Medical Doctor Program year 2025 Reported 2019–2025 Source: CMS Open Payments, 2026 publication

Nathaniel Ratnasamy

Infectious Disease Findlay, OH Medical Doctor

NPI 1558363317 CMS profile 69993

1818 Chapel Dr Ste C, Findlay, OH 45840

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General payments

$254,655

178 records reported · program years 2019–2025

Research payments

$0

Paid to them · None reported · program years 2019–2025

Ownership & investment interest

$0

None reported

Through program year 2025, Nathaniel Ratnasamy of Findlay, OH is reported in the CMS Open Payments database as having received $254,655 across 178 general payments and $0 in research payments paid to them.

No combined total General, research and ownership are kept apart. Each is reported under its own rules, and ownership is not money that moved at all but the value of a stake held. A meal, a clinical trial grant and a shareholding do not add up to anything meaningful, so this site does not add them.

General payments for this record sit in the 98th percentile of Infectious Disease profiles with reported payments. Percentile describes the distribution, not the conduct.

By program year

7 rows
Year Kind Relative to this record's peak year Amount Records
2025 General $37,156 53
2024 General $41,245 43
2023 General $26,282 24
2022 General $37,844 14
2021 General $37,600 12
2020 General $37,938 16
2019 General $36,590 16

Beside peers

Year by year, beside peers General payments · among profiles paid that year
  • Nathaniel Ratnasamy
  • Infectious Disease median
  • Middle half of Infectious Disease
  • National median

In program year 2025, general payments to Nathaniel Ratnasamy were reported at $37,156. Among 3,905 Infectious Disease profiles paid that year, the median was $188 and the middle half received between $57 and $766.

Show as a table
Year Nathaniel Ratnasamy Infectious Disease median Middle half National median
2019 $36,590 $190 $60–$862 $163
2020 $37,938 $124 $32–$606 $114
2021 $37,600 $148 $38–$905 $132
2022 $37,844 $166 $50–$834 $149
2023 $26,282 $171 $57–$787 $160
2024 $41,245 $176 $52–$752 $164
2025 $37,156 $188 $57–$766 $169

Breakdown

Who paid General payments · program years 2019–2025
  1. Takeda Pharmaceuticals U.S.A., Inc. $216,465 71 payments
  2. Shire North American Group Inc $36,400 12 payments
  3. Gilead Sciences, Inc. $425 30 payments
  4. ViiV Healthcare Company $378 32 payments
  5. AbbVie, Inc. $216 13 payments
  6. Insmed, Inc. $139 3 payments
  7. Alexion Pharmaceuticals, Inc. $125 1 payment
  8. Dexcom, Inc. $95 1 payment
  9. Merck Sharp & Dohme Corporation $92 5 payments
  10. E.R. Squibb & Sons, L.L.C. $81 2 payments
  11. Other $239 8 payments

Every payment, record by record

What the payments were for General payments · program years 2019–2025
  1. Consulting Fee $252,682 81 payments
  2. Food and Beverage $1,691 94 payments
  3. Travel and Lodging $183 2 payments
  4. Education $99 1 payment
Products named General payments · program years 2019–2025
  1. DOVATO $240 24 payments
  2. Arikayce $139 3 payments
  3. ULTOMIRIS $125 1 payment
  4. Epclusa $125 1 payment
  5. MAVYRET $110 6 payments
  6. AVYCAZ $106 7 payments
  7. DEXCOM STELO GLUCOSE BIOSENSOR $95 1 payment
  8. DEXCOM G7 GSS (161) $95 1 payment
  9. RUKOBIA $73 5 payments
  10. DELSTRIGO $64 3 payments
  11. Other $623 29 payments

A payment can name more than one product, so these amounts overlap and do not add up to the general-payment figure.

Prescribing to Medicare patients

Part D · data year 2024 · 32 drugs

Part D claims

1,002

Median for Infectious Disease: 268

Drug cost

$1,087,896

Median for Infectious Disease: $217,595

Branded share of claims

39.3%

Median for Infectious Disease: 45.5%

Drugs this doctor was counted under in Medicare Part D 2024, by drug cost
Drug Type Relative to their largest Claims Drug cost
Genvoya Elviteg/Cob/Emtri/Tenof Alafen Brand 56 $306,365
Dovato Dolutegravir Sodium/Lamivudine Brand 54 $166,197
Triumeq Abacavir/Dolutegravir/Lamivudi Brand 36 $132,564
Descovy Emtricitabine/Tenofov Alafenam Brand 56 $130,393
Isentress Raltegravir Potassium Brand 46 $94,952
Biktarvy Bictegrav/Emtricit/Tenofov Ala Brand 21 $88,943
Tivicay Dolutegravir Sodium Brand 25 $57,720
Prezcobix Darunavir/Cobicistat Brand 11 $26,471
Etravirine Generic 23 $25,066
Darunavir Generic 27 $20,837

The 10 drugs with the highest cost, of 32 counted.

Drug cost is what was paid for the drugs at the pharmacy — by Medicare, the patient and others — and is not money to the prescriber. Medicare Part D only: drugs dispensed to Medicare beneficiaries. A drug with fewer than 11 claims for this prescriber is not published, so a missing drug does not mean zero. The medians are for the 5,546 Part D prescribers listed as Infectious Disease; they describe a distribution and say nothing about conduct.

Billing to Medicare

Part B · data year 2024 · 17 billing codes

Paid by Medicare

$73,349

Medicare's payments for the services billed

Medicare patients

293

Average age 73

Services billed

1,148

149 women, 144 men among their patients

Share of this provider's Medicare patients with each condition
Condition among their Medicare patients Relative to the most common Share of patients
High blood pressure 75%
Arthritis 66%
Chronic kidney disease 51%
Diabetes 44%
Ischemic heart disease 44%
Depression 39%
Heart failure 35%
COPD 34%

Medicare Part B only: services billed to Medicare. Rows covering fewer than 11 beneficiaries are not published. Only drugs given in the clinic are itemised here; the rest of what this provider billed is in the total above.

Payments and prescribing

First 5 of 15 products · payments 2024

Two separate records. The payments come from Open Payments and the claims from Medicare. They are set side by side because they name the same product; they do not show that a payment affected a prescription.

Products this doctor was paid in connection with in 2024, beside Medicare claims for the same product
Product Paid by Related payments Part D claims Part B services
ULTOMIRIS
  • Alexion Pharmaceuticals, Inc. $125
$125 — —
DOVATO
  • ViiV Healthcare Company $74
$74 54 —
RUKOBIA
  • ViiV Healthcare Company $56
$56 — —
OPDIVO
  • E.R. Squibb & Sons, L.L.C. $43
$43 — —
DELSTRIGO
  • Merck Sharp & Dohme Corporation $37
$37 — —

A dash means Medicare published no figure for this doctor and product — fewer than 11 claims, or the product is not covered under that part — which is not the same as none. Payments are general payments only; one that names several products is split evenly between them, so an amount is payments related to the product, not money paid for it.

See all 15 in the dashboard with a free account

Records

178 reported

Every payment, record by record

Date, company, amount, what it was for and the product named — filter by year, kind and company, or download as CSV.

Other Infectious Disease in Ohio

Related records

What this means

U.S. law requires drug and medical device manufacturers to report payments and transfers of value they make to physicians and teaching hospitals. The Centers for Medicare & Medicaid Services publishes that record each year. This page shows what was reported about this person, and nothing else.

An ownership interest is different from the other two. It is not a payment: it is a stake — shares, options, a partnership holding — that a physician or an immediate family member held in a manufacturer during that year. The figure shown is what the stake was reported to be worth.

Research payments frequently pass through a clinician to the institution running a trial, and rarely represent personal income. They should be read differently from general payments.

Provenance

Source: CMS Open Payments · through program year 2025

Data current to program year 2025, from CMS's 2026 publication.

We reproduce what manufacturers reported. We do not verify, edit or correct the underlying records.

A payment record is not evidence of wrongdoing. Financial relationships between industry and medicine are legal, common and often necessary for research. Who Paid My Doc reports what was disclosed; it does not judge it.

Who Paid My Doc is independent and is not affiliated with, endorsed by or sponsored by CMS or any U.S. government agency. It is not a consumer reporting agency and this is not a consumer report; do not use it for decisions covered by the Fair Credit Reporting Act.

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