Ramiah Krishnan
Internal Medicine · Cape Coral, FLNPI 1619923885
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 88 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 20 manufacturers reported payments, led by GSK at 32.8% of the total. Reporting peaked in 2020 at $633 and has fallen 87.4% since, to $80 in 2021.
Across 88 payments — averaging $12.23 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- GSK$353
- Merck$86
- AstraZeneca$69
- Amarin Pharma, Inc.$69
- Novo Nordisk$67
- Johnson & Johnson$54
- plus $378 from 14 others
What the payments were for
- Food & beverage$1,076100%
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 |
|---|---|---|
| GSK | 43 | $353 |
| Merck | 6 | $86 |
| AstraZeneca | 5 | $69 |
| Amarin Pharma, Inc. | 3 | $69 |
| Novo Nordisk | 4 | $67 |
| Johnson & Johnson | 3 | $54 |
| Amgen | 4 | $49 |
| Adlon Therapeutics L.p. | 3 | $49 |
| Alnylam Pharmaceuticals Inc. | 2 | $40 |
| Novartis | 3 | $38 |
| Boehringer Ingelheim | 2 | $38 |
| Lilly USA, LLC | 2 | $27 |
| Eisai Inc. | 1 | $22 |
| Daiichi Sankyo Inc. | 1 | $21 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 1 | $19 |
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $16 |
| Metuchen Pharmaceuticals | 1 | $15 |
| E.r. Squibb & Sons, L.L.C. | 1 | $15 |
| Kowa Pharmaceuticals America, Inc. | 1 | $14 |
| AbbVie | 1 | $13 |
How this compares
$1,076 in reported general payments places this provider in the 70th percentile of 8,530 internal medicine providers in Florida.
Other internal medicine in Cape Coral
- Richard TorricelliCape Coral$65K
- Haytham ElgammalMiami$2.2M
- Keith RubinFort Lauderdale$2M
- Michael SensionFort Lauderdale$1M
- Quang NguyenOcala$434K
- Luis Correa LunaSanford$412K
- Michael OleksykFort Myers$365K
- Andrew KuykendallTampa$322K
- Howard FederoffCoconut Grove$302K
- Bianka EperjesiovaGainesville$260K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.