RxDoctor Payments Data

Kavitha Ramchandran, MD

Medical Oncology · Stanford, CANPI 1407091820

Payments from drug & device makers

What this record shows

The money is spread across several categories — consulting fees (35.9%), speaking fees and travel and lodging — rather than concentrated in one kind of arrangement. AstraZeneca accounts for 64.1% of it on its own, with 1 other manufacturer making up the rest. That places this record below the midpoint for medical oncology clinicians in CA, where the typical reported total is $4,042.

$1,336in general payments, 2019–2025

Across 7 payments — averaging $190.92 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • AstraZeneca$856
  • Varian Medical Systems, Inc.$480
$419,779in research payments, 2019–2025

Across 12 payments — averaging $34,982 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.

  • Varian Medical Systems, Inc.$311K
  • Siemens Medical Solutions USA, Inc.$109K

What the payments were for

  • Consulting fees$48036%
  • Speaking & faculty fees$40730%
  • Travel & lodging$27420%
  • Food & beverage$17613%

General payments by program year

20
24

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.

CompanyPaymentsTotal
AstraZeneca6$856
Varian Medical Systems, Inc.1$480

How this compares

$1,336 in reported general payments places this provider in the 35th percentile of 379 medical oncology providers in California.

See all medical oncology providers in California →

Medicare billing

Part B allowed, 2024
$106,028
Medicare patients
173
Services billed
638

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
TagrissoOsimertinib Mesylate17$278,760
Pregabalin14$288
Gabapentin15$258
Mirtazapine14$178

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
AstraZenecaTagrisso$856$278,76017 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 35th percentile of 379 medical oncology providers in California.

Other medical oncology in Stanford

See the full list for California →

Where these figures come from

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