Vijay Ramakrishnan, MD
Otolaryngology · Aurora, CONPI 1619014909
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $78,057 of the $127,749 with a category attached, or 61.1%. 20 manufacturers reported payments, led by Medtronic at 59.9% of the total. 2025 is the largest year on record at $27,043, 4.0 times the $6,747 reported in 2019. Among otolaryngology clinicians in CO 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 194 payments — averaging $658.50 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$76K
- AstraZeneca$20K
- GSK$9K
- Optinose US, Inc.$5K
- Genentech USA, Inc.$5K
- Regeneron$4K
- plus $8K from 14 others
Across 115 payments — averaging $1130.19 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.
- Optinose US, Inc.$71K
- Regeneron$54K
- F. Hoffmann-la Roche AG$5K
What the payments were for
- Consulting fees$78,05761%
- Speaking & faculty fees$32,61726%
- Travel & lodging$12,54710%
- Food & beverage$4,5294%
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) | 130 | $76,473 |
| AstraZeneca | 29 | $20,362 |
| GSK | 8 | $8,937 |
| Optinose US, Inc. | 1 | $5,250 |
| Genentech USA, Inc. | 1 | $5,245 |
| Regeneron | 2 | $3,600 |
| Genentech, Inc. | 2 | $3,443 |
| Novartis | 1 | $2,220 |
| Eli Lilly | 1 | $800 |
| Integra Lifesciences Corporation | 4 | $307 |
| Stryker | 2 | $178 |
| Sanofi | 3 | $169 |
| Neurent Medical Limited | 1 | $127 |
| Medical Device Business Services, Inc. | 1 | $109 |
| Cook Biotech Incorporated | 2 | $100 |
| Intersect ENT, Inc. | 1 | $100 |
| Regeneron Healthcare Solutions, Inc. | 1 | $99 |
| Aerin Medical Inc. | 2 | $99 |
| Cook Medical LLC | 1 | $93 |
| Johnson & Johnson | 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.
- FUSION$35,088
- STRAIGHTSHOT$16,096
- TEZSPIRE$11,787
- XOLAIR$10,815
- PROPEL$7,487
- NUCALA$7,159
- ENDO-SCRUB$6,131
- FASENRA$5,773
- Xhance$5,250
- DUPIXENT$3,600
- SINUVA$1,800
- STEALTHSTATION S8 PLATFORM$1,415
- NUVENT$628
- MIDAS REX$182
- CORE$160
- Acclarent Aera$129
- Inspira Air$129
- RELIEVA SPINPLUS NAV$129
- TruDi Probe$129
- NEUROMARK System$127
How this compares
$127,749 in reported general payments places this provider in the 95th percentile of 174 otolaryngology providers in Colorado.
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 |
|---|---|---|
| Ipratropium Bromide | 22 | $491 |
| Fluticasone Propionate | 18 | $217 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology in Aurora
- Andrew WinklerAurora$68K
- Ashoke KhanwalkarAurora$28K
- Stephen CassAurora$11K
- Herman JenkinsAurora$5K
- Anne GetzAurora$5K
- Todd KingdomAurora$3K
- Geoffrey FerrilAurora$3K
- Brian CervenkaAurora$3K
- Joseph GonzalezAurora$2K
- Kimberly NelsonAurora$2K
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.