David Rayan
Internal Medicine · Milwaukee, WINPI 1194287870
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $7,040 of the $8,042 with a category attached, or 87.5%. It is spread thinly across 22 manufacturers, the largest accounting for just 13.1% — the pattern of someone who eats at a lot of different presentations. 2025 is the largest year on record at $3,331, 4.2 times the $787 reported in 2022. Among internal medicine clinicians in WI with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 63 payments — averaging $127.66 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Boston Scientific$1K
- Abiomed$972
- Medtronic$923
- Edwards Lifesciences$823
- Johnson & Johnson$679
- Actelion Pharmaceuticals US, Inc.$442
- plus $3K from 16 others
What the payments were for
- Travel & lodging$3965%
- Food & beverage$7,04088%
- Education$4956%
- Gifts$1121%
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 |
|---|---|---|
| Boston Scientific | 10 | $1,057 |
| Abiomed | 8 | $972 |
| Medtronic | 5 | $923 |
| Edwards Lifesciences | 5 | $823 |
| Johnson & Johnson | 6 | $679 |
| Actelion Pharmaceuticals US, Inc. | 4 | $442 |
| Shockwave Medical, Inc | 3 | $376 |
| Abbott | 2 | $315 |
| Angiodynamics, Inc. | 3 | $297 |
| Bard Peripheral Vascular, Inc. | 1 | $263 |
| Amgen | 2 | $259 |
| Acist Medical Systems, Inc. | 1 | $258 |
| Asahi Intecc USA, Inc. | 2 | $235 |
| Heartflow, Inc. | 1 | $194 |
| Cardiovascular Systems Inc. | 1 | $172 |
| Penumbra, Inc. | 2 | $165 |
| Surmodics, Inc. | 1 | $155 |
| Philips North America LLC | 2 | $154 |
| Janssen Scientific Affairs, LLC | 1 | $134 |
| Chiesi USA, Inc. | 1 | $84 |
| Veryan Medical Incorporated | 1 | $69 |
| Biosense Webster, Inc. | 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.
- XARELTO$744
- ONYX FRONTIER$702
- Impella$629
- SAPIEN 3 Ultra RESILIA$424
- Shockwave IVL System with the Shockwave C2 Coronary IVL Catheter$344
- Pounce Thrombectomy System$309
- Rotablator Rotational Atherectomy System Console Kit$304
- OPTICROSS$299
- RotarexS 6 F x 135 cm$263
- Repatha$259
- CVI SYSTEMS$258
- UPTRAVI$253
- OPSUMIT$253
- RESOLUTE ONYX$221
- FFRct$194
- Diamondback Coronary$172
- THORATEC HEARTMATE 3 LVAS IMPLANT KIT$165
- COROFLOW$150
- AlphaVac$145
- SYNERGY$141
How this compares
$8,042 in reported general payments places this provider in the 95th percentile of 1,411 internal medicine providers in Wisconsin.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| EliquisApixaban | 20 | $33,330 |
| Atorvastatin Calcium | 54 | $491 |
| Rosuvastatin Calcium | 41 | $485 |
| Ezetimibe | 13 | $295 |
| ClopidogrelClopidogrel Bisulfate | 19 | $202 |
| Losartan Potassium | 21 | $200 |
| Nitroglycerin | 12 | $142 |
| Carvedilol | 31 | $121 |
| Metoprolol Succinate | 15 | $102 |
| Furosemide | 23 | $93 |
| Lisinopril | 13 | $71 |
| Amlodipine Besylate | 14 | $51 |
Paid to pharmacies, not to this prescriber.
Other internal medicine in Milwaukee
- Jeremiah DeptaMilwaukee$723K
- Erik StilpMilwaukee$116K
- Hammam ShereefMilwaukee$55K
- Muhammad ZamanMilwaukee$37K
- Turgut ZiaMilwaukee$17K
- Mohammad KhanMilwaukee$16K
- Leonard EgedeMilwaukee$12K
- Malik AliMilwaukee$12K
- Mohammed NwilatiMilwaukee$10K
- Champalal GuptaMilwaukee$9K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.