Covered recipient · General Payments record

ANISSA J RAMIREZ

Physician Assistants & Advanced Practice Nursing Providers Physician Assistant

NPI: 1003116740
CMS profile: 11056761
Location: SAN ANTONIO, TX

General Payments · PY2021–2024

$3,345.90

Reported across 186 records
CMS publication 2026-01-23

Latest program year · PY2024

$1,067.46

51 records · 0 disputed

Financial relationships do not necessarily indicate an improper relationship; the data is open to interpretation.

How these totals are calculated

The total is the sum of the General Payments records CMS published for the labeled program year(s), exactly as published. Nothing is estimated, weighted, or combined across categories.
General Payments only. Research and Ownership/Investment are separate datasets and are never summed with these figures; amounts are kept separate per program year.
Featured-page threshold (a presentation gate, not a judgment): records>=3 OR total>=100 (all years).
Methodology & Data — sourcing, labeling, and limitations.

By nature of payment

PY2024 · sorted by reported total

Nature of payment	Amount	Records
Food and Beverage	$1,067.46	51

By paying entity

PY2024 · sorted by reported total

Paying entity	Amount	Records
Lilly USA, LLC	$176.95	7
Axsome Therapeutics, Inc.	$151.60	6
Bayer HealthCare Pharmaceuticals Inc.	$138.99	7
Boehringer Ingelheim Pharmaceuticals, Inc.	$133.76	6
Novo Nordisk AS	$131.07	6
Madrigal Pharmaceuticals	$70.03	3
Dynavax Technologies Corporation	$68.39	5
GlaxoSmithKline, LLC.	$34.40	2
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$29.54	2
SANOFI-AVENTIS U.S. LLC	$28.64	2
Acerta Pharma LLC	$24.09	1
Abbott Laboratories	$22.96	1
E.R. Squibb & Sons, L.L.C.	$20.45	1
ABBVIE INC.	$20.08	1
Merck Sharp & Dohme Corporation	$16.51	1

By program year

All program years on this page · sorted by year

Program year	Amount	Records
PY2021	$632.60	39
PY2022	$977.16	60
PY2023	$668.68	36
PY2024	$1,067.46	51

Payment records · PY2024 (51)

Sorted by paying entity, then date · as published by CMS

Program year 2024 2021 2022 2023 Record-level detail is published for PY2024; earlier years are summarised in “By program year”.

Paying entity	Amount	Date	Nature of payment	Dispute status	Published	Record ID	Source
Abbott Laboratories	$22.96	12/31/2024	Food and Beverage	Undisputed	01/23/2026	1124787547	CMS
ABBVIE INC.	$20.08	05/08/2024	Food and Beverage	Undisputed	01/23/2026	1108056362	CMS
AstraZeneca Pharmaceuticals LP	$24.09	04/11/2024	Food and Beverage	Undisputed	01/23/2026	1105568287	CMS
Axsome Therapeutics, Inc.	$22.29	04/11/2024	Food and Beverage	Undisputed	01/23/2026	1148336427	CMS
Axsome Therapeutics, Inc.	$32.84	05/10/2024	Food and Beverage	Undisputed	01/23/2026	1148336429	CMS
Axsome Therapeutics, Inc.	$21.35	06/05/2024	Food and Beverage	Undisputed	01/23/2026	1148336431	CMS
Axsome Therapeutics, Inc.	$26.24	07/22/2024	Food and Beverage	Undisputed	01/23/2026	1148336433	CMS
Axsome Therapeutics, Inc.	$32.76	09/06/2024	Food and Beverage	Undisputed	01/23/2026	1148336435	CMS
Axsome Therapeutics, Inc.	$16.12	12/20/2024	Food and Beverage	Undisputed	01/23/2026	1148336437	CMS
Bayer Healthcare Pharmaceuticals Inc.	$22.67	07/13/2024	Food and Beverage	Undisputed	01/23/2026	1086312209	CMS
Bayer Healthcare Pharmaceuticals Inc.	$12.67	08/12/2024	Food and Beverage	Undisputed	01/23/2026	1086102375	CMS
Bayer Healthcare Pharmaceuticals Inc.	$23.94	08/16/2024	Food and Beverage	Undisputed	01/23/2026	1086334035	CMS
Bayer Healthcare Pharmaceuticals Inc.	$22.82	10/26/2024	Food and Beverage	Undisputed	01/23/2026	1086323842	CMS
Bayer Healthcare Pharmaceuticals Inc.	$14.73	11/15/2024	Food and Beverage	Undisputed	01/23/2026	1086277468	CMS
Bayer Healthcare Pharmaceuticals Inc.	$25.23	11/19/2024	Food and Beverage	Undisputed	01/23/2026	1086349401	CMS
Bayer Healthcare Pharmaceuticals Inc.	$16.93	12/13/2024	Food and Beverage	Undisputed	01/23/2026	1086310169	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$17.32	01/17/2024	Food and Beverage	Undisputed	01/23/2026	1117831247	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$26.24	02/09/2024	Food and Beverage	Undisputed	01/23/2026	1117831255	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$21.55	05/21/2024	Food and Beverage	Undisputed	01/23/2026	1117831253	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$19.96	07/29/2024	Food and Beverage	Undisputed	01/23/2026	1117831249	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$27.15	09/11/2024	Food and Beverage	Undisputed	01/23/2026	1117831257	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$21.54	11/04/2024	Food and Beverage	Undisputed	01/23/2026	1117831251	CMS
Dynavax Technologies Corporation	$13.83	03/05/2024	Food and Beverage	Undisputed	01/23/2026	1082144003	CMS
Dynavax Technologies Corporation	$13.83	03/05/2024	Food and Beverage	Undisputed	01/23/2026	1082145803	CMS
Dynavax Technologies Corporation	$10.86	07/31/2024	Food and Beverage	Undisputed	01/23/2026	1082150661	CMS
Dynavax Technologies Corporation	$13.17	09/25/2024	Food and Beverage	Undisputed	01/23/2026	1082152365	CMS
Dynavax Technologies Corporation	$16.70	10/29/2024	Food and Beverage	Undisputed	01/23/2026	1082153197	CMS
E.R. Squibb & Sons, L.L.C.	$20.45	07/16/2024	Food and Beverage	Undisputed	01/23/2026	1101694662	CMS
GlaxoSmithKline, LLC.	$17.48	08/21/2024	Food and Beverage	Undisputed	01/23/2026	1116390764	CMS
GlaxoSmithKline, LLC.	$16.92	10/30/2024	Food and Beverage	Undisputed	01/23/2026	1116622613	CMS
Lilly USA, LLC	$26.29	03/07/2024	Food and Beverage	Undisputed	01/23/2026	1135516318	CMS
Lilly USA, LLC	$26.79	04/01/2024	Food and Beverage	Undisputed	01/23/2026	1135503682	CMS
Lilly USA, LLC	$24.91	05/01/2024	Food and Beverage	Undisputed	01/23/2026	1135503684	CMS
Lilly USA, LLC	$25.12	08/09/2024	Food and Beverage	Undisputed	01/23/2026	1135525639	CMS
Lilly USA, LLC	$26.63	08/23/2024	Food and Beverage	Undisputed	01/23/2026	1135516320	CMS
Lilly USA, LLC	$26.91	09/09/2024	Food and Beverage	Undisputed	01/23/2026	1135503686	CMS
Lilly USA, LLC	$20.30	11/12/2024	Food and Beverage	Undisputed	01/23/2026	1135513516	CMS
Madrigal Pharmaceuticals	$22.67	09/14/2024	Food and Beverage	Undisputed	01/23/2026	1144197445	CMS
Madrigal Pharmaceuticals	$23.78	10/02/2024	Food and Beverage	Undisputed	01/23/2026	1144197447	CMS
Madrigal Pharmaceuticals	$23.58	10/22/2024	Food and Beverage	Undisputed	01/23/2026	1144197449	CMS
Merck Sharp & Dohme LLC	$16.51	09/10/2024	Food and Beverage	Undisputed	01/23/2026	1141960148	CMS
Novo Nordisk Inc	$18.16	04/23/2024	Food and Beverage	Undisputed	01/23/2026	1100653969	CMS
Novo Nordisk Inc	$21.58	08/05/2024	Food and Beverage	Undisputed	01/23/2026	1100336529	CMS
Novo Nordisk Inc	$20.86	09/17/2024	Food and Beverage	Undisputed	01/23/2026	1100526431	CMS
Novo Nordisk Inc	$23.65	10/23/2024	Food and Beverage	Undisputed	01/23/2026	1100271522	CMS
Novo Nordisk Inc	$23.95	11/25/2024	Food and Beverage	Undisputed	01/23/2026	1100300201	CMS
Novo Nordisk Inc	$22.87	12/11/2024	Food and Beverage	Undisputed	01/23/2026	1100341950	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$14.13	08/21/2024	Food and Beverage	Undisputed	01/23/2026	1153687400	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$15.41	10/07/2024	Food and Beverage	Undisputed	01/23/2026	1153453711	CMS
SANOFI-AVENTIS U.S. LLC	$13.58	08/26/2024	Food and Beverage	Undisputed	01/23/2026	1139798260	CMS
SANOFI-AVENTIS U.S. LLC	$15.06	10/28/2024	Food and Beverage	Undisputed	01/23/2026	1139798254	CMS

Source & provenance

Dataset: CMS Open Payments — General Payments
Publisher of source data: Centers for Medicare & Medicaid Services
CMS publication date: 2026-01-23
Program years on this page: 2021, 2022, 2023, 2024
Source files: Dataset page · Bulk file · PY2021 , PY2022 , PY2023 , PY2024
Generated from: OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv

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