David Ramstad, MD
Internal Medicine · Suffolk, VANPI 1477516748
Payments from drug & device makers
What this record shows
That places this record below the midpoint for internal medicine clinicians in VA, where the typical reported total is $141.
No general payments reported
No drug or device maker reported general payments to this provider for 2019–2025. That is a common and unremarkable result.
Across 1,196 payments — averaging $4820.50 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Amgen$2.4M
- Novartis$906K
- Pfizer$763K
- Modernatx, Inc.$524K
- Sanofi Pasteur Inc.$344K
- Bavarian Nordic A/s$237K
- plus $597K from 11 others
How this compares
$0 in reported general payments places this provider in the 15th percentile of 2,724 internal medicine providers in Virginia.
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 |
|---|---|---|
| JardianceEmpagliflozin | 164 | $199,666 |
| OzempicSemaglutide | 106 | $115,416 |
| TrulicityDulaglutide | 50 | $52,961 |
| JanuviaSitagliptin Phosphate | 40 | $40,801 |
| XareltoRivaroxaban | 17 | $27,256 |
| RybelsusSemaglutide | 13 | $22,491 |
| EliquisApixaban | 30 | $21,608 |
| FarxigaDapagliflozin Propanediol | 11 | $17,657 |
| Repatha SureclickEvolocumab | 16 | $15,145 |
| JanumetSitagliptin Phos/Metformin Hcl | 22 | $11,578 |
| Lantus SolostarInsulin Glargine,hum.Rec.Anlog | 93 | $9,827 |
| Breo ElliptaFluticasone/Vilanterol | 16 | $8,996 |
| Atorvastatin Calcium | 849 | $7,900 |
| Tresiba Flextouch U-100Insulin Degludec | 13 | $7,385 |
| Dexlansoprazole DrDexlansoprazole | 15 | $4,993 |
Paid to pharmacies, not to this prescriber.
Other internal medicine in Suffolk
- Kumar AbhishekMechanicsville$1M
- Amit MahajanFalls Church$1M
- Kevin DonohueFalls Church$655K
- Denise BrunerArlington$227K
- Anjali KaloreMidlothian$215K
- Scott GerrishVienna$207K
- Lawrence SchwartzRichmond$205K
- Wally SmithRichmond$177K
- Gautam GulatiMc Lean$136K
- Francesse BatailleDumfries$109K
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.