Nina Ramessar, MD
Rheumatology · Fort Wayne, INNPI 1467763201
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $61,275 of the $74,714 with a category attached, or 82.0%. GSK accounts for 77.6% of it on its own, with 23 other manufacturers making up the rest. Reporting peaked in 2024 at $25,451 and has fallen 99.9% since, to $22 in 2025. Among rheumatology clinicians in IN with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 284 payments — averaging $263.08 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- GSK$58K
- AstraZeneca$11K
- AbbVie$3K
- Amgen$687
- Novartis$572
- Johnson & Johnson$196
- plus $1K from 18 others
What the payments were for
- Consulting fees$2,5003%
- Speaking & faculty fees$61,27582%
- Travel & lodging$4,7606%
- Food & beverage$5,9848%
- Education$1950%
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 |
|---|---|---|
| GSK | 58 | $57,966 |
| AstraZeneca(2 entities) | 26 | $10,625 |
| AbbVie | 53 | $3,327 |
| Amgen(2 entities) | 51 | $687 |
| Novartis | 18 | $572 |
| Johnson & Johnson | 7 | $196 |
| E.r. Squibb & Sons, L.L.C. | 15 | $156 |
| Aurinia Pharma U.S., Inc. | 3 | $151 |
| Mallinckrodt Hospital Products Inc. | 3 | $149 |
| Genentech USA, Inc. | 18 | $135 |
| Janssen Scientific Affairs, LLC | 2 | $126 |
| Pfizer | 6 | $112 |
| Lilly USA, LLC | 4 | $76 |
| Regeneron Healthcare Solutions, Inc. | 4 | $68 |
| Organon | 2 | $62 |
| Actelion Pharmaceuticals US, Inc. | 3 | $53 |
| Boehringer Ingelheim | 3 | $50 |
| Genentech, Inc. | 1 | $40 |
| UCB, Inc. | 2 | $37 |
| Sanofi | 1 | $35 |
| Fresenius Kabi USA, LLC | 1 | $30 |
| Octapharma USA, Inc. | 1 | $22 |
| Radius Health, Inc. | 1 | $20 |
| Corcept Therapeutics | 1 | $17 |
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
$74,714 in reported general payments places this provider in the 90th percentile of 106 rheumatology providers in Indiana.
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 |
|---|---|---|
| Humira(Cf) PenAdalimumab | 45 | $375,023 |
| RinvoqUpadacitinib | 44 | $285,397 |
| Orencia ClickjectAbatacept | 31 | $185,236 |
| Enbrel SureclickEtanercept | 19 | $137,241 |
| Cosentyx Sensoready PenSecukinumab | 14 | $122,912 |
| Cosentyx Sensoready (2 Pens)Secukinumab | 12 | $87,481 |
| Taltz AutoinjectorIxekizumab | 12 | $84,718 |
| OrenciaAbatacept | 13 | $72,853 |
| EnbrelEtanercept | 11 | $55,955 |
| Celecoxib | 86 | $5,605 |
| Hydroxychloroquine Sulfate | 137 | $4,894 |
| MethotrexateMethotrexate Sodium | 243 | $4,592 |
| Mycophenolate Mofetil | 19 | $4,011 |
| Leflunomide | 66 | $2,864 |
| Colchicine | 25 | $1,842 |
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 |
|---|---|---|
| AbbVieRinvoq | $3,327 | $285,39744 claims |
| E.r. Squibb & Sons, L.L.C.Orencia | $156 | $72,85313 claims |
| AmgenEnbrel | $687 | $55,95511 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 90th percentile of 106 rheumatology providers in Indiana.
Other rheumatology in Fort Wayne
- Anil RaoFort Wayne$7K
- Karen RingwaldFort Wayne$3K
- Steven BehrendsenFort Wayne$2K
- David BattIndianapolis$577K
- Kathleen ThomasNoblesville$511K
- Keith ReichDyer$193K
- Douglas SmithIndianapolis$147K
- Ahmad SalahMerrillville$139K
- Inna AroutiounovaIndianapolis$102K
- James CohenIndianapolis$76K
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.