Sandeep Ramanujam, MD
Family Medicine · Mount Pleasant, WINPI 1770756678
Payments from drug & device makers
Across 60 payments — averaging $27.44 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Merz North America, Inc.$419
- AstraZeneca$257
- AbbVie$210
- Gilead$148
- Astellas Pharma US Inc$141
- Boehringer Ingelheim$135
- plus $337 from 15 others
What the payments were for
- Food & beverage$1,54694%
- Education$1006%
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 |
|---|---|---|
| Merz North America, Inc. | 2 | $419 |
| AstraZeneca | 16 | $257 |
| AbbVie(2 entities) | 6 | $210 |
| Gilead | 3 | $148 |
| Astellas Pharma US Inc | 6 | $141 |
| Boehringer Ingelheim | 2 | $135 |
| IBSA Pharma Inc. | 4 | $51 |
| Novo Nordisk | 3 | $40 |
| Lilly USA, LLC | 2 | $32 |
| GSK | 2 | $30 |
| Esperion Therapeutics, Inc. | 2 | $27 |
| Novartis | 2 | $27 |
| Sanofi Pasteur Inc. | 2 | $26 |
| Boston Scientific | 1 | $17 |
| Almatica Pharma LLC | 1 | $15 |
| Amgen | 1 | $14 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 1 | $14 |
| Arbor Pharmaceuticals, Inc. | 1 | $12 |
| Mylan Specialty L.p. | 1 | $12 |
| Nestle Healthcare Nutrition Inc. | 1 | $11 |
| Johnson & Johnson | 1 | $8 |
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
$1,646 in reported general payments places this provider in the 90th percentile of 1,482 family medicine providers in Wisconsin.
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 | 1,943 | $553,749 |
| XareltoRivaroxaban | 443 | $133,292 |
| JardianceEmpagliflozin | 384 | $123,551 |
| Humira PenAdalimumab | 14 | $121,097 |
| AustedoDeutetrabenazine | 17 | $81,941 |
| XifaxanRifaximin | 55 | $70,433 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 106 | $65,366 |
| MyrbetriqMirabegron | 224 | $54,074 |
| EntrestoSacubitril/Valsartan | 152 | $53,060 |
| LinzessLinaclotide | 91 | $51,787 |
| Atorvastatin Calcium | 2,903 | $49,844 |
| CreonLipase/Protease/Amylase | 62 | $49,355 |
| JanuviaSitagliptin Phosphate | 145 | $42,950 |
| Gabapentin | 1,736 | $38,918 |
| Midodrine Hcl | 437 | $37,662 |
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 |
|---|---|---|
| Boehringer IngelheimJardiance, Tradjenta | $135 | $144,748462 claims |
| Johnson & JohnsonXarelto | $8 | $133,292443 claims |
| GSKTrelegy Ellipta, Anoro Ellipta, Incruse Ellipta | $30 | $105,516282 claims |
| AbbVieLinzess, Creon | $210 | $101,141153 claims |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLCXifaxan | $14 | $70,43355 claims |
| Astellas Pharma US IncMyrbetriq | $141 | $54,074224 claims |
| NovartisEntresto | $27 | $53,060152 claims |
| Lilly USA, LLCTrulicity | $32 | $35,89457 claims |
| Novo NordiskOzempic | $40 | $23,65522 claims |
| Almatica Pharma LLCSertraline Hcl | $15 | $15,834932 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 90th percentile of 1,482 family medicine providers in Wisconsin.
Other family medicine in Mount Pleasant
- James SamuelMount Pleasant$203K
- Taha El-ShahatMadison$15.6M
- Jonathan MeimanMadison$4.3M
- John AgaibyKenosha$4M
- John LaabsShawano$3.6M
- Jennifer ParsleyElk Mound$1.4M
- William PalinMilwaukee$693K
- Jonathan TemteMadison$542K
- Ryan AndrewsStevens Point$429K
- Tara DallDelafield$230K
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.