Nikhil Rammohan, MD
Radiation Oncology · Saint Louis, MONPI 1417303421
Payments from drug & device makers
Across 7 payments — averaging $20.64 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Boston Scientific$51
- Reflexion Medical, Inc.$25
- Novartis$22
- Pfizer$16
- Tactile Systems Technology Inc$16
- Gilead$15
What the payments were for
- Food & beverage$144100%
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 | 2 | $51 |
| Reflexion Medical, Inc. | 1 | $25 |
| Novartis | 1 | $22 |
| Pfizer | 1 | $16 |
| Tactile Systems Technology Inc | 1 | $16 |
| Gilead | 1 | $15 |
How this compares
$144 in reported general payments places this provider in the 15th percentile of 123 radiation oncology providers in Missouri.
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 |
|---|---|---|
| Oxycodone Hcl | 84 | $3,009 |
| Fentanyl | 25 | $1,849 |
| Lidocaine Hcl ViscousLidocaine Hcl | 66 | $1,323 |
| SsdSilver Sulfadiazine | 13 | $261 |
| Nystatin | 21 | $228 |
| Clotrimazole | 11 | $222 |
| Ondansetron OdtOndansetron | 11 | $198 |
| Lorazepam | 31 | $40 |
Paid to pharmacies, not to this prescriber.
Other radiation oncology in Saint Louis
- Sana KaramSaint Louis$2.7M
- Hiram GaySaint Louis$2M
- Clifford RobinsonSaint Louis$1.5M
- Lauren HenkeSaint Louis$1.2M
- Pamela SamsonSaint Louis$752K
- Jeffrey BradleySaint Louis$712K
- Jeff MichalskiSaint Louis$628K
- Shahed BadiyanSaint Louis$479K
- Stephanie MarkovinaSaint Louis$304K
- Matthew SprakerSaint Louis$139K
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.