Rachna Raman, MD
Internal Medicine · Mechanicsville, VANPI 1710183710
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (46.9%), speaking fees and food and beverage — rather than concentrated in one kind of arrangement. 18 manufacturers reported payments, led by Bayer at 46.9% of the total. Reporting peaked in 2021 at $2,950 and has fallen 95.8% since, to $122 in 2025.
Across 31 payments — averaging $117.76 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Bayer$2K
- Exelixis Inc.$1K
- Astellas Pharma US Inc$124
- Caris MPI, Inc.$92
- Seagen Inc.$73
- Pfizer$65
- plus $360 from 12 others
Across 1 payment — averaging $41.50 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Merck$42
What the payments were for
- Consulting fees$1,71347%
- Speaking & faculty fees$1,22534%
- Food & beverage$51114%
- Education$2026%
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 |
|---|---|---|
| Bayer | 1 | $1,713 |
| Exelixis Inc. | 1 | $1,225 |
| Astellas Pharma US Inc | 2 | $124 |
| Caris MPI, Inc. | 3 | $92 |
| Seagen Inc. | 4 | $73 |
| Pfizer | 3 | $65 |
| Novartis | 2 | $60 |
| Eisai Inc. | 2 | $44 |
| AstraZeneca | 2 | $42 |
| Beigene USA, Inc. | 2 | $37 |
| E.r. Squibb & Sons, L.L.C. | 2 | $35 |
| Mylan Institutional Inc. | 1 | $26 |
| Incyte Corporation | 1 | $25 |
| AbbVie | 1 | $23 |
| Array Biopharma Inc | 1 | $20 |
| Regeneron Healthcare Solutions, Inc. | 1 | $19 |
| G1 Therapeutics, Inc. | 1 | $17 |
| Takeda Pharmaceuticals U.S.A., 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.
How this compares
$3,651 in reported general payments places this provider in the 85th percentile of 2,724 internal medicine providers in Virginia.
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 |
|---|---|---|
| PomalystPomalidomide | 48 | $1,109,334 |
| Lenalidomide | 47 | $682,252 |
| ImbruvicaIbrutinib | 41 | $396,662 |
| CalquenceAcalabrutinib Maleate | 30 | $387,743 |
| CabometyxCabozantinib S-Malate | 15 | $357,328 |
| TagrissoOsimertinib Mesylate | 13 | $334,403 |
| RevlimidLenalidomide | 15 | $216,393 |
| BrukinsaZanubrutinib | 12 | $83,119 |
| XareltoRivaroxaban | 23 | $24,648 |
| EliquisApixaban | 23 | $18,941 |
| Abiraterone Acetate | 14 | $2,595 |
| Anastrozole | 73 | $1,111 |
| Letrozole | 43 | $1,094 |
| Hydroxyurea | 36 | $674 |
| Acyclovir | 30 | $619 |
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 |
|---|---|---|
| E.r. Squibb & Sons, L.L.C.Pomalyst | $35 | $1,109,33448 claims |
| AstraZenecaCalquence, Tagrisso | $42 | $722,14643 claims |
| Exelixis Inc.Cabometyx | $1,225 | $357,32815 claims |
| Beigene USA, Inc.Brukinsa | $37 | $83,11912 claims |
| PfizerEliquis | $65 | $18,94123 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 85th percentile of 2,724 internal medicine providers in Virginia.
Other internal medicine in Mechanicsville
- Kumar AbhishekMechanicsville$1M
- Stanley CzajkowskiMechanicsville$14K
- Amit MahajanFalls Church$1M
- Kevin DonohueFalls Church$655K
- Denise BrunerArlington$227K
- Anjali KaloreMidlothian$215K
- Scott GerrishVienna$207K
- Lawrence SchwartzRichmond$205K
- Wally SmithRichmond$177K
- Gautam GulatiMc Lean$136K
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.