RxDoctor Payments Data

Ravi Ramsamooj, MD

Nephrology · Elizabeth City, NCNPI 1124012406

Payments from drug & device makers

$3,534in general payments, 2019–2025

Across 192 payments — averaging $18.40 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Otsuka America Pharmaceutical, Inc.$480
  • AstraZeneca$455
  • Amgen$427
  • Fresenius USA Marketing, Inc.$285
  • Mallinckrodt Enterprises LLC$285
  • Ardelyx, Inc.$227
  • plus $1K from 18 others

What the payments were for

  • Food & beverage$3,25992%
  • Education$2758%

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.

How this compares

$3,534 in reported general payments places this provider in the 65th percentile of 366 nephrology providers in North Carolina.

See all nephrology providers in North Carolina

Medicare billing

Part B allowed, 2024
$184,069
Medicare patients
820
Services billed
1,907

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
JanuviaSitagliptin Phosphate19$22,963
Sevelamer Carbonate97$20,617
XareltoRivaroxaban23$13,479
EliquisApixaban20$13,465
Trelegy ElliptaFluticasone/Umeclidin/Vilanter12$7,582
ProsolParenteral Amino Acid 20% No.148$5,072
Breo ElliptaFluticasone/Vilanterol12$4,486
SynthroidLevothyroxine Sodium14$1,436
Tamsulosin Hcl63$938
Calcium Acetate16$895
Albuterol Sulfate HfaAlbuterol Sulfate21$887
Bumetanide16$871
Hydralazine Hcl77$865
Ultra-Fine Short Pen NeedlePen Needle, Diabetic12$842
Atorvastatin Calcium59$815

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
Johnson & JohnsonXarelto$12$13,47923 claims
GSKTrelegy Ellipta, Breo Ellipta$65$12,06824 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 65th percentile of 366 nephrology providers in North Carolina.

Other nephrology in Elizabeth City

See the full list for North Carolina

Where these figures come from

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