Roham Zamanian, MD
Pulmonary Disease · Stanford, CANPI 1689601494
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $67,689 of the $86,365 with a category attached, or 78.4%. 8 manufacturers reported payments, led by Merck at 42.6% of the total. 2025 is the largest year on record at $32,288, 2.9 times the $11,160 reported in 2019. Among pulmonary disease clinicians in CA 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 66 payments — averaging $1308.56 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Merck$37K
- United Therapeutics Corporation$14K
- Actelion Pharmaceuticals US, Inc.$12K
- Upjohn US 1 LLC$12K
- Actelion Pharmaceuticals, Ltd$10K
- Vivus LLC$2K
- plus $1K from 2 others
Across 118 payments — averaging $13,291 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Merck$1.2M
- United Therapeutics Corporation$267K
- Actelion Pharmaceuticals, Ltd$59K
- Novartis$33K
- Janssen Research & Development, LLC$9K
What the payments were for
- Consulting fees$67,68978%
- Speaking & faculty fees$9001%
- Travel & lodging$16,39819%
- Food & beverage$1,3792%
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 |
|---|---|---|
| Merck | 34 | $36,780 |
| United Therapeutics Corporation | 13 | $13,611 |
| Actelion Pharmaceuticals US, Inc. | 7 | $11,675 |
| Upjohn US 1 LLC | 2 | $11,544 |
| Actelion Pharmaceuticals, Ltd | 6 | $9,991 |
| Vivus LLC | 1 | $1,600 |
| Edwards Lifesciences | 2 | $1,125 |
| Janssen Scientific Affairs, LLC | 1 | $39 |
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.
How this compares
$86,365 in reported general payments places this provider in the 95th percentile of 1,261 pulmonary disease 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 |
|---|---|---|
| Ambrisentan | 37 | $148,621 |
| LetairisAmbrisentan | 12 | $143,331 |
| Tadalafil | 11 | $24,961 |
| Sildenafil Citrate | 44 | $7,695 |
| Furosemide | 11 | $54 |
Paid to pharmacies, not to this prescriber.
Other pulmonary disease in Stanford
- Revati ShreeniwasStanford$726K
- Deborah LevineStanford$166K
- Brian ShallerStanford$82K
- Samuel LouieSacramento$2.8M
- Shyamsunder SubramanianTracy$1.5M
- Toby MaherLos Angeles$1.3M
- Rajkumar DasguptaPasadena$930K
- Hoang leFountain Valley$814K
- Kevin FussellEncinitas$788K
- David PhamWestminster$571K
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.