Raymond Makhoul
Surgery · Richmond, VANPI 1457339434
Payments from drug & device makers
What this record shows
This record is dominated by royalties or licence payments: $1,256,699 of the $1,466,066 with a category attached, or 85.7%. Medtronic accounts for 100.0% of it on its own, with 1 other manufacturer making up the rest. Reporting peaked in 2020 at $1,256,699 and has fallen 99.7% since, to $3,302 in 2025. Among surgery clinicians in VA 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 28 payments — averaging $52,359 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$1.5M
- Olympus America Inc.$113
What the payments were for
- Royalty or licence$1,256,69986%
- Travel & lodging$3780%
- Food & beverage$2330%
- Other$208,75514%
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 |
|---|---|---|
| Medtronic(2 entities) | 27 | $1,465,953 |
| Olympus America Inc. | 1 | $113 |
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.
- Ellipsys$1,409,646
- ELLIPSYS VASCULAR ACCESS SYSTEM$55,809
- ENDURANT IIS$336
- COREVALVE EVOLUT R$120
- Olympus Biliary Devices$113
How this compares
$1,466,066 in reported general payments places this provider in the 95th percentile of 675 surgery providers in Virginia.
Other surgery in Richmond
- Kandace McGuireRichmond$82K
- Alfredo CarbonellRichmond$63K
- Ralph LaymanRichmond$62K
- Stephanie GoldbergRichmond$33K
- Guilherme Rocha CamposRichmond$32K
- Marlon LevyRichmond$18K
- Carly AllredRichmond$18K
- Zobair YounossiFalls Church$1.2M
- Yassar YoussefNorfolk$1M
- David WeintrittAlexandria$555K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.