Richard Rammo, MD
Neurological Surgery · Cleveland, OHNPI 1699036590
Payments from drug & device makers
What this record shows
This record is dominated by grants: $15,000 of the $18,802 with a category attached, or 79.8%. Medtronic accounts for 92.2% of it on its own, with 8 other manufacturers making up the rest. Reporting peaked in 2019 at $16,856 and has fallen 99.9% since, to $14 in 2025.
Across 46 payments — averaging $408.74 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$17K
- Seaspine Orthopedics Corporation$720
- Nevro Corp.$384
- Neuropace, Inc.$157
- Zimmer Biomet$127
- Portola Pharmaceuticals, LLC$27
- plus $59 from 3 others
What the payments were for
- Grants$15,00080%
- Travel & lodging$2,04211%
- Food & beverage$1,6909%
- Education$700%
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) | 26 | $17,327 |
| Seaspine Orthopedics Corporation | 6 | $720 |
| Nevro Corp. | 5 | $384 |
| Neuropace, Inc. | 2 | $157 |
| Zimmer Biomet | 2 | $127 |
| Portola Pharmaceuticals, LLC | 1 | $27 |
| Abbott | 2 | $23 |
| Spine Wave, Inc. | 1 | $22 |
| Livanova USA, Inc. | 1 | $14 |
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.
- ACTIVA$16,378
- Mariner$580
- Sierra$449
- Atoll$449
- NewPort$449
- RNS Neurostimulator Kit$132
- INTELLIS ADAPTIVESTIM$130
- INTELLIS$121
- Omnia$102
How this compares
$18,802 in reported general payments places this provider in the 75th percentile of 301 neurological surgery providers in Ohio.
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.
Other neurological surgery in Cleveland
- Abdi MohitCleveland$884K
- Mark BainCleveland$242K
- Pablo RecinosCleveland$211K
- Michael SteinmetzCleveland$168K
- Josue Avecillas ChasinCleveland$144K
- Gene BarnettCleveland$135K
- Prakash KotagalCleveland$82K
- Ajit KrishnaneyCleveland$76K
- Gabriel SmithCleveland$72K
- Peter RasmussenCleveland$58K
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.