Raam Sambandam, MD
Clinical Neurophysiology · Clermont, FLNPI 1528226388
Payments from drug & device makers
Across 1,647 payments — averaging $49.16 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Lilly USA, LLC$27K
- Argenx US, Inc.$16K
- Grifols USA, LLC$4K
- E.r. Squibb & Sons, L.L.C.$3K
- UCB, Inc.$3K
- Novartis$3K
- plus $24K from 54 others
What the payments were for
- Consulting fees$19,55124%
- Speaking & faculty fees$25,35832%
- Travel & lodging$4,8026%
- Food & beverage$30,31038%
- Education$600%
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.
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
Too few clinical neurophysiology providers in Floridato place this figure against a meaningful peer group, so we don't.
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 |
|---|---|---|
| GammakedImmune Globul G/Gly/Iga Avg 46 | 80 | $1,003,860 |
| OctagamImmun Globg(Igg)/Malt/Iga Ov50 | 20 | $937,498 |
| Gammagard LiquidImmun Glob G(Igg)/Gly/Iga Ov50 | 68 | $416,967 |
| PrivigenImmun Glob G(Igg)/Pro/Iga 0-50 | 18 | $248,174 |
| Gamunex-CImmune Globul G/Gly/Iga Avg 46 | 22 | $142,135 |
| AustedoDeutetrabenazine | 13 | $123,401 |
| GocovriAmantadine Hcl | 42 | $117,161 |
| BotoxOnabotulinumtoxina | 48 | $77,621 |
| QuliptaAtogepant | 57 | $71,045 |
| Nurtec OdtRimegepant Sulfate | 36 | $64,439 |
| NuplazidPimavanserin Tartrate | 13 | $63,043 |
| UbrelvyUbrogepant | 31 | $41,162 |
| RexultiBrexpiprazole | 11 | $29,876 |
| Aimovig AutoinjectorErenumab-Aooe | 25 | $29,783 |
| AptiomEslicarbazepine Acetate | 11 | $26,242 |
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 |
|---|---|---|
| PfizerOctagam, Nurtec Odt | $1,227 | $1,001,93756 claims |
| Takeda Pharmaceuticals U.S.A., Inc.Gammagard Liquid | $442 | $416,96768 claims |
| CSL BehringPrivigen | $598 | $248,17418 claims |
| AbbVieBotox, Qulipta, Ubrelvy | $1,877 | $189,828136 claims |
| Grifols USA, LLCGamunex-C | $3,677 | $142,13522 claims |
| Teva Pharmaceuticals USA, Inc.Austedo | $1,062 | $123,40113 claims |
| MDD US Operations, LLCGocovri | $1,170 | $117,16142 claims |
| Acadia Pharmaceuticals IncNuplazid | $888 | $63,04313 claims |
| Otsuka America Pharmaceutical, Inc.Rexulti | $271 | $29,87611 claims |
| Amneal Pharmaceuticals LLCRytary, Mycophenolate Mofetil | $481 | $28,28428 claims |
| Sunovion Pharmaceuticals Inc.Aptiom | $377 | $26,24211 claims |
| Neurocrine Biosciences, Inc.Ongentys | $1,356 | $7,41611 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. There are too few clinical neurophysiology providers in Floridaon file to place this against a meaningful peer group, so we don't.
Other clinical neurophysiology in Clermont
- Ernesto AlonsoLake City$481K
- Suparna KrishnaiengarJacksonville$212K
- Allauddin KhanZephyrhills$189K
- Noor YonoStuart$62K
- Rabih KashoutyStuart$34K
- Ellen EdgarSunny Isl Bch$9K
- Joshua MendelsonFort Myers$7K
- Sheri BisbyWildwood$6K
- Isabella FerandoMiami$5K
- Daniela RusoviciPort St John$3K
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.