Ramana Gorrepati
Neurological Surgery · Bellingham, WANPI 1295154375
Payments from drug & device makers
What this record shows
The money is spread across several categories — travel and lodging (58.1%), food and beverage and speaking fees — rather than concentrated in one kind of arrangement. 21 manufacturers reported payments, led by Globus Medical at 32.7% of the total. 2025 is the largest year on record at $20,234, 9.4 times the $2,147 reported in 2021. Among neurological surgery clinicians in WA 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 328 payments — averaging $183.82 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Globus Medical$20K
- Medtronic$10K
- Nevro Corp.$10K
- Si-bone, Inc.$7K
- Kuros Biosciences USA, Inc$5K
- Providence Medical Technology, Inc.$3K
- plus $6K from 15 others
What the payments were for
- Consulting fees$4,6438%
- Speaking & faculty fees$6,64011%
- Travel & lodging$35,02258%
- Food & beverage$11,59919%
- Education$2,3884%
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 |
|---|---|---|
| Globus Medical | 76 | $19,710 |
| Medtronic | 129 | $10,171 |
| Nevro Corp. | 20 | $10,161 |
| Si-bone, Inc. | 44 | $6,536 |
| Kuros Biosciences USA, Inc | 8 | $4,930 |
| Providence Medical Technology, Inc. | 15 | $3,010 |
| Centinel Spine, LLC | 6 | $2,023 |
| Surgalign Spine Technologies, Inc. | 4 | $1,532 |
| Highridge Medical LLC | 2 | $927 |
| Medical Device Business Services, Inc. | 4 | $321 |
| Johnson & Johnson | 5 | $241 |
| Abbott | 3 | $163 |
| Boston Scientific | 2 | $136 |
| CSL Behring | 1 | $109 |
| Orthofix Medical, Inc. | 2 | $91 |
| Foundation Fusion Solutions, LLC | 1 | $79 |
| Bioventus LLC | 2 | $68 |
| Baxter Healthcare | 1 | $26 |
| Vertex | 1 | $24 |
| Sanara Medtech Inc. | 1 | $19 |
| Spineology Inc. | 1 | $16 |
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.
- Vyrsa V1$6,640
- Sable$4,681
- MagnetOs$4,659
- ExcelsiusGPS Robotic Navigation System$3,327
- Senza$3,147
- MAZOR X SYSTEM$2,930
- IFUSE IMPLANT SYSTEM$2,778
- Excelsius - GPS$2,482
- CD HORIZON SPINAL SYSTEM$1,849
- PRODISC C VIVO$1,817
- EXCELSIUS$1,638
- iFuse Implant$1,560
- XLIF$1,536
- COFIX IMPLANT 10 MM$1,485
- UNID_PASS$1,403
- CORBEL$1,368
- COFLEX-F SYSTEM 10MM$1,168
- ALIF$1,043
- MOBI-C PLUG & FIT US$905
- MARS Lateral ALIF$337
How this compares
$60,292 in reported general payments places this provider in the 90th percentile of 175 neurological surgery providers in Washington.
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 |
|---|---|---|
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 134 | $1,648 |
| Pregabalin | 117 | $1,502 |
| Gabapentin | 59 | $1,162 |
| Methylprednisolone | 125 | $969 |
| Tizanidine Hcl | 101 | $605 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 36 | $406 |
| Cyclobenzaprine Hcl | 53 | $269 |
| Methocarbamol | 31 | $269 |
| Dexamethasone | 23 | $133 |
| Tramadol Hcl | 29 | $133 |
| Oxycodone Hcl | 15 | $93 |
Paid to pharmacies, not to this prescriber.
Other neurological surgery in Bellingham
- Tung HaBellingham$11K
- Barry LandauBellingham$7K
- Rod OskouianSeattle$2.4M
- Christoph HofstetterSeattle$768K
- David YamBrush Prairie$471K
- Stephen MonteithSeattle$151K
- Allan HellerSpokane$132K
- Jean-Christophe LevequeSeattle$120K
- Vijay YanamadalaSeattle$85K
- Hoan Vu TranSeattle$78K
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.