Payment overview · 2025
General Payments
$3,965.66
95 reported records · 23 companies
Healthcare provider profile · identity verified
George Rami Dirani, M.D
Allopathic & Osteopathic Physicians|Internal Medicine|Cardiovascular Disease · FARMINGTON HILLS, MI · NPI 1619310885
Verified facts
What the public records show
CMS Open Payments records show George Rami Dirani, M.D received $3,965.66 in general payments during 2025 across 95 reported records.
Stryker Corporation accounted for 32.4% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 29 associated products.
A separate comparison found the same explicitly named product in public Medicare Part D data: Brilinta, Jardiance, Mounjaro.
AstraZeneca Pharmaceuticals LP reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported BRILINTA as an associated drug or biological on 993 records involving 512 distinct recipient NPIs. Public Medicare Part D data also shows 53 claims for Brilinta by this doctor in 2024.
AstraZeneca Pharmaceuticals LP reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported FARXIGA as an associated drug or biological on 106133 records involving 42906 distinct recipient NPIs. Public Medicare Part D data also shows 32 claims for Farxiga by this doctor in 2024.
Boehringer Ingelheim Pharmaceuticals, Inc. reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported JARDIANCE as an associated drug or biological on 123636 records involving 49438 distinct recipient NPIs. Public Medicare Part D data also shows 47 claims for Jardiance by this doctor in 2024.
E.R. Squibb & Sons, L.L.C. reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported ELIQUIS as an associated drug or biological on 27956 records involving 14870 distinct recipient NPIs. Public Medicare Part D data also shows 235 claims for Eliquis by this doctor in 2024.
Lilly USA, LLC reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported JARDIANCE as an associated drug or biological on 47708 records involving 23833 distinct recipient NPIs. Public Medicare Part D data also shows 47 claims for Jardiance by this doctor in 2024.
Lilly USA, LLC reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported MOUNJARO as an associated drug or biological on 186719 records involving 66436 distinct recipient NPIs. Public Medicare Part D data also shows 18 claims for Mounjaro by this doctor in 2024.
Novartis Pharmaceuticals Corporation reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported ENTRESTO as an associated drug or biological on 9346 records involving 6254 distinct recipient NPIs. Public Medicare Part D data also shows 40 claims for Entresto by this doctor in 2024.
These records do not establish that a payment influenced prescribing or medical care.
Separate record types
Research & Ownership
Research Payments (direct recipient): not present in the loaded data
Associated Research Funding (for example, named PI): not present in the loaded data
Ownership / Investment: not present in the loaded data
These categories are never added into the General Payments headline. Associated research funding must not be described as money the doctor personally received unless the source record supports that conclusion.
Who paid this doctor?
Companies in 2025 General Payments
| Reported company | Canonical company | Amount | Share | Records | Year |
|---|---|---|---|---|---|
| Stryker Corporation | Unresolved — no canonical attribution shown | $1,284.74 | 32.4% | 5 | 2025 |
| Kestra Medical Technology Services, Inc. | Unresolved — no canonical attribution shown | $422.17 | 10.7% | 10 | 2025 |
| Merck Sharp & Dohme LLC | Unresolved — no canonical attribution shown | $318.37 | 8.0% | 12 | 2025 |
| ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) | Unresolved — no canonical attribution shown | $288.05 | 7.3% | 7 | 2025 |
| Shockwave Medical, Inc | Unresolved — no canonical attribution shown | $277.98 | 7.0% | 8 | 2025 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | Unresolved — no canonical attribution shown | $209.77 | 5.3% | 13 | 2025 |
| Recor Medical Inc | Unresolved — no canonical attribution shown | $198.78 | 5.0% | 6 | 2025 |
| Lilly USA, LLC | Unresolved — no canonical attribution shown | $136.89 | 3.5% | 2 | 2025 |
| Tactile Systems Technology Inc | Unresolved — no canonical attribution shown | $133.13 | 3.4% | 2 | 2025 |
| Novo Nordisk Inc | Unresolved — no canonical attribution shown | $113.87 | 2.9% | 5 | 2025 |
| Chiesi USA, Inc. | Unresolved — no canonical attribution shown | $90.33 | 2.3% | 5 | 2025 |
| ZOLL Circulation Inc | Unresolved — no canonical attribution shown | $89.92 | 2.3% | 1 | 2025 |
| BridgeBio Pharma, Inc. | Unresolved — no canonical attribution shown | $75.59 | 1.9% | 2 | 2025 |
| AstraZeneca Pharmaceuticals LP | Unresolved — no canonical attribution shown | $68.62 | 1.7% | 5 | 2025 |
| Novartis Pharmaceuticals Corporation | Unresolved — no canonical attribution shown | $50.55 | 1.3% | 2 | 2025 |
| Amgen Inc. | Unresolved — no canonical attribution shown | $40.49 | 1.0% | 2 | 2025 |
| Actelion Pharmaceuticals US, Inc. | Unresolved — no canonical attribution shown | $34.55 | 0.9% | 1 | 2025 |
| Edwards Lifesciences Corporation | Unresolved — no canonical attribution shown | $30.23 | 0.8% | 1 | 2025 |
| Esperion Therapeutics, Inc. | Unresolved — no canonical attribution shown | $29.89 | 0.8% | 2 | 2025 |
| ABIOMED | Unresolved — no canonical attribution shown | $24.35 | 0.6% | 1 | 2025 |
| GlaxoSmithKline, LLC. | Unresolved — no canonical attribution shown | $21.09 | 0.5% | 1 | 2025 |
| E.R. Squibb & Sons, L.L.C. | Unresolved — no canonical attribution shown | $14.45 | 0.4% | 1 | 2025 |
| Inari Medical, Inc. | Unresolved — no canonical attribution shown | $11.85 | 0.3% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $2,965.66 | 94 |
| Consulting Fee | $1,000.00 | 1 |
A meal, consulting fee, royalty, and travel payment describe different kinds of reported relationships and should not be interpreted as equivalent.
Analysis 1 · Payment-linked products
Products named in Open Payments records
| Reported product | Type | Reported company | Related amount* | Records | Year |
|---|---|---|---|---|---|
| CT THROMBECTOMY SYSTEM KIT Normalized: ct thrombectomy system kit |
Device | Inari Medical, Inc., Stryker Corporation | $1,011.85 | 2 | 2025 |
Source payment records
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| FLOWTRIEVER CATHETER, S Normalized: flowtriever catheter s |
Device | Inari Medical, Inc., Stryker Corporation | $1,011.85 | 2 | 2025 |
Source payment records
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| Assure WCD Normalized: assure wcd |
Device | Kestra Medical Technology Services, Inc. | $422.17 | 10 | 2025 |
Source payment records
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| VERQUVO Normalized: verquvo |
Drug | Merck Sharp & Dohme LLC | $318.37 | 12 | 2025 |
Source payment records
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| LifeVest Normalized: lifevest |
Device | ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) | $288.05 | 7 | 2025 |
Source payment records
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| CLOTTRIEVER BOLD CATHETER Normalized: clottriever bold catheter |
Device | Stryker Corporation | $284.74 | 4 | 2025 |
Source payment records
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| Shockwave IVL System with the Shockwave C2 Coronary IVL Catheter Normalized: shockwave ivl system with the shockwave c2 coronary ivl catheter |
Device | Shockwave Medical, Inc | $277.98 | 8 | 2025 |
Source payment records
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| JARDIANCE Normalized: jardiance |
Drug | Boehringer Ingelheim Pharmaceuticals, Inc. | $209.77 | 13 | 2025 |
Source payment records
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| Paradise Ultrasound Renal Denervation System Normalized: paradise ultrasound renal denervation system |
Device | Recor Medical Inc | $198.78 | 6 | 2025 |
Source payment records
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| ZEPBOUND Normalized: zepbound |
Drug | Lilly USA, LLC | $136.89 | 2 | 2025 |
Source payment records
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| Flexitouch Plus Normalized: flexitouch plus |
Device | Tactile Systems Technology Inc | $133.13 | 2 | 2025 |
Source payment records
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| Nimbl Normalized: nimbl |
Device | Tactile Systems Technology Inc | $133.13 | 2 | 2025 |
Source payment records
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| Wegovy Normalized: wegovy |
Drug | Novo Nordisk Inc | $113.87 | 5 | 2025 |
Source payment records
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| Catheter Normalized: catheter |
Device | ZOLL Circulation Inc | $89.92 | 1 | 2025 |
Source payment records
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| Downstream Cartridge Normalized: downstream cartridge |
Device | ZOLL Circulation Inc | $89.92 | 1 | 2025 |
Source payment records
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| TherOx DS2 Console Normalized: therox ds2 console |
Device | ZOLL Circulation Inc | $89.92 | 1 | 2025 |
Source payment records
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| CLEVIPREX Normalized: cleviprex |
Drug | Chiesi USA, Inc. | $76.06 | 4 | 2025 |
Source payment records
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| Attruby Normalized: attruby |
Drug | BridgeBio Pharma, Inc. | $75.59 | 2 | 2025 |
Source payment records
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| KENGREAL Normalized: kengreal |
Drug | Chiesi USA, Inc. | $72.46 | 4 | 2025 |
Source payment records
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| BRILINTA Normalized: brilinta |
Drug | AstraZeneca Pharmaceuticals LP | $68.62 | 5 | 2025 |
Source payment records
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| LEQVIO Normalized: leqvio |
Drug | Novartis Pharmaceuticals Corporation | $50.55 | 2 | 2025 |
Source payment records
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| REPATHA Normalized: repatha |
Biological | Amgen Inc. | $40.49 | 2 | 2025 |
Source payment records
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| OPSUMIT Normalized: opsumit |
Drug | Actelion Pharmaceuticals US, Inc. | $34.55 | 1 | 2025 |
Source payment records
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| UPTRAVI Normalized: uptravi |
Drug | Actelion Pharmaceuticals US, Inc. | $34.55 | 1 | 2025 |
Source payment records
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| Edwards SAPIEN 3 Ultra Transcatheter Heart Valve Normalized: edwards sapien 3 ultra transcatheter heart valve |
Device | Edwards Lifesciences Corporation | $30.23 | 1 | 2025 |
Source payment records
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| NEXLETOL Normalized: nexletol |
Drug | Esperion Therapeutics, Inc. | $29.89 | 2 | 2025 |
Source payment records
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| SHINGRIX Normalized: shingrix |
Biological | GlaxoSmithKline, LLC. | $21.09 | 1 | 2025 |
Source payment records
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| MOUNJARO Normalized: mounjaro |
Drug | Lilly USA, LLC | $16.09 | 1 | 2025 |
Source payment records
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| CAMZYOS Normalized: camzyos |
Drug | E.R. Squibb & Sons, L.L.C. | $14.45 | 1 | 2025 |
Source payment records
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* Product-associated amounts are non-additive because one payment record may name more than one product.
These products were named on specific Open Payments records. A named product does not show that the payment influenced treatment or prescribing.
Public prescribing for products named in payments
| Open Payments product | Payment year | Part D brand | Part D year | Claims | Match method | Source |
|---|---|---|---|---|---|---|
| BRILINTA brilinta |
2025 | Brilinta | 2024 | 53 | exact normalized | Medicare Part D |
| JARDIANCE jardiance |
2025 | Jardiance | 2024 | 47 | exact normalized | Medicare Part D |
| MOUNJARO mounjaro |
2025 | Mounjaro | 2024 | 18 Beneficiary count suppressed |
exact normalized | Medicare Part D |
The presence of the same drug in both datasets does not show that a payment caused or influenced a prescription.
Analysis 2 · Same-company prescribing overlap
Drugs reported in other payments from the same company that also appear in Medicare Part D
This analysis is independent from products named on this doctor’s individual payment records. A row appears only when the exact Open Payments reporting entity paid this doctor, that same reporting entity reported the drug or biological on at least 10 loaded General Payment records involving at least 2 distinct recipient NPIs, and this doctor has the same non-generic brand in public Part D data. This does not mean the company owns or manufactures the drug.
| Paying company | Payment year | Drug reported by same entity | Open Payments evidence | Part D | Claims | Beneficiaries |
|---|---|---|---|---|---|---|
| AstraZeneca Pharmaceuticals LP Exact reporting entity; no affiliate inference |
2025 | BRILINTA open payments reported associated product |
CMS Open Payments — General Payments 993 supporting records · 512 recipient NPIs · example record 1206131430 |
Brilinta · 2024 Exact normalized brand match · 1 Part D row |
53 | 15 |
| AstraZeneca Pharmaceuticals LP Exact reporting entity; no affiliate inference |
2025 | FARXIGA open payments reported associated product |
CMS Open Payments — General Payments 106133 supporting records · 42906 recipient NPIs · example record 1206131362 |
Farxiga · 2024 Exact normalized brand match · 1 Part D row |
32 | suppressed by CMS |
| Boehringer Ingelheim Pharmaceuticals, Inc. Exact reporting entity; no affiliate inference |
2025 | JARDIANCE open payments reported associated product |
CMS Open Payments — General Payments 123636 supporting records · 49438 recipient NPIs · example record 1221811583 |
Jardiance · 2024 Exact normalized brand match · 1 Part D row |
47 | 15 |
| E.R. Squibb & Sons, L.L.C. Exact reporting entity; no affiliate inference |
2025 | ELIQUIS open payments reported associated product |
CMS Open Payments — General Payments 27956 supporting records · 14870 recipient NPIs · example record 1184377713 |
Eliquis · 2024 Exact normalized brand match · 1 Part D row |
235 | 63 |
| Lilly USA, LLC Exact reporting entity; no affiliate inference |
2025 | JARDIANCE open payments reported associated product |
CMS Open Payments — General Payments 47708 supporting records · 23833 recipient NPIs · example record 1186464557 |
Jardiance · 2024 Exact normalized brand match · 1 Part D row |
47 | 15 |
| Lilly USA, LLC Exact reporting entity; no affiliate inference |
2025 | MOUNJARO open payments reported associated product |
CMS Open Payments — General Payments 186719 supporting records · 66436 recipient NPIs · example record 1186464455 |
Mounjaro · 2024 Exact normalized brand match · 1 Part D row |
18 | suppressed by CMS |
| Novartis Pharmaceuticals Corporation Exact reporting entity; no affiliate inference |
2025 | ENTRESTO open payments reported associated product |
CMS Open Payments — General Payments 9346 supporting records · 6254 recipient NPIs · example record 1200004797 |
Entresto · 2024 Exact normalized brand match · 1 Part D row |
40 | 11 |
These facts do not show that a payment was for the drug, that the company owns or manufactures the drug, or that a payment caused or influenced prescribing.
Public Medicare Part D data
Provider-and-drug rows loaded for 2024
| Brand | Generic | Claims | Beneficiaries |
|---|---|---|---|
| Metoprolol Succinate | Metoprolol Succinate | 397 | 132 |
| Furosemide | Furosemide | 262 | 76 |
| Eliquis | Apixaban | 235 | 63 |
| Clopidogrel | Clopidogrel Bisulfate | 231 | 76 |
| Atorvastatin Calcium | Atorvastatin Calcium | 147 | 55 |
| Losartan Potassium | Losartan Potassium | 129 | 50 |
| Amlodipine Besylate | Amlodipine Besylate | 128 | 40 |
| Xarelto | Rivaroxaban | 105 | 24 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 95 | 35 |
| Valsartan-Hydrochlorothiazide | Valsartan/Hydrochlorothiazide | 85 | 24 |
| Isosorbide Mononitrate Er | Isosorbide Mononitrate | 81 | 28 |
| Carvedilol | Carvedilol | 77 | 30 |
| Amiodarone Hcl | Amiodarone Hcl | 75 | 26 |
| Bumetanide | Bumetanide | 62 | 16 |
| Metoprolol Tartrate | Metoprolol Tartrate | 59 | 32 |
| Brilinta | Ticagrelor | 53 | 15 |
| Jardiance | Empagliflozin | 47 | 15 |
| Ranolazine Er | Ranolazine | 44 | 14 |
| Hydralazine Hcl | Hydralazine Hcl | 41 | 12 |
| Entresto | Sacubitril/Valsartan | 40 | 11 |
| Repatha Sureclick | Evolocumab | 33 | suppressed |
| Farxiga | Dapagliflozin Propanediol | 32 | suppressed |
| Lisinopril | Lisinopril | 29 | suppressed |
| Nitroglycerin | Nitroglycerin | 29 | 13 |
| Nifedipine Er | Nifedipine | 28 | 14 |
| Cilostazol | Cilostazol | 26 | suppressed |
| Spironolactone | Spironolactone | 25 | suppressed |
| Digoxin | Digoxin | 22 | suppressed |
| Pantoprazole Sodium | Pantoprazole Sodium | 22 | suppressed |
| Potassium Chloride | Potassium Chloride | 22 | suppressed |
| Valsartan | Valsartan | 19 | suppressed |
| Hydrochlorothiazide | Hydrochlorothiazide | 18 | suppressed |
| Mounjaro | Tirzepatide | 18 | suppressed |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 16 | suppressed |
| Colchicine | Colchicine | 16 | suppressed |
| Tamsulosin Hcl | Tamsulosin Hcl | 13 | suppressed |
| Enalapril Maleate | Enalapril Maleate | 11 | suppressed |
| Metolazone | Metolazone | 11 | suppressed |
Timeline
Payment and prescribing data by year
Open Payments and Medicare Part D may refer to different years. They are shown separately rather than aligned as if they describe the same period.
| Year | General Payments | Main payer | Explicit products | Company overlaps | Part D coverage |
|---|---|---|---|---|---|
| 2025 | $3,965.66 · 95 records | Stryker Corporation | Assure WCD, Attruby, BRILINTA, CAMZYOS, CLEVIPREX, CLOTTRIEVER BOLD CATHETER, CT THROMBECTOMY SYSTEM KIT, Catheter, Downstream Cartridge, Edwards SAPIEN 3 Ultra Transcatheter Heart Valve, FLOWTRIEVER CATHETER, S, Flexitouch Plus, JARDIANCE, KENGREAL, LEQVIO, LifeVest, MOUNJARO, NEXLETOL, Nimbl, OPSUMIT, Paradise Ultrasound Renal Denervation System, REPATHA, SHINGRIX, Shockwave IVL System with the Shockwave C2 Coronary IVL Catheter, TherOx DS2 Console, UPTRAVI, VERQUVO, Wegovy, ZEPBOUND | 7 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- What role, if any, does Brilinta play in your treatment recommendations for me?
- How do you evaluate evidence when you have a financial relationship with AstraZeneca Pharmaceuticals LP?
- Are there reasonable alternatives I should understand when we discuss treatment options?
- How should I interpret the industry-payment records shown here in the context of my care?
These are general questions generated from reviewed templates. They are not personalized medical advice.
Sources and limitations
How to read this page
- Payment and Medicare prescribing data can cover different years; every comparison shows both years explicitly.
- Part D does not represent a doctor’s entire practice; it excludes many patients and is subject to CMS public-release thresholds.
- Company–drug relationships must have an auditable source, a precise relationship type, and a valid evidence period. Unresolved mappings are not published.
- Generic drug claims are not attributed to a specific manufacturer without manufacturer-level evidence.
- When a source extract is incomplete, missing rows are never treated as proof of no payments or no prescriptions.
Loaded source releases
| Dataset | Year | Publication | Source |
|---|---|---|---|
| CMS Open Payments — General Payments | 2025 | 2026-06-30 | Original source |
| Medicare Part D Prescribers by Provider and Drug | 2024 | 2026-05-06 | Original source |
| NPPES Data Dissemination V2 | current / reference data | 2026-08-10 | Original source |
Full methodology · Questions & answers · Report a possible error