Ramesh Misra, MD
Cardiovascular Disease · Grand Blanc, MINPI 1912975442
Payments from drug & device makers
Across 216 payments — averaging $18.55 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novartis$606
- Abbott$555
- ZOLL Services LLC (a/k/a ZOLL Lifecor Corp)$400
- Amgen$272
- Johnson & Johnson$265
- Abiomed$203
- plus $2K from 29 others
What the payments were for
- Food & beverage$3,93098%
- Education$772%
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 | 42 | $606 |
| Abbott | 25 | $555 |
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 15 | $400 |
| Amgen | 17 | $272 |
| Johnson & Johnson(2 entities) | 19 | $265 |
| Abiomed | 3 | $203 |
| AstraZeneca | 12 | $161 |
| Edwards Lifesciences | 3 | $147 |
| E.r. Squibb & Sons, L.L.C. | 10 | $143 |
| Kiniksa Pharmaceuticals, Ltd. | 6 | $124 |
| Merck | 7 | $116 |
| Bayer | 7 | $113 |
| Astellas Pharma US Inc | 3 | $110 |
| Pfizer | 8 | $107 |
| Cordis US CORP. | 4 | $87 |
| Actelion Pharmaceuticals US, Inc. | 4 | $72 |
| Heartflow, Inc. | 2 | $67 |
| Esperion Therapeutics, Inc. | 4 | $67 |
| Boehringer Ingelheim | 4 | $55 |
| Kestra Medical Technology Services, Inc. | 2 | $42 |
| Philips North America LLC | 2 | $33 |
| Alnylam Pharmaceuticals Inc. | 2 | $29 |
| Arbor Pharmaceuticals, Inc. | 2 | $27 |
| Bardy Diagnostics, Inc. | 2 | $25 |
| Amarin Pharma, Inc. | 1 | $24 |
| Vifor Pharma, Inc. | 1 | $23 |
| Medtronic | 1 | $19 |
| Boston Scientific | 1 | $18 |
| Lundbeck LLC | 1 | $16 |
| Sanofi | 1 | $16 |
| Amryt Pharma Holdings Ltd | 1 | $15 |
| Bard Peripheral Vascular, Inc. | 1 | $15 |
| Cardinal Health 200 LLC | 1 | $14 |
| United Therapeutics Corporation | 1 | $13 |
| Regeneron Healthcare Solutions, 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.
- LifeVest$228
- Impella$134
- SAPIEN 3 Ultra RESILIA$117
- PressureWire FFR$111
How this compares
$4,007 in reported general payments places this provider in the 50th percentile of 760 cardiovascular disease 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 |
|---|---|---|
| EliquisApixaban | 82 | $110,637 |
| EntrestoSacubitril/Valsartan | 39 | $50,586 |
| XareltoRivaroxaban | 28 | $23,053 |
| Ranolazine ErRanolazine | 121 | $15,798 |
| Atorvastatin Calcium | 141 | $3,147 |
| Metoprolol Succinate | 89 | $1,428 |
| ClopidogrelClopidogrel Bisulfate | 64 | $1,289 |
| Amiodarone Hcl | 51 | $1,207 |
| Digoxin | 35 | $1,131 |
| Diltiazem 24hr Er (Cd)Diltiazem Hcl | 22 | $1,006 |
| Isosorbide Mononitrate ErIsosorbide Mononitrate | 54 | $746 |
| Metoprolol Tartrate | 74 | $661 |
| Rosuvastatin Calcium | 41 | $623 |
| Spironolactone | 59 | $571 |
| Ezetimibe | 23 | $564 |
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 |
|---|---|---|
| PfizerEliquis | $107 | $110,63782 claims |
| NovartisEntresto | $606 | $50,58639 claims |
| Johnson & JohnsonXarelto | $265 | $23,05328 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 50th percentile of 760 cardiovascular disease providers in Michigan.
Other cardiovascular disease in Grand Blanc
- Stanley ChetcutiAnn Arbor$4.3M
- Sandeep KhuranaGrandville$2.3M
- Victor MolesAnn Arbor$2.1M
- Jihad MustaphaGrand Rapids$1.9M
- Marschall RungeAnn Arbor$1.8M
- Sara SaberiAnn Arbor$1.6M
- Brian OneillDetroit$1.4M
- Vallerie McLaughlinAnn Arbor$1.4M
- Ahmad MizyedYpsilanti$1M
- Waleed DoghmiMidland$968K
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.