Drug Diagnostic

Ruby-Fill

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

$14Kassociated payments (2023-2025)
5clinicians with associated payments
2companies reporting

By year

2023 $5,850
2024 $148
2025 $8,230

Payments reported as associated with Ruby-Fill, per program year, as reported to CMS.

Who makes it

Specialties most often involved

Cardiovascular Disease $8,600
Nuclear Cardiology $5,100
Nuclear Medicine $190
Nuclear Radiology $190
Radiation Oncology $148

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

Clinicians most associated with Ruby-Fill

These are the largest totals companies reported as associated with Ruby-Fill. 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)
Mouaz Al-Mallah Detroit, MI Cardiovascular Disease $8,600.00
Howard Lewin Los Angeles, CA Nuclear Cardiology $5,100.00
Navid Homayouni Washington, DC Nuclear Radiology $189.80
Carlos Garcia Washington, DC Nuclear Medicine $189.80
Edward Obedian Oyster Bay, NY Radiation Oncology $147.92

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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.