, Inc. | $22.38 | 1 | 2025 |
Source payment records
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| VYVGART Normalized: vyvgart |
Drug | ARGENX US, INC. | $19.27 | 1 | 2025 |
Source payment records
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| VYVGART HYTRULO Normalized: vyvgart hytrulo |
Drug | ARGENX US, INC. | $19.27 | 1 | 2025 |
Source payment records
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| ONGENTYS Normalized: ongentys |
Drug | Amneal Pharmaceuticals LLC | $17.47 | 1 | 2025 |
Source payment records
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| UPLIZNA Normalized: uplizna |
Biological | Amgen Inc. | $17.44 | 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.
| Open Payments product | Payment year | Part D brand | Part D year | Claims | Match method | Source |
|---|---|---|---|---|---|---|
| Gocovri gocovri |
2025 | Gocovri | 2024 | 55 Beneficiary count suppressed |
exact normalized | Medicare Part D |
| INGREZZA ingrezza |
2025 | Ingrezza | 2024 | 12 Beneficiary count suppressed |
exact normalized | Medicare Part D |
| NUPLAZID nuplazid |
2025 | Nuplazid | 2024 | 67 | 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
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 |
|---|---|---|---|---|---|---|
| ACADIA Pharmaceuticals Inc Exact reporting entity; no affiliate inference |
2025 | NUPLAZID open payments reported associated product |
CMS Open Payments — General Payments 20845 supporting records · 6448 recipient NPIs · example record 1247763852 |
Nuplazid · 2024 Exact normalized brand match · 1 Part D row |
67 | 11 |
| Amneal Pharmaceuticals LLC Exact reporting entity; no affiliate inference |
2025 | CREXONT open payments reported associated product |
CMS Open Payments — General Payments 11358 supporting records · 3581 recipient NPIs · example record 1220525531 |
Crexont · 2024 Exact normalized brand match · 1 Part D row |
20 | 14 |
| Amneal Pharmaceuticals LLC Exact reporting entity; no affiliate inference |
2025 | RYTARY open payments reported associated product |
CMS Open Payments — General Payments 200 supporting records · 121 recipient NPIs · example record 1220526035 |
Rytary · 2024 Exact normalized brand match · 1 Part D row |
228 | 49 |
| MDD US Operations, LLC Exact reporting entity; no affiliate inference |
2025 | Gocovri open payments reported associated product |
CMS Open Payments — General Payments 3202 supporting records · 1029 recipient NPIs · example record 1241843637 |
Gocovri · 2024 Exact normalized brand match · 1 Part D row |
55 | suppressed by CMS |
| Neurocrine BioSciences, Inc. Exact reporting entity; no affiliate inference |
2025 | INGREZZA open payments reported associated product |
CMS Open Payments — General Payments 126456 supporting records · 27390 recipient NPIs · example record 1242766729 |
Ingrezza · 2024 Exact normalized brand match · 1 Part D row |
12 | 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
| Brand | Generic | Claims | Beneficiaries |
|---|---|---|---|
| Carbidopa-Levodopa | Carbidopa/Levodopa | 880 | 225 |
| Carbidopa-Levodopa Er | Carbidopa/Levodopa | 342 | 90 |
| Rytary | Carbidopa/Levodopa | 228 | 49 |
| Donepezil Hcl | Donepezil Hcl | 176 | 46 |
| Quetiapine Fumarate | Quetiapine Fumarate | 135 | 33 |
| Nourianz | Istradefylline | 108 | 18 |
| Rasagiline Mesylate | Rasagiline Mesylate | 98 | 31 |
| Pramipexole Dihydrochloride | Pramipexole Di-Hcl | 96 | 27 |
| Fludrocortisone Acetate | Fludrocortisone Acetate | 85 | 26 |
| Clonazepam | Clonazepam | 83 | 21 |
| Rivastigmine | Rivastigmine Tartrate | 83 | 19 |
| Escitalopram Oxalate | Escitalopram Oxalate | 74 | 20 |
| Gabapentin | Gabapentin | 70 | 26 |
| Amantadine | Amantadine Hcl | 67 | 23 |
| Nuplazid | Pimavanserin Tartrate | 67 | 11 |
| Sertraline Hcl | Sertraline Hcl | 64 | 16 |
| Gocovri | Amantadine Hcl | 55 | suppressed |
| Trazodone Hcl | Trazodone Hcl | 51 | 16 |
| Memantine Hcl | Memantine Hcl | 50 | 12 |
| Propranolol Hcl | Propranolol Hcl | 42 | 16 |
| Baclofen | Baclofen | 35 | 12 |
| Primidone | Primidone | 32 | suppressed |
| Midodrine Hcl | Midodrine Hcl | 28 | 11 |
| Ropinirole Hcl | Ropinirole Hcl | 28 | suppressed |
| Alprazolam | Alprazolam | 23 | suppressed |
| Propranolol Hcl Er | Propranolol Hcl | 23 | suppressed |
| Mirtazapine | Mirtazapine | 22 | suppressed |
| Pregabalin | Pregabalin | 22 | suppressed |
| Crexont | Carbidopa/Levodopa | 20 | 14 |
| Lorazepam | Lorazepam | 18 | suppressed |
| Carbidopa-Levodopa-Entacapone | Carbidopa/Levodopa/Entacapone | 17 | suppressed |
| Rivastigmine | Rivastigmine | 17 | suppressed |
| Venlafaxine Hcl Er | Venlafaxine Hcl | 16 | suppressed |
| Atropine Sulfate | Atropine Sulfate | 15 | suppressed |
| Droxidopa | Droxidopa | 15 | suppressed |
| Selegiline Hcl | Selegiline Hcl | 14 | suppressed |
| Fluoxetine Hcl | Fluoxetine Hcl | 13 | suppressed |
| Ingrezza | Valbenazine Tosylate | 12 | suppressed |
| Myrbetriq | Mirabegron | 12 | suppressed |
| Ropinirole Er | Ropinirole Hcl | 12 | suppressed |
Timeline
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 | $183,527.61 · 279 records | MDD US Operations, LLC | AMVUTTRA, AUSTEDO XR, BOTOX, BRIUMVI, Dysport, Gocovri, INBRIJA, INFINITY, INGREZZA, KISUNLA, Leqembi, NUPLAZID, ONGENTYS, QULIPTA, Qelbree, Rystiggo, UPLIZNA, VYALEV, VYVGART, VYVGART HYTRULO, Vercise, Xeomin | 5 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
These are general questions generated from reviewed templates. They are not personalized medical advice.
Sources and limitations
| 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