RxDoctor Payments Data

Ramin Ashtiani, MD

Clinical Cardiac Electrophysiology · Victorville, CANPI 1427004977

Payments from drug & device makers

$18,604in general payments, 2019–2025

Across 627 payments — averaging $29.67 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Esperion Therapeutics, Inc.$8K
  • Merck$1K
  • Boehringer Ingelheim$969
  • Amgen$962
  • Novartis$892
  • Johnson & Johnson$773
  • plus $6K from 39 others

What the payments were for

  • Speaking & faculty fees$6,78036%
  • Food & beverage$11,65763%
  • Education$1281%
  • Other$380%

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

19
20
21
22
23
24
25

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.

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.

How this compares

$18,604 in reported general payments places this provider in the 30th percentile of 290 clinical cardiac electrophysiology providers in California.

See all clinical cardiac electrophysiology providers in California

Medicare billing

Part B allowed, 2024
$1,267,505
Medicare patients
1,265
Services billed
15,304

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

DrugClaimsCost to plans & patients
OpsumitMacitentan32$431,508
EliquisApixaban518$419,205
AdempasRiociguat28$361,722
MultaqDronedarone Hcl235$281,912
JardianceEmpagliflozin249$218,636
XareltoRivaroxaban303$217,673
EntrestoSacubitril/Valsartan190$166,835
Repatha SureclickEvolocumab167$123,091
Ambrisentan37$91,553
BrilintaTicagrelor101$57,810
JanuviaSitagliptin Phosphate47$45,982
Trelegy ElliptaFluticasone/Umeclidin/Vilanter61$43,543
OzempicSemaglutide33$40,645
Praluent PenAlirocumab54$38,967
Sildenafil Citrate163$34,626

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.

CompanyPaid to this providerPart D cost of their drugs
Actelion Pharmaceuticals US, Inc.Opsumit$554$431,50832 claims
PfizerEliquis$385$419,205518 claims
BayerAdempas$221$361,72228 claims
Sanofi-aventis U.S. LLCMultaq$146$281,912235 claims
Boehringer IngelheimJardiance, Combivent Respimat$969$228,328269 claims
Johnson & JohnsonXarelto$773$217,673303 claims
NovartisEntresto$892$166,835190 claims
GSKTrelegy Ellipta, Anoro Ellipta$107$62,945104 claims
MerckJanuvia, Verquvo, Janumet$1,012$61,97174 claims
AstraZenecaBrilinta$413$57,810101 claims
Novo NordiskOzempic$180$40,64533 claims
AmgenCorlanor$962$30,08936 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 30th percentile of 290 clinical cardiac electrophysiology providers in California.

Other clinical cardiac electrophysiology in Victorville

See the full list for California

Where these figures come from

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