Prabhu Ram, MD
Internal Medicine · Attleboro, MANPI 1013228980
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 99.9% of the total across 568 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 33 manufacturers, the largest accounting for just 15.3% — the pattern of someone who eats at a lot of different presentations. 2025 is the largest year on record at $2,703, 4.3 times the $626 reported in 2019. Among internal medicine clinicians in MA 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 568 payments — averaging $18.52 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Lilly USA, LLC$2K
- Pfizer$1K
- AbbVie$1K
- AstraZeneca$938
- Novo Nordisk$865
- Boehringer Ingelheim$690
- plus $4K from 27 others
What the payments were for
- Food & beverage$10,512100%
- Education$80%
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 |
|---|---|---|
| Lilly USA, LLC | 88 | $1,609 |
| Pfizer | 91 | $1,275 |
| AbbVie | 62 | $1,116 |
| AstraZeneca | 45 | $938 |
| Novo Nordisk | 46 | $865 |
| Boehringer Ingelheim | 37 | $690 |
| Bayer | 19 | $538 |
| GSK | 27 | $506 |
| Merck | 26 | $447 |
| Novartis | 21 | $370 |
| Tolmar, Inc. | 10 | $243 |
| E.r. Squibb & Sons, L.L.C. | 11 | $225 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 11 | $221 |
| Exact Sciences | 9 | $204 |
| Medtronic | 8 | $174 |
| ANI Pharmaceuticals, Inc. | 7 | $155 |
| Kowa Pharmaceuticals America, Inc. | 9 | $153 |
| Gilead | 6 | $140 |
| Eisai Inc. | 6 | $124 |
| Abbott | 4 | $81 |
| Boston Scientific | 3 | $70 |
| Seqirus USA Inc | 3 | $64 |
| Ardelyx, Inc. | 3 | $63 |
| Johnson & Johnson | 4 | $58 |
| Sanofi Pasteur Inc. | 3 | $47 |
| Echosens North America, Inc. | 2 | $25 |
| ARS Pharmaceuticals Operations, Inc. | 1 | $24 |
| Dexcom, Inc. | 1 | $20 |
| Lucid Diagnostics Inc. | 1 | $17 |
| Esperion Therapeutics, Inc. | 1 | $16 |
| Inspire Medical Systems, Inc. | 1 | $16 |
| Hologic Sales And Service, LLC | 1 | $15 |
| Circassia 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.
- Kerendia$125
How this compares
$10,520 in reported general payments places this provider in the 95th percentile of 4,983 internal medicine providers in Massachusetts.
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 |
|---|---|---|
| GenvoyaElviteg/Cob/Emtri/Tenof Alafen | 11 | $49,929 |
| MounjaroTirzepatide | 35 | $38,373 |
| JardianceEmpagliflozin | 28 | $37,831 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 49 | $35,881 |
| TrulicityDulaglutide | 26 | $34,306 |
| JanuviaSitagliptin Phosphate | 28 | $26,239 |
| FarxigaDapagliflozin Propanediol | 18 | $23,409 |
| EliquisApixaban | 28 | $20,058 |
| XareltoRivaroxaban | 15 | $19,303 |
| TradjentaLinagliptin | 18 | $18,868 |
| JanumetSitagliptin Phos/Metformin Hcl | 13 | $6,503 |
| Incruse ElliptaUmeclidinium Bromide | 11 | $3,847 |
| Lantus SolostarInsulin Glargine,hum.Rec.Anlog | 24 | $2,876 |
| Atorvastatin Calcium | 201 | $2,214 |
| Losartan Potassium | 162 | $1,582 |
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 |
|---|---|---|
| Lilly USA, LLCMounjaro, Trulicity | $1,609 | $72,67961 claims |
| Boehringer IngelheimJardiance, Tradjenta | $690 | $56,69946 claims |
| GileadGenvoya | $140 | $49,92911 claims |
| GSKTrelegy Ellipta, Incruse Ellipta | $506 | $39,72860 claims |
| MerckJanuvia, Janumet | $447 | $32,74241 claims |
| AstraZenecaFarxiga | $938 | $23,40918 claims |
| PfizerEliquis | $1,275 | $20,05828 claims |
| Johnson & JohnsonXarelto | $58 | $19,30315 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 95th percentile of 4,983 internal medicine providers in Massachusetts.
Other internal medicine in Attleboro
- David SchenkeinBoston$5M
- Alan GarberCambridge$4.9M
- John FallonBoston$1.8M
- Michael MendelsohnBoston$1.6M
- Sandra RichmanBrookline$1.4M
- Gaurav SingalBoston$798K
- Asit ParikhBoston$486K
- Noopur RajeBoston$481K
- Daniel KuritzkesBoston$443K
- Xiuning leBoston$364K
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.