Vijay Ramakrishnan, MD
Diagnostic Radiology · Tazewell, VANPI 1235361155
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 7 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 4 manufacturers reported payments, led by Medtronic at 59.2% of the total. Reporting peaked in 2019 at $195 and has fallen 56.8% since, to $84 in 2025.
Across 7 payments — averaging $42.55 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$176
- Stryker$60
- Boston Scientific$43
- Blue Earth Diagnostics$18
What the payments were for
- Food & beverage$298100%
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 |
|---|---|---|
| Medtronic | 3 | $176 |
| Stryker | 1 | $60 |
| Boston Scientific | 2 | $43 |
| Blue Earth Diagnostics | 1 | $18 |
How this compares
$298 in reported general payments places this provider in the 80th percentile of 881 diagnostic radiology providers in Virginia.
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.
Other diagnostic radiology in Tazewell
- Ray BeauchampRichmond$1.5M
- Paul ButrosWarrenton$127K
- Ravi KamathFairfax$94K
- Melany AtkinsFairfax$77K
- Luke LancasterCharlottesville$56K
- Colin DerdeynCharlottesville$46K
- Michael HanleyCharlottesville$43K
- Ryan GabrielNorth Chesterfield$41K
- Dmitri SamoilovVirginia Beach$38K
- Michael SneiderCharlottesville$38K
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.