Who Paid My Doc
Ralph Damiano
Thoracic Surgery (Cardiothoracic Vascular Surgery) Saint Louis, MO Medical Doctor
NPI 1578580023 CMS profile 252296
4921 Parkview Pl, Div Surg Ct Adult Cardio, Ste 8A, Saint Louis, MO 63110
General payments
$134,458
Research payments
$47,880
Ownership & investment interest
$0
Research they led as principal investigator
$681,241
Through program year 2025, Ralph Damiano of Saint Louis, MO is reported in the CMS Open Payments database as having received $134,458 across 299 general payments and $47,880 in research payments paid to them. Separately, studies naming them as principal investigator received $681,241 in research payments, paid to institutions rather than 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. The principal-investigator line is research money paid to institutions for studies they led — not to them — and is not added to anything either.
General payments for this record sit in the 96th percentile of Thoracic Surgery (Cardiothoracic Vascular Surgery) profiles with reported payments. Percentile describes the distribution, not the conduct.
By program year
14 rows| Year | Kind | Relative to this record's peak year | Amount | Records |
|---|---|---|---|---|
| 2025 | General | $12,395 | 31 | |
| 2025 | Research | $9,955 | 6 | |
| 2024 | General | $15,458 | 54 | |
| 2024 | Research | $5,525 | 7 | |
| 2023 | General | $48,501 | 29 | |
| 2023 | Research | $6,638 | 7 | |
| 2022 | General | $26,671 | 76 | |
| 2022 | Research | $9,000 | 9 | |
| 2021 | General | $15,135 | 48 | |
| 2021 | Research | $6,188 | 7 | |
| 2020 | General | $2,254 | 6 | |
| 2020 | Research | $4,275 | 7 | |
| 2019 | General | $14,044 | 55 | |
| 2019 | Research | $6,300 | 5 |
Beside peers
- Ralph Damiano
- Thoracic Surgery (Cardiothoracic Vascular Surgery) median
- Middle half of Thoracic Surgery (Cardiothoracic Vascular Surgery)
- National median
In program year 2025, general payments to Ralph Damiano were reported at $12,395. Among 4,073 Thoracic Surgery (Cardiothoracic Vascular Surgery) profiles paid that year, the median was $791 and the middle half received between $208 and $3,074.
Show as a table
| Year | Ralph Damiano | Thoracic Surgery (Cardiothoracic Vascular Surgery) median | Middle half | National median |
|---|---|---|---|---|
| 2019 | $14,044 | $886 | $178–$3,167 | $163 |
| 2020 | $2,254 | $341 | $108–$1,605 | $114 |
| 2021 | $15,135 | $453 | $125–$1,886 | $132 |
| 2022 | $26,671 | $695 | $180–$2,566 | $149 |
| 2023 | $48,501 | $745 | $205–$2,662 | $160 |
| 2024 | $15,458 | $799 | $214–$2,967 | $164 |
| 2025 | $12,395 | $791 | $208–$3,074 | $169 |
Breakdown
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 · 2 drugsPart D claims
51
Drug cost
$258
Branded share of claims
0%
| Drug | Type | Relative to their largest | Claims | Drug cost |
|---|---|---|---|---|
| Mupirocin | Generic | 28 | $200 | |
| Chlorhexidine Gluconate | Generic | 23 | $58 |
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 411 Part D prescribers listed as Cardiac Surgery; they describe a distribution and say nothing about conduct.
Billing to Medicare
Part B · data year 2024 · 31 billing codesPaid by Medicare
$89,367
Medicare patients
139
Services billed
234
| Condition among their Medicare patients | Relative to the most common | Share of patients |
|---|---|---|
| High blood pressure | 75% | |
| Atrial fibrillation | 75% | |
| Heart failure | 62% | |
| Ischemic heart disease | 58% | |
| Arthritis | 44% | |
| Chronic kidney disease | 35% | |
| Diabetes | 27% | |
| COPD | 23% |
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.
Records
347 reportedEvery 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 Thoracic Surgery (Cardiothoracic Vascular Surgery) in Missouri
Justin Van Meeteren
Thoracic Surgery (Cardiothoracic Vascular Surgery) · Kansas City, MO
Tsuyoshi Kaneko
Thoracic Surgery (Cardiothoracic Vascular Surgery) · Saint Louis, MO
Joss Fernandez
Thoracic Surgery (Cardiothoracic Vascular Surgery) · Columbia, MO
Jeremy Leidenfrost
Thoracic Surgery (Cardiothoracic Vascular Surgery) · Chesterfield, MO
Ronald New
Thoracic Surgery (Cardiothoracic Vascular Surgery) · Cape Girardeau, MO
Dante Dali
Thoracic Surgery (Cardiothoracic Vascular Surgery) · Springfield, MO
Related records
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Missouri
Practitioners in the same specialty and state, ranked by reported value.
All Thoracic Surgery (Cardiothoracic Vascular Surgery)
Everyone recorded under this specialty, nationwide.
Doctors in Missouri
Every practitioner in the state with a reported payment.
How to read this page
What each amount means, and what it does not mean.
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.