Ram
Payments companies reported to CMS as associated with Ram. "Associated with" is CMS's wording: it links a payment to a product without saying the money was spent on it.
By year
Payments reported as associated with Ram, per program year, as reported to CMS.
Who makes it
Specialties most often involved
Where the associated payments went, by the receiving clinician's specialty.
Clinicians most associated with Ram
These are the largest totals companies reported as associated with Ram. They are typically speaking or consulting arrangements, which companies must report by law; appearing here is not evidence of anything improper.
| Clinician | Location | Specialty | Associated payments (2023-2025) |
|---|---|---|---|
| Michael Defrain | Pensacola, FL | Thoracic Surgery (Cardiothoracic Vascular Surgery) | $103,467.86 |
| Mahesh Ramchandani | Houston, TX | Thoracic Surgery (Cardiothoracic Vascular Surgery) | $30,375.91 |
| Andrea Berecz-Prewitt | Port Charlotte, FL | Surgical | $30,171.82 |
| Tyler Reed | Port Charlotte, FL | Physician Assistant | $24,711.28 |
| Mario Castillo-Sang | Edgewood, KY | Thoracic Surgery (Cardiothoracic Vascular Surgery) | $20,275.44 |
| Juan Penaranda-Canal | Edgewood, KY | Thoracic Surgery (Cardiothoracic Vascular Surgery) | $14,106.41 |
| Gianluca Torregrossa | Chicago, IL | Thoracic Surgery (Cardiothoracic Vascular Surgery) | $12,460.88 |
| Daniel Ziazadeh | Rochester, NY | Thoracic Surgery (Cardiothoracic Vascular Surgery) | $10,832.37 |
| Amanda Yakobitis | Wynnewood, PA | Surgical | $10,376.03 |
| Paul Digiorgi | Port Charlotte, FL | Thoracic Surgery (Cardiothoracic Vascular Surgery) | $10,313.69 |
Prescribed Ram?
See what its makers reported for your doctor. Two steps, private, no account.
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.