RxDoctor Payments Data

Thaila Ramanujam, MD

Rheumatology · Santa Cruz, CANPI 1801999206

Payments from drug & device makers

$230,772in general payments, 2019–2025

Across 969 payments — averaging $238.15 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Janssen Scientific Affairs, LLC$69K
  • Johnson & Johnson$48K
  • Amgen$36K
  • Novartis$22K
  • AbbVie$10K
  • Sanofi$10K
  • plus $36K from 20 others

What the payments were for

  • Consulting fees$50,24822%
  • Speaking & faculty fees$123,10755%
  • Travel & lodging$29,43213%
  • Food & beverage$22,10510%
  • Education$2890%

General payments by program year

19
20
21
22
23
24
25

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.

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

$230,772 in reported general payments places this provider in the 90th percentile of 808 rheumatology providers in California.

See all rheumatology providers in California

Medicare billing

Part B allowed, 2024
$5,212,255
Medicare patients
688
Services billed
423,682

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

DrugClaimsCost to plans & patients
RinvoqUpadacitinib35$222,310
Humira(Cf) PenAdalimumab23$153,122
Cosentyx Sensoready (2 Pens)Secukinumab13$96,414
Enbrel SureclickEtanercept13$91,074
Xeljanz XrTofacitinib Citrate12$68,293
OtezlaApremilast11$52,501
RasuvoMethotrexate/Pf20$18,985
OtrexupMethotrexate/Pf19$15,363
MethotrexateMethotrexate Sodium359$10,190
Celecoxib54$4,941
Leflunomide53$3,007
Prednisone323$2,976
Hydroxychloroquine Sulfate60$1,795
Folic Acid98$1,276
Allopurinol57$781

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.

CompanyPaid to this providerPart D cost of their drugs
AbbVieRinvoq$10,152$222,31035 claims
AmgenOtezla$35,620$52,50111 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 808 rheumatology providers in California.

Other rheumatology in Santa Cruz

See the full list for California

Where these figures come from

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