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Aprill Rambarran, MD

Family Medicine · Palisade, CONPI 1609003177

Payments from drug & device makers

$13,832in general payments, 2019–2025

Across 749 payments — averaging $18.47 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Novo Nordisk$2K
  • AbbVie$1K
  • Lilly USA, LLC$1K
  • AstraZeneca$956
  • Amgen$740
  • Amarin Pharma, Inc.$640
  • plus $7K from 51 others

What the payments were for

  • Food & beverage$13,76099%
  • Education$721%

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

19
20
21
22
23
24
25

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.

CompanyPaymentsTotal
Novo Nordisk102$2,033
AbbVie(2 entities)91$1,487
Lilly USA, LLC65$1,134
AstraZeneca51$956
Amgen(2 entities)33$740
Amarin Pharma, Inc.27$640
Bayer28$539
Corium, LLC31$447
Eisai Inc.15$384
Takeda Pharmaceuticals U.S.A., Inc.24$369
Merck22$337
Supernus Pharmaceuticals, Inc.12$298
Otsuka America Pharmaceutical, Inc.9$282
Ironshore Pharmaceuticals Inc.15$275
Johnson & Johnson(2 entities)9$259
Sanofi-aventis U.S. LLC18$255
Bausch Health US, LLC19$244
Esperion Therapeutics, Inc.19$228
Biohaven Pharmaceutical Holding Company Ltd.12$225
Boehringer Ingelheim13$222
Astellas Pharma US Inc10$214
Pfizer10$188
Salix Pharmaceuticals, A Division Of Bausch Health US, LLC10$171
Abbott9$170
Tris Pharma Inc9$160
Biohaven Pharmaceuticals, Inc.5$126
Axsome Therapeutics, Inc.7$125
Exact Sciences5$112
Currax Pharmaceuticals LLC7$107
GSK6$107
Medtronic4$96
Antares Pharma, Inc.4$73
Shire North American Group Inc5$71
Hologic Sales And Service, LLC3$68
Kowa Pharmaceuticals America, Inc.4$66
Teva Pharmaceuticals USA, Inc.4$60
Neos Therapeutics, LP4$57
Lundbeck LLC3$51
Inspire Medical Systems, Inc.2$51
Dexcom, Inc.2$46
Adlon Therapeutics L.p.3$46
Halozyme Inc2$33
Vertiflex, Inc.2$31
Noven Therapeutics, LLC1$24
Collegium Pharmaceutical, Inc.1$24
Boston Scientific1$22
Azurity Pharmaceuticals, Inc.1$20
Ardelyx, Inc.1$18
Nalpropion Pharmaceuticals LLC1$17
Upsher-smith Laboratories LLC1$17
Dynavax Technologies Corporation1$17
Kvk-tech, Inc.1$16
Idorsia Pharmaceuticals US Inc1$16
Vivus LLC1$15
Sunovion Pharmaceuticals Inc.1$15
Genentech USA, Inc.1$14
Acerus Pharmaceuticals Corporation1$14

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.

How this compares

$13,832 in reported general payments places this provider in the 95th percentile of 2,079 family medicine providers in Colorado.

See all family medicine providers in Colorado

Medicare billing

Part B allowed, 2024
$9,353
Medicare patients
27
Services billed
118

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

DrugClaimsCost to plans & patients
TrulicityDulaglutide13$16,608
MyrbetriqMirabegron13$12,978
JardianceEmpagliflozin14$11,231
FarxigaDapagliflozin Propanediol11$9,417
Ajovy AutoinjectorFremanezumab-Vfrm11$9,066
Rosuvastatin Calcium82$902
ProgesteroneProgesterone, Micronized12$597
Gabapentin27$582
Levothyroxine Sodium58$567
Atorvastatin Calcium60$541
Metformin Hcl42$373
Bupropion XlBupropion Hcl16$372
Lisinopril60$321
Montelukast Sodium27$309
Ezetimibe15$293

Paid to pharmacies, not to this prescriber.

Companies that both paid and supply prescribed drugs

These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.

CompanyPaid to this providerPart D cost of their drugs
Lilly USA, LLCTrulicity$1,134$16,60813 claims
Astellas Pharma US IncMyrbetriq$214$12,97813 claims
Boehringer IngelheimJardiance$222$11,23114 claims
AstraZenecaFarxiga$956$9,41711 claims

Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 95th percentile of 2,079 family medicine providers in Colorado.

Other family medicine in Palisade

See the full list for Colorado

Where these figures come from

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