Rayma Keshavaram
Pediatrics · Englewood, OHNPI 1144596149
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 190 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 20 manufacturers, the largest accounting for just 17.2% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2023 at $799 and has fallen 58.1% since, to $335 in 2025. Among pediatrics clinicians in OH with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 190 payments — averaging $15.47 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Corium, LLC$505
- Merck$431
- Kaleo, Inc.$378
- GSK$348
- Ironshore Pharmaceuticals Inc.$242
- AstraZeneca$182
- plus $853 from 14 others
What the payments were for
- Food & beverage$2,940100%
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.
| Company | Payments | Total |
|---|---|---|
| Corium, LLC | 49 | $505 |
| Merck | 27 | $431 |
| Kaleo, Inc. | 26 | $378 |
| GSK | 18 | $348 |
| Ironshore Pharmaceuticals Inc. | 16 | $242 |
| AstraZeneca(2 entities) | 4 | $182 |
| Supernus Pharmaceuticals, Inc. | 10 | $172 |
| Takeda Pharmaceuticals U.S.A., Inc. | 11 | $161 |
| Sanofi Pasteur Inc. | 6 | $125 |
| Tris Pharma Inc | 5 | $79 |
| Cranial Technologies, Inc | 4 | $71 |
| Tempus AI, Inc | 3 | $57 |
| Pfizer | 4 | $52 |
| Springworks Therapeutics, Inc. | 1 | $28 |
| Ultragenyx Pharmaceutical Inc. | 1 | $23 |
| Verrica Pharmaceuticals Inc. | 1 | $23 |
| LNHC, Inc | 1 | $18 |
| Phadia US Inc. | 1 | $17 |
| Dermira, Inc. | 1 | $14 |
| Neos Therapeutics, LP | 1 | $13 |
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.
- BEXSERO$125
How this compares
$2,940 in reported general payments places this provider in the 95th percentile of 2,041 pediatrics providers in Ohio.
Other pediatrics in Englewood
- Jon DvorakPerrysburg$212K
- Charles DebrosseCincinnati$135K
- Scott WexelblattCincinnati$64K
- Breanne RocheSolon$58K
- Richard BreenHilliard$43K
- Catherine McDanielDayton$34K
- Lisa RichardsToledo$31K
- Kristie RossCleveland$20K
- Jessica CastonguayAkron$18K
- Ryan SummersCleveland$15K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.