Arjun Ramesh, MD
Interventional Pain Medicine · Dubuque, IANPI 1487034419
Payments from drug & device makers
What this record shows
The money is spread across several categories — travel and lodging (50.5%), food and beverage and grants — rather than concentrated in one kind of arrangement. 23 manufacturers reported payments, led by Abbott at 36.8% of the total.
Across 388 payments — averaging $61.20 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Abbott$9K
- Medtronic$5K
- Boston Scientific$3K
- Biotronik NRO, Inc.$2K
- Nevro Corp.$2K
- Globus Medical$1K
- plus $1K from 17 others
What the payments were for
- Grants$750%
- Travel & lodging$11,99751%
- Food & beverage$11,65249%
- Education$210%
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 |
|---|---|---|
| Abbott | 142 | $8,741 |
| Medtronic(2 entities) | 96 | $5,480 |
| Boston Scientific | 42 | $3,008 |
| Biotronik NRO, Inc. | 28 | $2,245 |
| Nevro Corp. | 19 | $1,853 |
| Globus Medical | 14 | $1,229 |
| SPR Therapeutics, Inc | 9 | $224 |
| Amgen(2 entities) | 3 | $201 |
| Collegium Pharmaceutical, Inc. | 6 | $108 |
| Relievant Medsystems, Inc. | 3 | $82 |
| IBSA Pharma Inc. | 4 | $78 |
| Si-bone, Inc. | 2 | $65 |
| Captiva Spine Inc | 2 | $63 |
| Vertos Medical, Inc. | 3 | $58 |
| Spineology Inc. | 1 | $56 |
| Fidia Pharma USA Inc. | 2 | $46 |
| Curonix LLC | 2 | $41 |
| Scilex Pharmaceuticals Inc. | 2 | $40 |
| Hikma Pharmaceuticals USA | 2 | $40 |
| Saluda Medical Americas, Inc. | 2 | $29 |
| Redhill Biopharma Inc. | 2 | $28 |
| Arteriocyte Medical Systems, Inc. | 1 | $15 |
| Stimwave Technologies Incorporated | 1 | $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.
- PROCLAIM$5,236
- INTELLIS ADAPTIVESTIM$1,786
- Senza Spinal Cord Stimulation System$1,305
- Prospera$1,047
- Senza$800
- INCEPTIV$591
- ETERNA$536
- Intracept$427
- Proclaim DRG IPG$424
- INTELLIS$244
- RESTORE$181
- KYPHON EXPRESS II KYPHOPAK TRAY$156
- Axium$140
- SPRINT PNS System$131
- SPECTRA WAVEWRITER$110
- SYNCHROMEDII$107
How this compares
Too few interventional pain medicine providers in Iowato place this figure against a meaningful peer group, so we don't.
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 |
|---|---|---|
| Gabapentin | 23 | $433 |
| Tizanidine Hcl | 18 | $140 |
| Methylprednisolone | 20 | $113 |
| Diclofenac Sodium | 11 | $75 |
Paid to pharmacies, not to this prescriber.
Other interventional pain medicine in Dubuque
- Andrzej SzczepanekWest Des Moines$12K
- Alison WeisheiplWest Des Moines$8K
- Ronald KlocMason City$5K
- Thomas KleinDes Moines$4K
- Ashar AfzalWaterloo$2K
- Fredrick DeryNorth Liberty$2K
- Frank HawkinsWaterloo$1K
- Mohammad IqbalDes Moines$631
- Christian LedetWest Des Moines$595
- Nathan MeloyBettendorf$173
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.