Medicare Enrolled

Dr. Parag Rami, MD

Radiation Oncology · Tacoma, WA
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Mixed engagement
1304 FAWCETT AVE STE 100, Tacoma, WA 98402
2537614200
In practice since 2006 (20 years)
NPI: 1982679585 verify on NPPES ↗
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. Rami 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. Rami

Dr. Parag Rami is a radiation oncology specialist in Tacoma, WA, with 20 years of NPI registration. Based on federal Medicare data, Dr. Rami performed 667 Medicare services across 472 unique beneficiaries.

Between the years covered by Open Payments, Dr. Rami received a total of $28,332 from 25 pharmaceutical and/or device companies across 110 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in radiation oncology. Payments are distributed across multiple categories and often reflect legitimate professional engagement with the medical industry. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Rami 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 in practice ▲ 667 Medicare services $28,332 industry payments

Medicare Practice Summary

Medicare Utilization ↗
667
Medicare services
Bottom 15% in WA for radiation oncology
Lower Medicare volume may reflect subspecialty focus, hospital-based work, or a higher share of non-Medicare patients.
472
Unique beneficiaries
$113
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~33 Medicare services per year of practice

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
Ultrasound of arm or leg veins
An ultrasound exam of the veins in the arm or leg. The test uses sound waves to check blood flow and may include compression and other maneuvers.
179 $139 $460
Ultrasound of arm or leg veins
An ultrasound exam of the veins in one arm or leg using compression and other maneuvers to assess blood flow and check for blockages.
84 $90 $293
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.
57 $98 $314
Ultrasound of leg arteries or grafts
An imaging test that uses sound waves to create pictures of the blood vessels in the legs or any surgical grafts present.
53 $184 $589
Additional sedation, per 15 minutes
Administration of a drug to deepen sedation during a procedure. This code covers each additional 15-minute increment of sedation beyond the initial period.
42 $8 $98
New patient office visit (30-44 min)
An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range.
36 $76 $275
New patient office visit (45-59 min)
An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter.
34 $125 $410
Ultrasound-guided injection into a single leg vein
A chemical agent is injected into one incompetent vein in the leg while using ultrasound to guide the needle placement.
31 $90 $288
Radiofrequency vein destruction, first vein
A procedure to treat the first incompetent vein in the arm or leg using radiofrequency energy and imaging guidance.
29 $210 $670
Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts
A complete ultrasound exam of the aorta, vena cava, groin vessels, or bypass grafts. This imaging test uses sound waves to visualize these blood vessels.
29 $139 $443
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.
24 $55 $222
Ultrasound of arm and leg arteries
A non-invasive imaging test that uses sound waves to examine the blood vessels in the arms and legs. It evaluates blood flow and checks for blockages or other vascular issues.
23 $85 $314
Ultrasound of leg arteries or grafts
An ultrasound exam that uses sound waves to create images of the arteries in one leg or any grafts present in that leg.
17 $98 $350
Ultrasound of head and neck blood flow, bilateral
An ultrasound exam that uses sound waves to visualize and assess blood flow in the vessels of both the head and the neck.
16 $134 $469
Ultrasound guidance for blood vessel access
Use of ultrasound imaging to help locate and access a blood vessel. This guidance assists healthcare providers in performing procedures such as inserting IV lines or drawing blood.
13 $28 $2,729
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. A higher procedure volume generally indicates more experience with that procedure.
4.3% high complexity
62.4% medium
33.3% routine

Industry Payment Transparency

Open Payments through 2023 ↗
$28,332
Total received (2018-2023)
Avg $4,722/year across 6 years
Top 5% in WA for radiation oncology
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
25
Companies
110
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →

Payment profile

Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.

Other
Charitable contributions, space rental, and other categories
$17,483 (61.7%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$4,867 (17.2%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$4,788 (16.9%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$1,195 (4.2%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2023
$17,645
2022
$7,167
2021
$372
2020
$297
2019
$495
2018
$2,355

Payments by company (2023)

Consulting
Speaking
Meals & Travel
Research
AngioDynamics, Inc.
$11,388
Nevro Corp.
$4,788
GUERBET LLC
$1,195
Cagent Vascular INC
$139
Novartis Pharmaceuticals Corporation
$46
Cook Medical LLC
$32
Boston Scientific Corporation
$21
Amgen Inc.
$20
E.R. Squibb & Sons, L.L.C.
$19
Top 3 companies account for 98.4% of 2023 payments
All-time payments by company (2018-2023) ›
AngioDynamics, Inc.
$17,551
Nevro Corp.
$4,788
Boston Scientific Corporation
$1,384
GUERBET LLC
$1,213
Terumo Medical Corporation
$1,138
Cagent Vascular INC
$378
Medtronic USA, Inc.
$350
ASAHI INTECC USA, INC.
$323
Abbott Laboratories
$278
Cook Medical LLC
$205
Biocompatibles, Inc.
$197
CVRx, Inc.
$96
Philips Electronics North America Corporation
$71
Venclose Inc.
$59
Shockwave Medical, Inc
$58
Novartis Pharmaceuticals Corporation
$46
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$32
Surmodics, Inc.
$26
BOSTON SCIENTIFIC CORPORATION
$26
Tactile Systems Technology Inc
$23
Medtronic, Inc.
$22
Janssen Pharmaceuticals, Inc
$20
Amgen Inc.
$20
E.R. Squibb & Sons, L.L.C.
$19
Cook Incorporated
$11
Top 3 companies account for 83.7% of all-time payments
Associated products mentioned in payments ›
(4066) Tack Endo Sys ATK · (6554) Periph Vasc Undiv · ANGIOJET · ASAHI PTCA Guide Wire · ASAHI SASUKE Microcatheter · AURYON LASER SYSTEM 100-120 VAC · Absolute Pro vascular stent system · Auryon Laser System 100-120 Vac · Barostim Neo System · CONFIRM RX · COOK MEDICAL CATHETERS · Direxion · ELIQUIS · EMBOZENE · ENTRESTO · EVRSF · Emboshield NAV6 system · FLEXITOUCH · GENERAL VASCULAR INTERVENTION · GENERAL - VASCULAR INTERVENTION · GENERAL ATHERECTOMY · GENERAL VASCULAR INTERVENTION · General - Vascular Intervention · HydroPearl · JETSTREAM · KYPHON Balloon Kyphoplasty · LifeVest · Lunderquist · MITRACLIP · Navicross · Omnia · Perclose ProGlide suture mediated closure system · Performer · Repatha · SHOCKWAVE IVL SYSTEM WITH THE SHOCKWAVE C2 CORONARY IVL CATHETER · Senza · Sequre Microcatheter · Serrantor · Sublime 014 Rx PTA Balloon Dilatation Catheter · TR Band · TURBOHAWK · Tornado · VARITHENA · Varithena Administration Pack · XARELTO · ZILVER PTX · Zilver Vena
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. 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 →

Payments are distributed across multiple categories with no single dominant type. Total industry engagement is in the top 5% for radiation oncology in WA.

Looking for a radiation oncology specialist in Tacoma?
Compare radiation oncologists in the Tacoma area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Radiation oncologists within 10 mi
241
Per 100K population
26.1
County median income
$96,632
Nearest hospital
ST JOSEPH MEDICAL CENTER
1.4 mi

Data Sources

Provider Registry NPPES Weekly updates
Medicare Enrollment PECOS Monthly updates
Practice Data Medicare Util. Annual (CY lag)
Industry Payments Open Payments CY 2023
Disciplinary History — Not public 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. Rami is a clinical cardiology specialist, with moderate Medicare volume, with mixed engagement industry engagement in the top 5% of WA peers, 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. Rami experienced with ultrasound of arm or leg veins?
Based on Medicare claims data, Dr. Rami performed 179 ultrasound of arm or leg veins services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Rami receive payments from pharmaceutical companies?
Yes. Dr. Rami received a total of $28,332 from 25 companies across 110 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. 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. Rami's costs compare to other radiation oncologists in Tacoma?
Dr. Rami's average Medicare payment per service is $113. 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. Rami) 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 a long track record of practice, Medicare participation, and industry disclosure. 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?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
About this page

All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): 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.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →