John Ramey, MD
Allergy & Immunology · North Charleston, SCNPI 1841260874
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $83,700 of the $126,366 with a category attached, or 66.2%. 42 manufacturers reported payments, led by GSK at 31.4% of the total. Reporting peaked in 2021 at $33,266 and has fallen 80.8% since, to $6,388 in 2025.
Across 514 payments — averaging $245.85 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- GSK$40K
- Novartis$32K
- Genentech USA, Inc.$21K
- AstraZeneca$20K
- Sanofi$5K
- Arcutis Biotherapeutics, Inc.$2K
- plus $7K from 36 others
Across 235 payments — averaging $5784.21 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.
- Novartis$377K
- AstraZeneca$355K
- Sanofi US Services Inc.$184K
- Sanofi$183K
- LEO Pharma AS$178K
- Teva Pharmaceuticals USA, Inc.$47K
- plus $35K from 4 others
What the payments were for
- Consulting fees$17,97514%
- Speaking & faculty fees$83,70066%
- Travel & lodging$10,9489%
- Food & beverage$13,48811%
- Education$2540%
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.
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
$126,366 in reported general payments places this provider in the 85th percentile of 46 allergy & immunology providers in South Carolina.
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 |
|---|---|---|
| Dupixent PenDupilumab | 25 | $98,177 |
| TezspireTezepelumab-Ekko | 20 | $82,628 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 88 | $63,160 |
| XolairOmalizumab | 12 | $38,568 |
| Breo ElliptaFluticasone/Vilanterol | 31 | $17,597 |
| Spiriva RespimatTiotropium Bromide | 23 | $15,664 |
| Arnuity ElliptaFluticasone Furoate | 39 | $11,351 |
| Advair HfaFluticasone Propion/Salmeterol | 17 | $6,608 |
| Epinephrine | 21 | $4,505 |
| Qvar RedihalerBeclomethasone Dipropionate | 11 | $3,710 |
| Azelastine Hcl | 64 | $2,192 |
| Fluticasone Propionate | 82 | $2,100 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 63 | $1,441 |
| Montelukast Sodium | 80 | $735 |
| Ipratropium Bromide | 17 | $601 |
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.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| GSKTrelegy Ellipta, Breo Ellipta, Arnuity Ellipta | $39,724 | $92,108158 claims |
| AstraZenecaTezspire | $20,432 | $82,62820 claims |
| Genentech, Inc.Xolair | $64 | $38,56812 claims |
| Boehringer IngelheimSpiriva Respimat | $135 | $15,66423 claims |
| Hikma Pharmaceuticals USAEpinephrine | $110 | $4,50521 claims |
| Teva Pharmaceuticals USA, Inc.Qvar Redihaler | $117 | $3,71011 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. Against peers, this provider's reported payments sit in the 85th percentile of 46 allergy & immunology providers in South Carolina.
Other allergy & immunology in North Charleston
- Allen KaplanNorth Charleston$220K
- Ned RuppNorth Charleston$154K
- Patricia GerberNorth Charleston$17K
- Frederick SchafferNorth Charleston$55
- Thomas MurphyCharleston$653K
- Douglas JohnstonGreenville$329K
- David AmrolColumbia$172K
- Jaime LagosSpartanburg$54K
- Robin GoSpartanburg$14K
- Hector RodriguezWest Columbia$14K
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.