Ramez Eskander, MD
Gynecologic Oncology · Encinitas, CANPI 1144486929
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (53.8%), speaking fees and travel and lodging — rather than concentrated in one kind of arrangement. 34 manufacturers reported payments, led by Merck at 28.6% of the total. Among gynecologic oncology clinicians in CA with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 526 payments — averaging $1343.13 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Merck$202K
- AstraZeneca$154K
- Eisai Inc.$73K
- GSK$56K
- Astrazeneca UK Limited$29K
- Clovis Oncology, Inc.$24K
- plus $169K from 28 others
Across 74 payments — averaging $100,815 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.
- Merck$6.2M
- Clovis Oncology, Inc.$369K
- Eli Lilly$232K
- Astrazeneca UK Limited$193K
- Novocure Inc.$125K
- F. Hoffmann-la Roche AG$110K
- plus $266K from 8 others
What the payments were for
- Consulting fees$379,75754%
- Speaking & faculty fees$232,43933%
- Travel & lodging$79,12211%
- Food & beverage$12,9462%
- Education$2,2220%
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 |
|---|---|---|
| Merck | 116 | $202,353 |
| AstraZeneca | 114 | $153,624 |
| Eisai Inc. | 61 | $73,271 |
| GSK | 40 | $56,470 |
| Astrazeneca UK Limited | 12 | $28,551 |
| Clovis Oncology, Inc. | 19 | $23,565 |
| AbbVie | 15 | $22,384 |
| Regeneron | 20 | $22,045 |
| Genmab U.S., Inc. | 14 | $19,113 |
| Seagen Inc. | 19 | $18,903 |
| Daiichi Sankyo Inc. | 12 | $15,869 |
| Myriad Genetic Laboratories, Inc. | 17 | $15,332 |
| Immunogen, Inc. | 8 | $6,852 |
| Corcept Therapeutics | 6 | $5,484 |
| Biontech SE | 6 | $5,437 |
| Beone Medicines USA, Inc. | 4 | $5,200 |
| Gilead | 6 | $5,170 |
| Beigene USA, Inc. | 2 | $3,900 |
| Eli Lilly | 3 | $3,482 |
| Eisai CO., LTD. | 1 | $3,160 |
| Incyte Corporation | 2 | $3,148 |
| Aadi Bioscience, Inc. | 2 | $3,106 |
| Novocure GmbH | 1 | $2,400 |
| Tesaro, Inc. | 7 | $2,154 |
| Pfizer | 5 | $2,006 |
| Novartis | 1 | $1,722 |
| F. Hoffmann-la Roche AG | 1 | $760 |
| Intuitive Surgical | 2 | $337 |
| Foundation Medicine, Inc. | 1 | $229 |
| Novocure Inc. | 4 | $166 |
| Karyopharm Therapeutics Inc. | 2 | $136 |
| Genentech USA, Inc. | 1 | $127 |
| Amgen | 1 | $17 |
| Medical Device Business Services, Inc. | 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.
- LYNPARZA$137,430
- LENVIMA$67,424
- KEYTRUDA$30,600
- TIVDAK$24,533
- Rubraca$23,269
- Elahere$22,108
- ZEJULA$20,540
- myChoice CDx$10,925
- JEMPERLI$9,600
- EPKINLY$6,132
- PreciseTumor$4,200
- FYARRO$3,106
- Korlym$1,950
- KISQALI$1,722
- IMFINZI$1,370
- TECENTRIQ$760
- Enhertu$410
- Da Vinci Surgical System$337
- FOUNDATIONONE CDX$229
- BAVENCIO$161
How this compares
$706,485 in reported general payments places this provider in the 95th percentile of 152 gynecologic oncology 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 |
|---|---|---|
| LynparzaOlaparib | 27 | $344,046 |
| EliquisApixaban | 41 | $23,206 |
| Megestrol Acetate | 12 | $504 |
| Prochlorperazine Maleate | 34 | $322 |
| Ondansetron Hcl | 26 | $111 |
| Levothyroxine Sodium | 14 | $37 |
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 |
|---|---|---|
| AstraZenecaLynparza | $153,624 | $344,04627 claims |
| PfizerEliquis | $2,006 | $23,20641 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 95th percentile of 152 gynecologic oncology providers in California.
Other gynecologic oncology in Encinitas
- John ChanSan Francisco$2M
- Dana ChaseLos Angeles$1.3M
- Krishnansu TewariOrange$495K
- Fabio CappucciniOrange$313K
- Mehdi Moslemi-KebriaUpland$225K
- Amer KaramStanford$168K
- Rebecca BrooksSacramento$133K
- Kenneth KimWest Hollywood$88K
- Oliver DorigoStanford$85K
- James LiljaCampbell$73K
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.