Parag Rami, MD
Diagnostic Radiology · Tacoma, WANPI 1982679585
Payments from drug & device makers
What this record shows
This record is dominated by other: $17,417 of the $26,037 with a category attached, or 66.9%. Angiodynamics, Inc. accounts for 67.6% of it on its own, with 22 other manufacturers making up the rest. Reporting peaked in 2023 at $17,660 and has fallen 99.7% since, to $46 in 2025. Among diagnostic radiology clinicians in WA with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 78 payments — averaging $333.80 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Angiodynamics, Inc.$18K
- Nevro Corp.$5K
- Guerbet LLC$1K
- Boston Scientific$615
- Cagent Vascular Inc$378
- Asahi Intecc USA, Inc.$323
- plus $1K from 17 others
What the payments were for
- Consulting fees$1,1644%
- Food & beverage$2,77411%
- Education$4,68318%
- Other$17,41767%
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 |
|---|---|---|
| Angiodynamics, Inc. | 9 | $17,596 |
| Nevro Corp. | 5 | $4,788 |
| Guerbet LLC | 6 | $1,213 |
| Boston Scientific | 14 | $615 |
| Cagent Vascular Inc | 5 | $378 |
| Asahi Intecc USA, Inc. | 6 | $323 |
| Abbott | 3 | $225 |
| Cook Medical LLC | 6 | $194 |
| Biocompatibles, Inc. | 5 | $152 |
| Cvrx, Inc. | 1 | $96 |
| Philips North America LLC | 2 | $71 |
| Medtronic(2 entities) | 4 | $60 |
| Venclose Inc. | 1 | $59 |
| Shockwave Medical, Inc | 1 | $58 |
| Novartis | 2 | $46 |
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 1 | $32 |
| Surmodics, Inc. | 1 | $26 |
| Terumo Medical Corporation | 1 | $21 |
| Johnson & Johnson | 1 | $20 |
| Amgen | 1 | $20 |
| E.r. Squibb & Sons, L.L.C. | 1 | $19 |
| Lexicon Pharmaceuticals, Inc. | 1 | $15 |
| Tactile Systems Technology Inc | 1 | $12 |
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.
- Auryon Laser System 100-120 Vac$17,417
- Omnia$4,683
- Sequre Microcatheter$1,164
- GENERAL VASCULAR INTERVENTION$295
- Serrantor$246
- ASAHI PTCA Guide Wire$120
- Zilver Vena$115
- Perclose ProGlide suture mediated closure system$112
- VARITHENA$106
- Varithena Administration Pack$103
How this compares
$26,037 in reported general payments places this provider in the 95th percentile of 772 diagnostic radiology providers in Washington.
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 |
|---|---|---|
| Methylprednisolone | 16 | $121 |
| Ciprofloxacin Hcl | 14 | $121 |
| Ibuprofen | 13 | $66 |
| Diazepam | 11 | $28 |
Paid to pharmacies, not to this prescriber.
Other diagnostic radiology in Tacoma
- Joseph SamTacoma$54K
- David DanielsonTacoma$43K
- Keith ChanTacoma$17K
- Peter OryTacoma$8K
- Dennis WangTacoma$5K
- Brian KottTacoma$3K
- Lance BeckerTacoma$2K
- Steve ChenSeattle$281K
- Guy JohnsonSeattle$187K
- Eniola OluyemiSeattle$147K
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.