Drug Diagnostic Imaging

Multihance

Payments companies reported to CMS as associated with Multihance. "Associated with" is CMS's wording: it links a payment to a product without saying the money was spent on it.

$376associated payments (2023-2025)
6clinicians with associated payments
1company reporting

By year

2023 $94.59
2024 $92.34
2025 $189

Payments reported as associated with Multihance, per program year, as reported to CMS.

Who makes it

Specialties most often involved

Diagnostic Neuroimaging (Radiology) $170
Neuroradiology $92.34
Diagnostic Radiology $79.38
Cardiovascular Disease $34.18

Where the associated payments went, by the receiving clinician's specialty.

Clinicians most associated with Multihance

These are the largest totals companies reported as associated with Multihance. They are typically speaking or consulting arrangements, which companies must report by law; appearing here is not evidence of anything improper.

ClinicianLocationSpecialtyAssociated payments (2023-2025)
Ryan Murtagh El Segundo, CA Diagnostic Neuroimaging (Radiology) $170.09
John Karis Phoenix, AZ Neuroradiology $92.34
Ruple Galani Jacksonville Beach, FL Cardiovascular Disease $34.18
Jeffrey Unger Akron, OH Diagnostic Radiology $26.46
Thomas Krewson Cleveland, OH Diagnostic Radiology $26.46
Vladimir Merunka Sacramento, CA Diagnostic Radiology $26.46

Prescribed Multihance?

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Source: CMS Open Payments, program years 2019-2025, as reported to CMS by drug and device makers (published June 30, 2026). Drug and device detail covers 2023-2025.