Rama Rao Ganga, MD
Surgery · Sacramento, CANPI 1295005940
Payments from drug & device makers
What this record shows
The money is spread across several categories — education (50.8%), food and beverage and travel and lodging — rather than concentrated in one kind of arrangement. 17 manufacturers reported payments, led by Intuitive Surgical at 55.0% of the total. Reporting peaked in 2022 at $6,928 and has fallen 95.0% since, to $349 in 2025. Among surgery clinicians in CA with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 343 payments — averaging $70.02 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$13K
- Medtronic$2K
- W. L. Gore & Associates, Inc.$2K
- Covidien LP$2K
- Johnson & Johnson$2K
- Medical Device Business Services, Inc.$2K
- plus $1K from 11 others
What the payments were for
- Travel & lodging$4,00517%
- Food & beverage$7,81133%
- Education$12,20251%
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 |
|---|---|---|
| Intuitive Surgical | 41 | $13,222 |
| Medtronic(2 entities) | 67 | $2,388 |
| W. L. Gore & Associates, Inc. | 14 | $2,016 |
| Covidien LP | 72 | $1,736 |
| Johnson & Johnson | 117 | $1,716 |
| Medical Device Business Services, Inc. | 7 | $1,677 |
| Davol Inc. | 7 | $539 |
| Boston Scientific | 4 | $344 |
| Baxter Healthcare | 1 | $107 |
| Innocoll Pharmaceuticals Limited | 5 | $71 |
| Checkpoint Surgical, Inc | 1 | $64 |
| Stryker | 1 | $38 |
| Novo Nordisk | 2 | $33 |
| Baudax Bio Inc. | 1 | $19 |
| Hologic Sales And Service, LLC | 1 | $18 |
| Teleflex LLC | 1 | $18 |
| Currax Pharmaceuticals LLC | 1 | $13 |
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.
- Da Vinci Surgical System$9,194
- DAVINCI XI$3,000
- Signia$1,518
- BIO-A Tissue Reinforcement$984
- ProGrip$619
- SEAMGUARD Bioabsorbable Staple Line Reinforcement$489
- Sonicision$327
- Phasix Mesh$244
- Enseal$219
- SpyScope DS$133
- ECHELON ENDOPATH Stapler$123
- N/A$122
- Echelon Circular$116
- LigaSure$115
- FLOSEAL$107
- ECHELON ENDOPATH$102
How this compares
$24,018 in reported general payments places this provider in the 90th percentile of 2,363 surgery providers in California.
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 |
|---|---|---|
| Ondansetron OdtOndansetron | 21 | $189 |
| Pantoprazole Sodium | 16 | $97 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 11 | $59 |
Paid to pharmacies, not to this prescriber.
Other surgery in Sacramento
- Michael BenekeSacramento$234K
- David BeffaSacramento$131K
- Timothy ChuterSan Francisco$8.8M
- Santiago HorganSan Diego$2.8M
- Rock LiuHayward$1.6M
- David LouriePasadena$1.4M
- Andrea PakulaThousand Oaks$1.4M
- Siew-Ming LeeFresno$1.3M
- Beemen KhalilPalo Alto$1.1M
- John LiphamLos Angeles$942K
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.