RxDoctor Payments Data

Gautam Ramani, MD

Advanced Heart Failure and Transplant Cardiology · Baltimore, MDNPI 1578699328

Payments from drug & device makers

What this record shows

This record is dominated by consulting fees: $28,528 of the $31,692 with a category attached, or 90.0%. Siemens Medical Solutions USA, Inc. accounts for 74.1% of it on its own, with 10 other manufacturers making up the rest. Reporting peaked in 2023 at $25,221 and has fallen 91.7% since, to $2,095 in 2025.

$31,692in general payments, 2019–2025

Across 56 payments — averaging $565.93 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Siemens Medical Solutions USA, Inc.$23K
  • United Therapeutics Corporation$2K
  • Bridgebio Pharma, Inc.$2K
  • Merck$2K
  • Bayer$1K
  • Actelion Pharmaceuticals US, Inc.$296
  • plus $520 from 5 others
$563,574in research payments, 2019–2025

Across 126 payments — averaging $4472.81 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.

  • Janssen Research & Development, LLC$233K
  • United Therapeutics Corporation$211K
  • Actelion Pharmaceuticals, Ltd$51K
  • Merck$50K
  • Actelion Pharmaceuticals US, Inc.$18K

What the payments were for

  • Consulting fees$28,52890%
  • Travel & lodging$1,0083%
  • Food & beverage$2,1567%

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.

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

Too few advanced heart failure and transplant cardiology providers in Marylandto place this figure against a meaningful peer group, so we don't.

Medicare billing

Part B allowed, 2024
$183,704
Medicare patients
1,028
Services billed
2,052

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
AdempasRiociguat53$690,459
OpsumitMacitentan51$678,115
UptraviSelexipag28$492,304
Tyvaso DpiTreprostinil11$259,221
Ambrisentan41$193,663
Orenitram ErTreprostinil Diolamine21$180,582
JardianceEmpagliflozin81$101,757
EntrestoSacubitril/Valsartan42$69,614
EliquisApixaban65$54,723
Sildenafil Citrate73$29,244
XareltoRivaroxaban16$23,351
Tadalafil23$10,198
RybelsusSemaglutide11$8,953
Spironolactone224$2,331
Metoprolol Succinate66$1,371

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
Actelion Pharmaceuticals US, Inc.Opsumit, Uptravi$296$1,170,41979 claims
BayerAdempas$1,464$690,45953 claims
NovartisEntresto$257$69,61442 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. There are too few advanced heart failure and transplant cardiology providers in Marylandon file to place this against a meaningful peer group, so we don't.

Other advanced heart failure and transplant cardiology in Baltimore

See the full list for Maryland

Where these figures come from

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