RxDoctor Payments Data

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.

$127,749in general payments, 2019–2025

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
$129,971in research payments, 2019–2025

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

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

$127,749 in reported general payments places this provider in the 95th percentile of 174 otolaryngology providers in Colorado.

See all otolaryngology providers in Colorado

Medicare billing

Part B allowed, 2024
$8,467
Medicare patients
22
Services billed
50

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
Ipratropium Bromide22$491
Fluticasone Propionate18$217

Paid to pharmacies, not to this prescriber.

Other otolaryngology in Aurora

See the full list for Colorado

Where these figures come from

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