Rajan Ravikumar, MD
Allergy & Immunology · Brighton, MINPI 1790734564
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 18 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 12 manufacturers reported payments, led by Novartis at 24.5% of the total. Reporting peaked in 2024 at $513 and has fallen 51.5% since, to $249 in 2025. That places this record below the midpoint for allergy & immunology clinicians in MI, where the typical reported total is $2,234.
Across 18 payments — averaging $83.21 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novartis$367
- Biocryst US Sales Co., LLC$188
- Biocryst Pharmaceuticals, Inc.$123
- Genentech, Inc.$116
- GSK$114
- Blueprint Medicines Corporation$109
- plus $480 from 6 others
Across 51 payments — averaging $12,923 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.
- AstraZeneca$578K
- Sanofi US Services Inc.$44K
- Regeneron$35K
- Ionis Pharmaceuticals, Inc.$2K
- Novartis$440
What the payments were for
- Food & beverage$1,498100%
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 |
|---|---|---|
| Novartis | 4 | $367 |
| Biocryst US Sales Co., LLC | 2 | $188 |
| Biocryst Pharmaceuticals, Inc. | 1 | $123 |
| Genentech, Inc. | 1 | $116 |
| GSK | 1 | $114 |
| Blueprint Medicines Corporation | 1 | $109 |
| Genentech USA, Inc. | 1 | $102 |
| Pfizer | 1 | $100 |
| AstraZeneca | 3 | $99 |
| Aquestive Therapeutics, Inc. | 1 | $83 |
| Teva Pharmaceuticals USA, Inc. | 1 | $66 |
| Sanofi | 1 | $30 |
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
$1,498 in reported general payments places this provider in the 40th percentile of 119 allergy & immunology providers in Michigan.
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 |
|---|---|---|
| Dupixent PenDupilumab | 59 | $226,305 |
| XolairOmalizumab | 53 | $170,232 |
| Dupixent SyringeDupilumab | 23 | $86,876 |
| Spiriva RespimatTiotropium Bromide | 16 | $9,926 |
| SymbicortBudesonide/Formoterol Fumarate | 21 | $6,588 |
| DuleraMometasone/Formoterol | 12 | $6,530 |
| Budesonide-Formoterol FumarateBudesonide/Formoterol Fumarate | 26 | $5,686 |
| Epinephrine | 12 | $4,611 |
| Cyclosporine | 11 | $3,815 |
| Fluticasone-SalmeterolFluticasone Propion/Salmeterol | 14 | $3,478 |
| Olopatadine Hcl | 14 | $2,098 |
| Azelastine Hcl | 46 | $1,691 |
| Ipratropium Bromide | 31 | $1,517 |
| Fluticasone Propionate | 39 | $1,145 |
| Montelukast Sodium | 59 | $1,109 |
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 |
|---|---|---|
| Genentech, Inc.Xolair | $116 | $170,23253 claims |
| AstraZenecaSymbicort | $99 | $6,58821 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 40th percentile of 119 allergy & immunology providers in Michigan.
Other allergy & immunology in Brighton
- Steven StrykCanton$949K
- Hassan NasirWest Branch$736K
- Theodore KelbelGrand Rapids$695K
- Nicholas HartogGrand Rapids$575K
- Kathleen DassOak Park$446K
- Pulin PatelMount Clemens$431K
- Alan BaptistAnn Arbor$168K
- Mohsen NasirSaginaw$99K
- Abdul Husein BahrainwalaRoyal Oak$47K
- Jason ParisLivonia$44K
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.