VARALAXMI NANNAKA

Allopathic & Osteopathic Physicians|Internal Medicine|Pulmonary Disease TYLER, TX NPI 1003198391

General Payments — all program years on this page

$10,711.64

  • Category: General Payments
  • Program years: PY2018–2024
  • Record count: 284
  • As of (CMS publication): 2026-01-23

Latest program year (PY2024): $481.94 across 31 records · disputed records: 0

Financial relationships do not necessarily indicate an improper relationship; the data is open to interpretation.

How this figure is calculated
  • The total is the sum of the General Payments records CMS published for the labeled program year(s), exactly as published. Nothing is estimated, weighted, or combined across categories.
  • General Payments only. Research and Ownership/Investment are separate datasets and are never summed with these figures; amounts are kept separate per program year.
  • Featured-page threshold (a presentation gate, not a judgment): records>=3 OR total>=100 (all years).
  • Methodology & Data — sourcing, labeling, and limitations.

By nature of payment

Latest program year (PY2024) · sorted by reported total.

Nature of paymentAmountRecords
Food and Beverage $481.9431

By paying entity

Latest program year (PY2024) · sorted by reported total.

By program year

Program yearAmountRecords
2018 $172.9320
2019 $451.1635
2020 $386.2826
2021 $185.9112
2022 $8,011.5693
2023 $1,021.8667
2024 $481.9431

Records — PY2024 (31)

Record IDPaying entityAmountDate Nature of paymentDispute statusPublishedSource
1078919577 Actelion Pharmaceuticals US, Inc. $25.83 08/27/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1078919591 Actelion Pharmaceuticals US, Inc. $34.24 02/21/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1104443430 AstraZeneca Pharmaceuticals LP $17.12 01/30/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1105098655 ABBVIE INC. $14.41 06/18/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1114122213 Regeneron Healthcare Solutions, Inc. $28.81 08/27/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1115937037 GlaxoSmithKline, LLC. $2.27 06/04/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1115973066 GlaxoSmithKline, LLC. $7.16 04/21/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1116104426 GlaxoSmithKline, LLC. $1.14 04/22/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1116197415 GlaxoSmithKline, LLC. $11.97 08/13/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1116223096 GlaxoSmithKline, LLC. $12.10 06/26/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1116330610 GlaxoSmithKline, LLC. $6.47 02/08/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1116385354 GlaxoSmithKline, LLC. $9.86 06/03/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1116464866 GlaxoSmithKline, LLC. $12.96 05/20/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1116478285 GlaxoSmithKline, LLC. $13.64 03/29/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1116478903 GlaxoSmithKline, LLC. $0.08 05/20/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1116490829 GlaxoSmithKline, LLC. $8.66 07/15/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1116499473 GlaxoSmithKline, LLC. $17.03 10/07/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1116548593 GlaxoSmithKline, LLC. $10.07 09/23/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1116577426 GlaxoSmithKline, LLC. $10.57 01/28/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1116641142 GlaxoSmithKline, LLC. $16.95 06/21/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1116696851 GlaxoSmithKline, LLC. $14.61 03/13/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1116709407 GlaxoSmithKline, LLC. $12.36 02/14/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1116709901 GlaxoSmithKline, LLC. $9.08 04/18/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1120665474 Baxter Healthcare $16.72 03/19/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1120665476 Baxter Healthcare $18.76 02/19/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1126092696 HARMONY BIOSCIENCES LLC $16.39 05/06/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1134621581 CSL Behring $27.63 06/06/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1137641286 Takeda Pharmaceuticals U.S.A., Inc. $20.63 09/26/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1145112019 Mallinckrodt Hospital Products Inc. $38.26 09/03/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1147322073 Mylan Specialty L.P. $18.95 02/26/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1149470236 United Therapeutics Corporation $27.21 09/11/2024 Food and Beverage Undisputed 01/23/2026 View at CMS

Provenance & corrections

  • Dataset: CMS Open Payments — General Payments
  • Source: CMS Open Payments dataset (bulk file)
  • Publisher of source data: Centers for Medicare & Medicaid Services
  • Generated from: OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv

One page per canonical provider; split Profile_IDs are merged via Associated_Covered_Recipient_Profile_ID_1/_2 from the Covered Recipient Profile Supplement.

Corrections to the substance of a record route to CMS through its review-and-dispute process; errors in how this site mirrors or displays a record route to us. Both paths are described in Methodology & Data.