Ramzi Mulki, MD
Gastroenterology · Birmingham, ALNPI 1174936538
Payments from drug & device makers
What this record shows
This record is dominated by travel and lodging: $3,083 of the $4,870 with a category attached, or 63.3%. 10 manufacturers reported payments, led by Olympus Corporation Of The Americas at 36.9% of the total. Reporting peaked in 2024 at $2,694 and has fallen 60.6% since, to $1,061 in 2025.
Across 52 payments — averaging $93.66 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Olympus Corporation Of The Americas$2K
- Boston Scientific$1K
- Ovesco Endoscopy USA, Inc.$964
- Medtronic$285
- ERBE USA Inc$207
- Conmed Corporation$111
- plus $189 from 4 others
What the payments were for
- Travel & lodging$3,08363%
- Food & beverage$1,78837%
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 |
|---|---|---|
| Olympus Corporation Of The Americas | 14 | $1,796 |
| Boston Scientific | 25 | $1,318 |
| Ovesco Endoscopy USA, Inc. | 1 | $964 |
| Medtronic | 2 | $285 |
| ERBE USA Inc | 2 | $207 |
| Conmed Corporation | 4 | $111 |
| Olympus America Inc. | 1 | $78 |
| Creo Medical Inc. | 1 | $71 |
| Celltrion USA Inc. | 1 | $21 |
| Mauna Kea Technologies, Inc. | 1 | $18 |
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.
- DISPOSABLE DISTAL ATTACHMENT$1,557
- Single Use Electrosurgical Knife KD-655$1,557
- SPYGLASS$395
- Olympus$379
- Beacon$166
- EXALT Model D$133
- AXIOS$124
- VIO3/APC3/EJ2/ECO2Plus/EIP2-HK/HKFlex/FIAPCPlus/CleverCap$120
- GI Genius$119
- Apollo ESG NXT System$103
- GENERAL - BILIARY DEVICES$101
How this compares
$4,870 in reported general payments places this provider in the 60th percentile of 225 gastroenterology providers in Alabama.
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 |
|---|---|---|
| Omeprazole | 13 | $299 |
| Gavilyte-GPeg3350/Sod Sulf,bicarb,cl/Kcl | 20 | $272 |
| Peg-3350 And ElectrolytesPeg3350/Sod Sulf,bicarb,cl/Kcl | 18 | $254 |
Paid to pharmacies, not to this prescriber.
Other gastroenterology in Birmingham
- Robert ShafferBirmingham$1M
- Mukul MehraBirmingham$193K
- Meagan GrayBirmingham$113K
- David SteeleBirmingham$47K
- Kirk RussBirmingham$38K
- Kenneth SigmanBirmingham$34K
- Shajan PeterBirmingham$31K
- Ali AhmedBirmingham$27K
- Swaroop VittaBirmingham$15K
- Rajat ParikhBirmingham$14K
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.