Madrigal Pharmaceuticals

Reporting payments is a legal requirement; large totals often reflect large product portfolios.

$20Mgeneral payments (2019-2025)
$0.00research payments (2019-2025)
21,587clinicians paid

General and research payments are shown separately, never blended. Research payments are often institution-directed and tied to clinical trials.

General payments by year

2024 $4.4M
2025 $15M

General payments only, as reported to CMS. Research payments are totaled above and not included in these bars.

Products most associated with its payments

Specialties it works with most

Gastroenterology (Internal Medicine) $9.5M
Transplant Hepatology $2.4M
Hepatology $1.9M
Internal Medicine $929K
Endocrinology, Diabetes & Metabolism $754K
Family $690K

Clinicians with the largest reported totals

Often long-running consulting, speaking, or advisory relationships, which companies must report by law. A large total is not evidence of anything improper.

ClinicianLocationSpecialtyGeneral payments (2019-2025)
Sushama Scalera Salem, MA Emergency Medicine $613,288.00
Mazen Noureddin Houston, TX Gastroenterology (Internal Medicine) $472,411.67
Cynthia Guy Durham, NC Anatomic Pathology & Clinical Pathology $378,870.56
Zahid Vahora Washington, DC Transplant Hepatology $359,341.97
Santiago Munoz Toms River, NJ Transplant Hepatology $357,858.69
Naim Alkhouri Westlake, OH Gastroenterology (Internal Medicine) $336,630.84
Anthony Martinez Buffalo, NY Internal Medicine $231,611.97
Nadege Gunn Waco, TX Gastroenterology (Internal Medicine) $217,859.10
Pierre Gholam Cleveland, OH Gastroenterology (Internal Medicine) $213,963.40
Julio Gutierrez Los Angeles, CA Transplant Hepatology $201,983.26

Source: CMS Open Payments, program years 2019-2025, as reported to CMS by drug and device makers (published June 30, 2026). Drug and device detail covers 2023-2025.