Vijay Ramu, MD
Clinical Cardiac Electrophysiology · Johnson City, TNNPI 1164519104
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (49.1%), travel and lodging and education — rather than concentrated in one kind of arrangement. It is spread thinly across 36 manufacturers, the largest accounting for just 23.6%. That places this record below the midpoint for clinical cardiac electrophysiology clinicians in TN, where the typical reported total is $12,690.
Across 299 payments — averaging $42.44 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$3K
- Abbott$2K
- Boston Scientific$2K
- Biotronik Inc.$2K
- ZOLL Services LLC (a/k/a ZOLL Lifecor Corp)$1K
- Novartis$521
- plus $3K from 30 others
What the payments were for
- Travel & lodging$6,05548%
- Food & beverage$6,22849%
- Education$4083%
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) | 25 | $3,000 |
| Abbott | 40 | $1,962 |
| Boston Scientific | 19 | $1,781 |
| Biotronik Inc. | 5 | $1,651 |
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 55 | $1,039 |
| Novartis | 40 | $521 |
| Abiomed | 4 | $323 |
| AstraZeneca | 9 | $281 |
| Johnson & Johnson | 18 | $264 |
| Pfizer | 13 | $223 |
| Stryker | 1 | $202 |
| E.r. Squibb & Sons, L.L.C. | 17 | $182 |
| Daiichi Sankyo Inc. | 8 | $158 |
| Medical Device Business Services, Inc. | 1 | $137 |
| Elutia, Inc. | 7 | $129 |
| Boehringer Ingelheim | 5 | $113 |
| Actelion Pharmaceuticals US, Inc. | 2 | $98 |
| Kiniksa Pharmaceuticals International, PLC | 3 | $80 |
| Irhythm Technologies, Inc. | 4 | $75 |
| Amgen | 3 | $69 |
| Alnylam Pharmaceuticals Inc. | 3 | $58 |
| Cardiva Medical, Inc. | 2 | $47 |
| Philips North America LLC | 2 | $40 |
| Tactile Systems Technology Inc | 1 | $34 |
| Vital Connect, Inc | 1 | $33 |
| Bracco Diagnostics Inc. | 1 | $25 |
| Inspire Medical Systems, Inc. | 1 | $23 |
| Scpharmaceuticals Inc. | 1 | $21 |
| Cordis US CORP. | 1 | $20 |
| Biogen | 1 | $19 |
| Lexicon Pharmaceuticals, Inc. | 1 | $16 |
| Merck | 1 | $16 |
| Shockwave Medical, Inc | 1 | $15 |
| Altathera Pharmaceuticals LLC | 1 | $14 |
| Cardinal Health 200 LLC | 1 | $11 |
| Cardiovascular Systems Inc. | 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.
- Watchman$1,324
- ENSITE PRECISION$644
- AMVIA EDGE$523
- Acticor 7 VR-T DX$523
- AVEIR$348
- Impella$272
- SURPASS$202
- JOT DX$146
- ETHICON$137
- COBALT DR MRI SURESCAN$111
How this compares
$12,690 in reported general payments places this provider in the 50th percentile of 82 clinical cardiac electrophysiology providers in Tennessee.
See all clinical cardiac electrophysiology providers in Tennessee →
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 | 16 | $16,441 |
| JardianceEmpagliflozin | 14 | $12,477 |
| Metoprolol Succinate | 28 | $300 |
| Rosuvastatin Calcium | 15 | $294 |
| Carvedilol | 27 | $276 |
| Losartan Potassium | 16 | $180 |
| Metoprolol Tartrate | 28 | $170 |
| Spironolactone | 27 | $123 |
| Amlodipine Besylate | 17 | $90 |
| Lisinopril | 23 | $74 |
| Atorvastatin Calcium | 11 | $70 |
| Warfarin Sodium | 12 | $65 |
| Hydrochlorothiazide | 21 | $54 |
| Furosemide | 11 | $52 |
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 |
|---|---|---|
| PfizerEliquis | $223 | $16,44116 claims |
| Boehringer IngelheimJardiance | $113 | $12,47714 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 50th percentile of 82 clinical cardiac electrophysiology providers in Tennessee.
Other clinical cardiac electrophysiology in Johnson City
- Vipul BrahmbhattJohnson City$15K
- Stephen FahrigNashville$605K
- Gregory BashianNashville$361K
- Harish ManyamChattanooga$265K
- William StevensonNashville$172K
- Sandeep DuggalNashville$151K
- Sean WhalenNashville$149K
- David LanGermantown$134K
- Harikrishna TandriNashville$97K
- Robert PickettNashville$95K
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.