Ralph Gousse, MD

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Payments from drug and device companies, 2025

Drug and device makers are required by federal law (the Physician Payments Sunshine Act) to report what they pay or give to clinicians, and CMS publishes the reports as Open Payments. This is the 2025 program year. A report is a record of a payment, not an allegation of anything, and many are small items such as meals. Only general payments are listed here; research payments and ownership or investment interests are reported separately by CMS and are not shown.

Each amount is the sum of what companies reported for that kind of payment in 2025, rounded to the dollar. Not all of it is income to the clinician: a meal is not a fee, a charitable contribution goes to a charity, and a royalty or an acquisition payment is not a salary.

Check a report, or dispute one, at the source in CMS’s own tool, Open Payments. Corrections go through CMS’s dispute process. This site removes a home address on request and asks for no proof, because that is privacy; it will not remove an accurate payment report on request, because that is a statutory public disclosure.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician. Those with a page here are linked.

• Adventhealth Waterman Hospital · Tavares, FL
• Orlando Health Hospital · Orlando, FL
• Adventhealth Deland Hospital · Deland, FL
• Adventhealth Orlando Hospital · Orlando, FL

Colleagues at Florida Cancer Specialists and Research Institute, LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 460 clinicians in the practice; 12 are shown here.

• Melissa A Borkowski, APRN Family Nurse Practitioner · Gainesville, FL
• Denise Tracy Deemer, APRN Family Nurse Practitioner · North Venice, FL
• Alpana A Desai, MD Medical Oncology Physician · Stuart, FL
• Shaachi Gupta, MD Hematology (Internal Medicine) Physician · West Palm Beach, FL
• Allison Lee Hawkins, PA-C Medical Physician Assistant · Winter Park, FL
• MS. Ka H Kim, ARNP Nurse Practitioner · Trinity, FL
• Tony Joseph Kurian, MD Hematology (Internal Medicine) Physician · Venice, FL
• Paul C Makhlouf, MD Nuclear Radiology Physician · Naples, FL
• Tara McGahey, ARNP Family Nurse Practitioner · Naples, FL
• Dr. Manish R. Patel, MD Medical Oncology Physician · Sarasota, FL
• Ibrahim Ebada Sadek, MD Hematology (Internal Medicine) Physician · The Villages, FL
• Dr. Pavan Kumar Tandra, MD Internal Medicine Physician · Sarasota, FL

Other providers in Altamonte Springs

• Dr. Jawad Elias Francis, MD

  Individual Medical Oncology Physician · NPI 1407087455

  894 E Altamonte Dr, Altamonte Springs, FL 32701-5002 · (407) 834-5151