Ramy Hanna, MD
Clinical Cardiac Electrophysiology · Mount Vernon, WANPI 1073732418
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (36.5%), food and beverage and travel and lodging — rather than concentrated in one kind of arrangement. 15 manufacturers reported payments, led by Siemens Medical Solutions USA, Inc. at 48.0% of the total. Reporting peaked in 2024 at $3,451 and has fallen 86.2% since, to $475 in 2025.
Across 80 payments — averaging $126.41 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Siemens Medical Solutions USA, Inc.$5K
- Abbott$2K
- Biosense Webster, Inc.$1K
- Medical Device Business Services, Inc.$411
- Boston Scientific$287
- Medtronic$272
- plus $705 from 9 others
What the payments were for
- Consulting fees$3,69537%
- Speaking & faculty fees$1,16011%
- Travel & lodging$1,74717%
- Food & beverage$3,51135%
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 |
|---|---|---|
| Siemens Medical Solutions USA, Inc. | 3 | $4,855 |
| Abbott | 28 | $2,440 |
| Biosense Webster, Inc. | 21 | $1,143 |
| Medical Device Business Services, Inc. | 2 | $411 |
| Boston Scientific | 5 | $287 |
| Medtronic | 7 | $272 |
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 2 | $195 |
| Cardiva Medical, Inc. | 4 | $153 |
| AstraZeneca | 2 | $151 |
| Stryker | 1 | $68 |
| Teleflex LLC | 1 | $35 |
| Shockwave Medical, Inc | 1 | $34 |
| Johnson & Johnson | 1 | $25 |
| Medline Industries LP | 1 | $22 |
| Cordis US CORP. | 1 | $20 |
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.
- AVEIR$1,451
- SC2000$1,160
- ACUSON Sequoia Diagnostic Ultrasound System$1,160
- Carto 3$1,114
- Confirm Rx$273
- LifeVest$139
- OCTARAY MAPPING CATHETER$125
- QDOT MICRO Catheter$122
- RHYTHMIA$121
- THERMOCOOL SMARTTOUCH$102
- ULTOMIRIS$101
- Soundstar$101
How this compares
$10,113 in reported general payments places this provider in the 55th percentile of 68 clinical cardiac electrophysiology providers in Washington.
See all clinical cardiac electrophysiology providers in Washington →
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 |
|---|---|---|
| EliquisApixaban | 446 | $565,862 |
| XareltoRivaroxaban | 205 | $260,769 |
| JardianceEmpagliflozin | 13 | $18,790 |
| Dofetilide | 64 | $18,102 |
| Flecainide Acetate | 342 | $15,397 |
| EntrestoSacubitril/Valsartan | 21 | $14,106 |
| Metoprolol Succinate | 605 | $12,085 |
| PradaxaDabigatran Etexilate Mesylate | 31 | $10,951 |
| Amiodarone Hcl | 198 | $5,228 |
| Diltiazem 24hr Er (Cd)Diltiazem Hcl | 131 | $4,158 |
| Potassium Chloride | 110 | $3,752 |
| Dabigatran EtexilateDabigatran Etexilate Mesylate | 13 | $3,136 |
| SotalolSotalol Hcl | 70 | $2,282 |
| Atorvastatin Calcium | 137 | $1,775 |
| Mexiletine Hcl | 21 | $1,680 |
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 |
|---|---|---|
| Johnson & JohnsonXarelto | $25 | $260,769205 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 55th percentile of 68 clinical cardiac electrophysiology providers in Washington.
Other clinical cardiac electrophysiology in Mount Vernon
- Affan HaleemMount Vernon$18K
- Fima MacheretMount Vernon$12K
- Gust BardySeattle$130.7M
- Babak NazerSeattle$124K
- Maheer GandhavadiBellevue$118K
- Toshimasa OkabeSeattle$114K
- Darryl WellsSeattle$112K
- Arun R Mahankali SridharSeattle$94K
- Jeanne PooleSeattle$81K
- Amier AhmadSunnyside$58K
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.