Ahmed Ghamraoui, DO
Vascular Surgery · Farmington Hills, MINPI 1609263227
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (50.7%), travel and lodging and speaking fees — rather than concentrated in one kind of arrangement. 28 manufacturers reported payments, led by Penumbra, Inc. at 38.0% of the total.
Across 222 payments — averaging $60.01 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Penumbra, Inc.$5K
- Silk Road Medical, Inc.$1K
- Boston Scientific$1K
- Medtronic$1K
- Bard Peripheral Vascular, Inc.$969
- Cardiovascular Systems Inc.$856
- plus $2K from 22 others
What the payments were for
- Speaking & faculty fees$1,2009%
- Travel & lodging$4,63535%
- Food & beverage$6,75851%
- Education$7305%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
General payments by program year
Who reported the general payments
Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.
| Company | Payments | Total |
|---|---|---|
| Penumbra, Inc. | 17 | $5,063 |
| Silk Road Medical, Inc. | 8 | $1,500 |
| Boston Scientific | 11 | $1,486 |
| Medtronic(2 entities) | 22 | $1,097 |
| Bard Peripheral Vascular, Inc. | 68 | $969 |
| Cardiovascular Systems Inc. | 38 | $856 |
| W. L. Gore & Associates, Inc. | 4 | $608 |
| Philips North America LLC | 14 | $252 |
| Inari Medical, Inc. | 2 | $206 |
| TELA Bio, Inc. | 1 | $162 |
| BD | 6 | $162 |
| Stryker | 3 | $114 |
| Atricure, Inc. | 1 | $110 |
| Endologix LLC | 3 | $91 |
| EKOS Corporation | 4 | $77 |
| Integra Lifesciences Corporation | 2 | $74 |
| Imperative Care, Inc | 2 | $74 |
| Surmodics, Inc. | 2 | $73 |
| Getinge USA Sales, LLC | 2 | $66 |
| Angiodynamics, Inc. | 2 | $55 |
| Terumo Medical Corporation | 2 | $44 |
| Kerecis Limited | 1 | $41 |
| Convatec Inc. | 1 | $34 |
| Shockwave Medical, Inc | 2 | $33 |
| Biotronik Inc. | 1 | $24 |
| CSL Behring | 1 | $21 |
| Solventum Corporation | 1 | $18 |
| Siemens Medical Solutions USA, Inc. | 1 | $13 |
What the payments were tied to
Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.
- Indigo System$4,455
- ENROUTE Transcarotid Neuroprotection System$1,570
- ENROUTE Transcarotid Stent$1,441
- GENERAL - THERAPIES$1,002
- GORE EXCLUDER Iliac Branch Endoprosthesis$397
- Diamondback Peripheral$352
- ENDURANT IIS$286
- GENERAL BALLOONS$170
- GORE VIABAHN VBX Balloon Expandable Endo$168
- FLOWTRIEVER CATHETER, S$167
- CT THROMBECTOMY SYSTEM KIT$167
- OviTex 2S$162
- Valiant Captivia$157
- RUBY Coil$150
- Ranger$147
- COVERA$134
- ENROUTE Enflate Transcarotid RX Balloon Dilatation Catheter$129
- ATRICURE CRYOICE CRYOSPHERE CRYOABLATION SYSTEM$110
- Crosser iQ$108
How this compares
$13,323 in reported general payments places this provider in the 80th percentile of 183 vascular surgery providers in Michigan.
Medicare billing
What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Dabigatran EtexilateDabigatran Etexilate Mesylate | 11 | $1,797 |
| ClopidogrelClopidogrel Bisulfate | 98 | $1,437 |
| Gabapentin | 13 | $64 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 29 | $54 |
| Oxycodone Hcl | 22 | $49 |
Paid to pharmacies, not to this prescriber.
Other vascular surgery in Farmington Hills
- Scott BendixFarmington Hills$20K
- Nicolas MouawadWest Branch$1.7M
- Enrique Criado PallaresMidland$800K
- Jordan KnepperEast Lansing$336K
- Joseph CuppariClinton Township$98K
- Eanas YassaGrand Rapids$81K
- Abedelkarim AbushmaiesBattle Creek$75K
- Kevin OnofreyDetroit$65K
- Yevgeniy RitsDetroit$57K
- Ryan KimSaginaw$50K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.