Medicare Enrolled
Dr. Padma Ram, MD
Internal Medicine · Oswego, NY
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating.
This page presents federal public records about Dr. Ram from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Dr. Ram
Dr. Padma Ram is an internal medicine specialist in Oswego, NY, with 20 years of NPI registration. Based on federal Medicare data, Dr. Ram performed 3,813 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Dr. Ram received a total of $11,432 from 66 pharmaceutical and/or device companies across 788 payment records. A record can group multiple payments. These transfers are publicly reported through CMS Open Payments. Disclosure alone does not establish their effect on care. A reliable breakdown by payment category is not available in this snapshot. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Ram is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 20 years of NPI registration
▲ Top 9% volume in NY
$11,432 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗3,813
Medicare services
Top 9% in NY for internal medicine
Not available
Unique patients (not deduplicated)
$57
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
Top procedures by volume
Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.
| Procedure | Volume | Avg. paid | Avg. submitted |
|---|---|---|---|
| Office visit, established patient (30-39 min) A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition. |
788 | $88 | $187 |
| Office visit, established patient, complex (40-54 min) An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter. |
446 | $131 | $262 |
| Office visit, established patient (20-29 min) An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition. |
419 | $61 | $132 |
| Steroid injection (triamcinolone) A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered. |
299 | $1 | $5 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
285 | $126 | $220 |
| Annual depression screening | 255 | $18 | $27 |
| Drug injection, under skin or into muscle A procedure involving the administration of a medication or substance via injection into the subcutaneous tissue or muscle. |
246 | $10 | $26 |
| Ceftriaxone antibiotic injection This code represents the administration of ceftriaxone sodium, an antibiotic medication. The charge is calculated for every 250 mg of the drug administered. |
220 | $0 | $20 |
| Ketorolac injection, per 15 mg An injection of ketorolac tromethamine, a nonsteroidal anti-inflammatory drug, administered in doses measured per 15 mg. |
140 | $0 | $15 |
| Electrocardiogram (EKG), 12-lead A standard heart rhythm test using at least 12 leads to record electrical activity. A healthcare provider interprets the results and provides a written report. |
127 | $9 | $50 |
| Expiratory airflow and volume test A test that measures the amount of air you can exhale and the speed at which you can breathe it out. It evaluates lung function by assessing expiratory airflow and volume. |
91 | $17 | $70 |
| Home health plan of care certification Certification by a physician or allowed practitioner for Medicare-covered home health services under a home health plan of care. This includes contacting the home health agency and reviewing reports of patient status required by physicians. |
91 | $39 | $92 |
| Vitamin B-12 injection An injection of vitamin B-12 (cyanocobalamin) with a dose of up to 1000 mcg. |
91 | $1 | $15 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
74 | $8 | $20 |
| Home health plan of care re-certification A physician reviews the patient's status and contacts the home health agency to re-certify the plan of care without the patient being present. |
55 | $30 | $70 |
| Prolonged office E/M service, first 15 minutes This code is used for additional time spent by a physician beyond the maximum required time of a primary office or outpatient evaluation and management service. It is billed in 15-minute increments based on total time spent on the date of the primary service. |
28 | $25 | $46 |
| Smoking cessation counseling, 4-10 minutes A brief counseling session focused on helping patients quit smoking and tobacco use. The provider spends 4 to 10 minutes discussing strategies and support for cessation. |
27 | $14 | $20 |
| Pelvic and clinical breast exam for cancer screening A physical examination of the pelvis and breasts to screen for cervical or vaginal cancer. This procedure involves a clinical assessment performed by a healthcare provider. |
26 | $37 | $48 |
| Pap smear screening test A screening test to collect and prepare a cervical or vaginal sample for laboratory analysis. |
26 | $41 | $53 |
| Transitional care management, high complexity Coordination of care for a patient transitioning from a short-term hospital stay or other facility to home or another care setting. This service addresses a high-complexity medical problem. |
22 | $208 | $339 |
| Telephone medical discussion, 11-20 minutes A phone conversation with a physician lasting between 11 and 20 minutes. |
17 | $62 | $107 |
| Office visit, established patient (10-19 min) An office visit for an existing patient lasting 10 to 19 minutes. The visit involves medical evaluation and management of the patient's condition. |
15 | $29 | $83 |
| Initial preventive physical examination, new Medicare beneficiary A comprehensive preventive health visit for new Medicare beneficiaries during their first 12 months of enrollment. The service is conducted as a face-to-face visit and is limited to preventive care. |
13 | $162 | $179 |
| Annual wellness visit, initial visit A yearly appointment to review your health and create a personalized prevention plan. This initial visit focuses on preventive care and health assessment. |
12 | $148 | $220 |
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. These counts do not measure clinical quality or years of experience.
Industry Payment Transparency
Open Payments through 2024 ↗$11,432
Total received (2018-2024)
Avg $1,633/year across 7 years
Top 8% in NY for internal medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
66
Companies
788
Payment records
Payments are publicly reported; disclosure does not establish legality · Not evidence of wrongdoing · How to interpret →
Payment categories are unavailable while the source breakdown is being rebuilt. Company and year totals do not identify how much belongs to each category.
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$2,755
2023
$2,254
2022
$1,432
2021
$1,518
2020
$1,332
2019
$868
2018
$1,273
Payments by company (2024)
ABBVIE INC.
$407
AstraZeneca Pharmaceuticals LP
$166
Amgen Inc.
$159
Abbott Laboratories
$152
PFIZER INC.
$146
Lilly USA, LLC
$145
Janssen Pharmaceuticals, Inc
$139
Phathom Pharmaceuticals, Inc.
$137
GlaxoSmithKline, LLC.
$131
Astellas Pharma US Inc
$109
Novo Nordisk Inc
$108
Exact Sciences Corporation
$95
Lundbeck LLC
$90
Otsuka America Pharmaceutical, Inc.
$87
Amneal Pharmaceuticals LLC
$81
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$71
AIMMUNE THERAPEUTICS, INC.
$67
Boehringer Ingelheim Pharmaceuticals, Inc.
$63
Takeda Pharmaceuticals U.S.A., Inc.
$52
Insulet Corporation
$50
Axsome Therapeutics, Inc.
$44
INTUITIVE SURGICAL, INC.
$41
Vanda Pharmaceuticals Inc.
$40
Paratek Pharmaceuticals, Inc.
$35
E.R. Squibb & Sons, L.L.C.
$22
Merck Sharp & Dohme LLC
$21
Sumitomo Pharma America, Inc.
$20
Dexcom, Inc.
$20
Xeris Pharmaceuticals, Inc.
$17
SCILEX PHARMACEUTICALS INC.
$15
Inspire Medical Systems, Inc.
$13
Kowa Pharmaceuticals America, Inc.
$13
Top 3 companies account for 26.5% of 2024 payments
All-time payments by company (2018-2024) ›
ABBVIE INC.
$1,265
Novo Nordisk Inc
$752
AbbVie Inc.
$676
GlaxoSmithKline, LLC.
$649
PFIZER INC.
$632
AstraZeneca Pharmaceuticals LP
$632
Abbott Laboratories
$435
Amgen Inc.
$372
Lilly USA, LLC
$355
Janssen Pharmaceuticals, Inc
$314
Amarin Pharma Inc.
$314
Kowa Pharmaceuticals America, Inc.
$292
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$289
Allergan Inc.
$254
Otsuka America Pharmaceutical, Inc.
$231
Boehringer Ingelheim Pharmaceuticals, Inc.
$226
Paratek Pharmaceuticals, Inc.
$222
Allergan, Inc.
$207
Lundbeck LLC
$205
Exact Sciences Corporation
$198
Takeda Pharmaceuticals U.S.A., Inc.
$181
Grifols USA, LLC
$178
Sunovion Pharmaceuticals Inc.
$170
AbbVie, Inc.
$170
Novartis Pharmaceuticals Corporation
$168
Astellas Pharma US Inc
$139
Phathom Pharmaceuticals, Inc.
$137
Biohaven Pharmaceutical Holding Company Ltd.
$121
Biohaven Pharmaceuticals, Inc.
$116
SANOFI-AVENTIS U.S. LLC
$112
Xeris Pharmaceuticals, Inc.
$99
Ethicon US, LLC
$95
Mannkind Corporation
$87
Scilex Pharmaceuticals Inc.
$82
Nestle HealthCare Nutrition Inc.
$82
Amneal Pharmaceuticals LLC
$81
Merck Sharp & Dohme LLC
$68
AIMMUNE THERAPEUTICS, INC.
$67
Axsome Therapeutics, Inc.
$57
Mylan Specialty L.P.
$51
Insulet Corporation
$50
INTUITIVE SURGICAL, INC.
$41
Vanda Pharmaceuticals Inc.
$40
Dexcom, Inc.
$40
Horizon Therapeutics plc
$36
NESTLE HEALTHCARE NUTRITION INC.
$36
E.R. Squibb & Sons, L.L.C.
$36
Merck Sharp & Dohme Corporation
$35
MannKind Corporation
$29
Eisai Inc.
$26
Baxter Healthcare
$26
ARBOR PHARMACEUTICALS, INC.
$25
Shire North American Group Inc
$24
Lexicon Pharmaceuticals, Inc.
$20
Sumitomo Pharma America, Inc.
$20
Assertio Therapeutics, Inc.
$19
IBSA Pharma Inc.
$18
Teva Pharmaceuticals USA, Inc.
$17
DEXCOM, INC.
$16
Genentech USA, Inc.
$16
Nabriva Therapeutics, plc
$15
SCILEX PHARMACEUTICALS INC.
$15
Radius Health, Inc.
$15
Inspire Medical Systems, Inc.
$13
Daiichi Sankyo Inc.
$12
Endo Pharmaceuticals Inc.
$12
Top 3 companies account for 23.6% of all-time payments
Associated products mentioned in payments ›
AFREZZA · AIRSUPRA · AJOVY · ANORO · ANORO ELLIPTA · AREXVY · Aimovig · Androgel · Auvelity · BELSOMRA · BREO · BREZTRI · BREZTRI AEROSPHERE · BYSTOLIC · CAMBIA · CHANTIX · COLOGUARD DNA CAPTURE REAGENTS · COMIRNATY · CREON · Cologuard Collection Kit · Creon · DEXCOM G6 TRANSMITTER · DUEXIS · Da Vinci Surgical System · Dayvigo · Dexcom G6 Transmitter · ELIQUIS · ENTRESTO · EVENITY · Edarbi · FARXIGA · FREESTYLE LIBRE · FREESTYLE LIBRE 2 · FREESTYLE LIBRE 3 · FreeStyle Libre 2 · GARDASIL · GEMTESA · GLYXAMBI · GVOKE HYPOPEN · GVOKE PFS · HETLIOZ · Hillrom - Vest System Model 105 Home Care · INSPIRE · Inpefa · JANUVIA · JARDIANCE · KEVEYIS · LATUDA · LINX Reflux Management System · LINZESS · LIVALO · LONHALA MAGNAIR · LYRICA · Livalo · MOUNJARO · MYDAYIS · MYRBETRIQ · Movantik · NASCOBAL · NURTEC ODT · NUZYRA · Omnipod · Otezla · Ozempic · PAXLOVID · PENNSAID · PREMARIN · PREVNAR - 13 · PREVNAR 13 · Prolastin-C · Prolastin-C Liquid · QULIPTA · REXULTI · RYBELSUS · Rybelsus · SEGLENTIS · SHINGRIX · SOLIQUA 100/33 · SPIRIVA RESPIMAT · SPRAVATO · STEGLATRO · STIOLTO RESPIMAT · SYMBICORT · SYNTHROID · Saxenda · Synthroid · TOUJEO · TRELEGY ELLIPTA · TRINTELLIX · TRULANCE · TRULICITY · Tirosint · Tresiba · Trintellix · Tymlos · UBRELVY · UNITHROID · Utibron · VIAGRA · VIBERZI · VOQUEZNA · VRAYLAR · VYVANSE · Vascepa · Veozah · Wegovy · XARELTO · XIFAXAN · XIFAXANIBSD · Xenleta · Xofluza · Yupelri · ZENPEP · ZEPBOUND · ZTLido · ZTLido 30 POUCH in 1 CARTON 1 PATCH in 1 POUCH
Should you be concerned? Industry payments are disclosed through CMS Open Payments. Disclosure alone does not establish their purpose, legality, or effect on care. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →
Geographic Context
Internal medicine physicians in nearby ZIP areas
22
County median income
$68,461
Nearest hospital to ZIP centroid (approximate)
OSWEGO HOSPITAL
8.5 mi
8.5 mi
Data Sources
| Provider Registry | ✓ NPPES | NPPES snapshot; verify current record |
| Medicare Enrollment | ✓ PECOS | PECOS snapshot |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not included | N/A |
This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →
Summary
Dr. Ram is a clinical cardiology specialist, with above-average Medicare volume (top 9% in NY), with 20 years of NPI registration.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Ram experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Ram performed 788 office visit, established patient (30-39 min) services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Dr. Ram receive payments from pharmaceutical companies?
Yes. Dr. Ram received a total of $11,432 from 66 companies across 788 payment records. A record can group multiple payments. These transfers are publicly disclosed through CMS Open Payments. Disclosure alone does not establish their legality or effect on care. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Ram's costs compare to other internal medicine physicians in Oswego?
Dr. Ram's average Medicare payment per service is $57. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Ram) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating the presence of registry, enrollment, activity or payment records, not verified experience or clinical quality. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Source publication dates and the snapshots loaded on this site can differ. Rebuilding a page does not refresh its source records. Check the Medicare reporting year and the payment interval shown above; consult the linked official sources for newer releases and current registry details. See our data freshness policy →
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About this page
This page combines public CMS records with calculated summaries and explanatory procedure labels. These transformations are not verbatim federal records. Sources: NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.
This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.
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