Dr. Amy Guillet Agrawal, MD

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Payments from drug and device companies, 2025

Drug and device makers are required by federal law (the Physician Payments Sunshine Act) to report what they pay or give to clinicians, and CMS publishes the reports as Open Payments. This is the 2025 program year. A report is a record of a payment, not an allegation of anything, and many are small items such as meals. Only general payments are listed here; research payments and ownership or investment interests are reported separately by CMS and are not shown.

Each amount is the sum of what companies reported for that kind of payment in 2025, rounded to the dollar. Not all of it is income to the clinician: a meal is not a fee, a charitable contribution goes to a charity, and a royalty or an acquisition payment is not a salary.

Check a report, or dispute one, at the source in CMS’s own tool, Open Payments. Corrections go through CMS’s dispute process. This site removes a home address on request and asks for no proof, because that is privacy; it will not remove an accurate payment report on request, because that is a statutory public disclosure.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

• Holy Cross Hospital Hospital · Silver Spring, MD

Colleagues at Capital Critical Care, LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 19 clinicians in the practice; 11 are shown here.

• Dr. Prasad Nanjappa Betadpur, MD Internal Medicine Physician · Harrisonburg, VA
• James Robert Bufkin, PA-C Physician Assistant · Cheverly, MD
• Joseph Delio Internal Medicine Physician · Washington, DC
• Nimrita Dhanjal, MD Critical Care Medicine (Internal Medicine) Physician · Rockville, MD
• Shannon L Gilliam, PA Medical Physician Assistant · Waldorf, MD
• Dr. Theodore E Igwebe, MD Pulmonary Disease Physician · Clarksville, MD
• Jessica Adams Mims, PA-C Physician Assistant · Rockingham, VA
• Dr. Nisha Nataraj, MD Student in an Organized Health Care Education/Training Program · Stony Brook, NY
• George Okang, MD Critical Care Medicine (Internal Medicine) Physician · Lanham, MD
• Dr. Troy Dennis Reid Rivera, MD Emergency Medicine Physician · Philadelphia, PA
• Rachel Lynn Vile, MD Critical Care Medicine (Internal Medicine) Physician · Rockville, MD

Other providers in Silver Spring

• Puneet Singh Garcha, MD

  Individual Critical Care Medicine (Internal Medicine) Physician · NPI 1881868883

  1040 Spring St, Silver Spring, MD 20910-4018 · (240) 701-0534

• Sergio David Gonzales

  Individual Critical Care Medicine (Internal Medicine) Physician · NPI 1235001314

  2376 Glenmont Cir Apt T6 T6, Silver Spring, MD 20902-1351 · (771) 217-3602

• M Management Group, LLC

  Organization Critical Care Medicine (Internal Medicine) Physician · NPI 1407687411

  2101 Fairland Rd, Silver Spring, MD 20904-5427 · (301) 384-6161

• Lee Edward Schwab, MD

  Individual Critical Care Medicine (Internal Medicine) Physician · NPI 1700820313

  Holy Cross Hospital 1500 Forest Glen Rd, Silver Spring, MD 20910-1484 · (301) 754-7061