RxDoctor Payments Data

Jon Grammes, DO

Clinical Cardiac Electrophysiology · Norfolk, VANPI 1972821593

Payments from drug & device makers

What this record shows

This record is dominated by food and beverage: $2,699 of the $4,006 with a category attached, or 67.4%. 9 manufacturers reported payments, led by Boston Scientific at 47.0% of the total. Reporting peaked in 2022 at $1,801 and has fallen 62.4% since, to $678 in 2025. That places this record below the midpoint for clinical cardiac electrophysiology clinicians in VA, where the typical reported total is $19,771.

$4,006in general payments, 2019–2025

Across 99 payments — averaging $40.47 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Boston Scientific$2K
  • Biosense Webster, Inc.$810
  • Vital Connect, Inc$638
  • Abbott$262
  • Medtronic$190
  • Amgen$119
  • plus $106 from 3 others
$336,582in research payments, 2019–2025

Across 20 payments — averaging $16,829 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.

  • Medtronic$207K
  • Boston Scientific$130K

What the payments were for

  • Travel & lodging$1,30733%
  • Food & beverage$2,69967%

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

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

$4,006 in reported general payments places this provider in the 15th percentile of 90 clinical cardiac electrophysiology providers in Virginia.

See all clinical cardiac electrophysiology providers in Virginia

Medicare billing

Part B allowed, 2024
$525,442
Medicare patients
2,068
Services billed
6,162

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
EliquisApixaban664$779,119
XareltoRivaroxaban140$160,399
MultaqDronedarone Hcl29$49,509
EntrestoSacubitril/Valsartan12$21,001
Dofetilide57$18,441
Flecainide Acetate185$11,445
Propafenone Hcl ErPropafenone Hcl19$3,417
Diltiazem 24hr Er (Cd)Diltiazem Hcl85$3,284
Metoprolol Succinate176$3,229
Amiodarone Hcl120$2,127
Mexiletine Hcl17$1,270
Metoprolol Tartrate137$920
Carvedilol83$848
Losartan Potassium47$765
Furosemide89$600

Paid to pharmacies, not to this prescriber.

Other clinical cardiac electrophysiology in Norfolk

See the full list for Virginia

Where these figures come from

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