Rayan Hourani, MD
Interventional Cardiology · El Cajon, CANPI 1265638811
Payments from drug & device makers
Across 652 payments — averaging $31.29 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Abbott$4K
- Medtronic$2K
- Novartis$1K
- Johnson & Johnson$1K
- AstraZeneca$1K
- Edwards Lifesciences$1K
- plus $10K from 46 others
What the payments were for
- Speaking & faculty fees$3502%
- Food & beverage$19,98098%
- Education$690%
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
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.
- Xience Sierra Coronary Stent$1,153
- Shockwave IVL System with the Shockwave C2 Coronary IVL Catheter$916
- CoreValve Evolut$460
- FLOWTRIEVER CATHETER, S$451
- MULTAQ$350
- XIENCE SKYPOINT$331
- ONYX FRONTIER$319
- OPTIS$314
- Indigo System$294
- Micra$268
- RESOLUTE ONYX$179
- Resolute$175
- AVVIGO Guidance System$175
- Xience Sierra Coronary Stent System$175
- XIENCE SIERRA$163
- COREVALVE EVOLUT R$163
- Edwards SAPIEN 3 Transcatheter Heart Valve$158
- Optis Coronary Imaging System$151
- Peripheral Orbital Atherectomy System$149
- Coronary Orbital Atherectomy System$149
How this compares
$20,400 in reported general payments places this provider in the 65th percentile of 585 interventional cardiology providers in California.
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 | 485 | $563,623 |
| EntrestoSacubitril/Valsartan | 392 | $466,116 |
| XareltoRivaroxaban | 408 | $393,312 |
| BrilintaTicagrelor | 226 | $158,283 |
| FarxigaDapagliflozin Propanediol | 130 | $130,239 |
| JardianceEmpagliflozin | 109 | $92,869 |
| Repatha SureclickEvolocumab | 57 | $53,732 |
| MultaqDronedarone Hcl | 29 | $49,040 |
| Repatha SyringeEvolocumab | 25 | $17,012 |
| Praluent PenAlirocumab | 21 | $13,793 |
| VascepaIcosapent Ethyl | 30 | $12,929 |
| LivaloPitavastatin Calcium | 18 | $12,718 |
| DapagliflozinDapagliflozin Propanediol | 17 | $9,348 |
| Pitavastatin Calcium | 18 | $7,650 |
| Ranolazine ErRanolazine | 127 | $7,162 |
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 |
|---|---|---|
| PfizerEliquis | $720 | $563,623485 claims |
| NovartisEntresto | $1,164 | $466,116392 claims |
| Johnson & JohnsonXarelto | $1,121 | $393,312408 claims |
| AstraZenecaBrilinta, Farxiga | $1,083 | $288,522356 claims |
| Boehringer IngelheimJardiance | $464 | $92,869109 claims |
| Sanofi-aventis U.S. LLCMultaq | $698 | $49,04029 claims |
| Kowa Pharmaceuticals America, Inc.Livalo | $14 | $12,71818 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 585 interventional cardiology providers in California.
Other interventional cardiology in El Cajon
- Rajendra MakkarWest Hollywood$16.6M
- Fahed BitarCovina$9.9M
- Rahul SharmaStanford$6.6M
- Matthew Pricela Jolla$5.8M
- David LeeStanford$5.7M
- Saibal KarThousand Oaks$5.4M
- Mehrdad ArianiNorthridge$5M
- Frederick St GoarMountain View$4.2M
- Sammy ElmariahSan Francisco$4.2M
- William FearonStanford$3.7M
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.