Ramsey Al-Hakim, MD
Vascular & Interventional Radiology · Portland, ORNPI 1700175874
Payments from drug & device makers
What this record shows
The money is spread across several categories — speaking fees (57.4%), food and beverage and travel and lodging — rather than concentrated in one kind of arrangement. Penumbra, Inc. accounts for 77.4% of it on its own, with 18 other manufacturers making up the rest. Reporting peaked in 2021 at $8,479 and has fallen 89.0% since, to $933 in 2025.
Across 100 payments — averaging $167.26 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Penumbra, Inc.$13K
- Medtronic$1K
- Boston Scientific$820
- Inari Medical, Inc.$340
- Stryker$314
- W. L. Gore & Associates, Inc.$289
- plus $944 from 13 others
What the payments were for
- Speaking & faculty fees$9,60057%
- Travel & lodging$1,2317%
- Food & beverage$5,89535%
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 |
|---|---|---|
| Penumbra, Inc. | 33 | $12,946 |
| Medtronic | 19 | $1,073 |
| Boston Scientific | 8 | $820 |
| Inari Medical, Inc. | 12 | $340 |
| Stryker | 5 | $314 |
| W. L. Gore & Associates, Inc. | 3 | $289 |
| Bard Peripheral Vascular, Inc. | 2 | $144 |
| Siemens Medical Solutions USA, Inc. | 5 | $143 |
| Histosonics, Inc. | 1 | $133 |
| Johnson & Johnson | 1 | $126 |
| Balt USA, LLC | 1 | $106 |
| Trisalus Life Sciences, Inc. | 3 | $101 |
| Terumo Medical Corporation | 1 | $63 |
| Cordis US CORP. | 1 | $36 |
| Abbott | 1 | $23 |
| Eisai Inc. | 1 | $21 |
| Biocompatibles, Inc. | 1 | $20 |
| Angiodynamics, Inc. | 1 | $15 |
| Merit Medical Systems Inc | 1 | $11 |
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.
- Indigo System$8,871
- RUBY Coil$3,142
- EMBOLD Fibered$405
- TheraSphere Y90 Glass Microspheres 7.0 GBq (US Commercial)$329
- OSTEOCOOL RF ABLATION SYSTEM$263
- SPINEJACK$247
- AUTOPLEX$247
- Endurant$152
- GORE VIABAHN VBX Balloon Expandable Endo$143
- KYPHON Balloon Kyphoplasty$142
- Smart Coil$138
- AVAFLEX$136
- OPTABLATE$136
- Neuwave$126
- VENOVO$121
- Indigo$120
- Penumbra Ruby Coil$120
- SYNCHROMEDII$112
- Abre$108
- GORE TAG Thoracic Branch Endoprosthesis$106
How this compares
$16,726 in reported general payments places this provider in the 80th percentile of 73 vascular & interventional radiology providers in Oregon.
See all vascular & interventional radiology providers in Oregon →
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.
Other vascular & interventional radiology in Portland
- Jonathan SteinbergerPortland$391K
- Ryan PriestPortland$94K
- Mary CostantinoPortland$90K
- Khashayar FarsadPortland$55K
- Jed PetersonPortland$36K
- Hasnain HashamPortland$34K
- Marc Michael LimPortland$31K
- John KaufmanPortland$29K
- Masahiro HorikawaPortland$25K
- Ryan SchenningPortland$23K
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.