Brian Ramza, MD
Clinical Cardiac Electrophysiology · Kansas City, MONPI 1598713901
Payments from drug & device makers
Across 323 payments — averaging $4062.65 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$1.2M
- Boston Scientific$42K
- Abbott$27K
- Philips North America LLC$1K
- Biosense Webster, Inc.$94
- Irhythm Technologies, Inc.$13
What the payments were for
- Travel & lodging$1,01627%
- Food & beverage$2,78673%
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 |
|---|---|---|
| Medtronic(2 entities) | 255 | $1,242,235 |
| Boston Scientific | 34 | $41,674 |
| Abbott | 23 | $26,960 |
| Philips North America LLC | 9 | $1,258 |
| Biosense Webster, Inc. | 1 | $94 |
| Irhythm Technologies, 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.
How this compares
$1,312,235 in reported general payments places this provider in the 95th percentile of 74 clinical cardiac electrophysiology providers in Missouri.
See all clinical cardiac electrophysiology providers in Missouri →
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 |
|---|---|---|
| EliquisApixaban | 506 | $603,382 |
| XareltoRivaroxaban | 176 | $204,805 |
| EntrestoSacubitril/Valsartan | 37 | $54,932 |
| JardianceEmpagliflozin | 27 | $31,637 |
| MultaqDronedarone Hcl | 25 | $20,620 |
| Flecainide Acetate | 261 | $12,174 |
| Dofetilide | 77 | $11,567 |
| Diltiazem 24hr Er (Cd)Diltiazem Hcl | 172 | $4,130 |
| Dabigatran EtexilateDabigatran Etexilate Mesylate | 14 | $3,828 |
| Mexiletine Hcl | 26 | $3,767 |
| Atorvastatin Calcium | 219 | $2,034 |
| Metoprolol Succinate | 192 | $1,900 |
| Carvedilol | 181 | $1,753 |
| Potassium Chloride | 60 | $1,358 |
| Ezetimibe | 30 | $1,092 |
Paid to pharmacies, not to this prescriber.
Other clinical cardiac electrophysiology in Kansas City
- Sanjaya GuptaKansas City$1.3M
- Alan WimmerKansas City$489K
- Jessica KlineKansas City$75K
- Michael GiocondoKansas City$35K
- Daniel SteinhausKansas City$28K
- Luis CouchonnalKansas City$19K
- Alejandro Perez-VerdiaKansas City$7K
- Daniel CooperSaint Louis$1.5M
- Phillip CuculichSaint Louis$478K
- Timothy SmithSaint Louis$454K
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.