Ramey Littell
Obstetrics & Gynecology · San Francisco, CANPI 1992855704
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 2 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. That places this record below the midpoint for obstetrics & gynecology clinicians in CA, where the typical reported total is $387.
Across 2 payments — averaging $42.07 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$46
- Intuitive Surgical$38
Across 35 payments — averaging $16,879 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.
- Clovis Oncology, Inc.$377K
- Pharmaand GmbH$197K
- AstraZeneca$16K
What the payments were for
- Food & beverage$84100%
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 |
|---|---|---|
| AstraZeneca | 1 | $46 |
| Intuitive Surgical | 1 | $38 |
How this compares
$84 in reported general payments places this provider in the 20th percentile of 3,784 obstetrics & gynecology providers in California.
Other obstetrics & gynecology in San Francisco
- Maida TaylorSan Francisco$279K
- Mona OradySan Francisco$224K
- Mitchell RosenSan Francisco$67K
- Leslie KardosSan Francisco$31K
- Steve YuNorthridge$964K
- Samir HageRedlands$640K
- Malcolm MunroLos Angeles$609K
- Michael KrychmanCosta Mesa$547K
- Anita NelsonTorrance$530K
- Jan SegnitzSan Jose$511K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.