Official source Data mirrored from Centers for Medicare & Medicaid Services Open Payments · General Payments · as published 2026-01-23 View official record Methodology

Covered recipient · General Payments record

JAIRO RAMIREZ

Allopathic & Osteopathic Physicians Internal Medicine Cardiovascular Disease

NPI
1003815549
CMS profile
1075106
Location
SAN ANTONIO, TX

General Payments · PY2019–2021

$268.58

  • Reported across 16 records
  • CMS publication 2026-01-23

Latest program year · PY2021

$161.20

9 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

PY2021 · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $161.20 9

By paying entity

PY2021 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2019 $90.19 6
PY2020 $17.19 1
PY2021 $161.20 9

Payment records · PY2021 (9)

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

Program year 2021 20192020 Record-level detail is published for PY2021; earlier years are summarised in “By program year”.
Paying entity Amount Date Nature of payment Dispute status Published Record ID Source
Alnylam Pharmaceuticals Inc. $18.21 04/22/2021 Food and Beverage Undisputed 01/23/2026 828521883 CMS
Alnylam Pharmaceuticals Inc. $15.46 06/11/2021 Food and Beverage Undisputed 01/23/2026 828521933 CMS
Alnylam Pharmaceuticals Inc. $19.43 10/12/2021 Food and Beverage Undisputed 01/23/2026 828521975 CMS
Amarin Pharma Inc. $12.98 10/21/2021 Food and Beverage Undisputed 01/23/2026 815103065 CMS
Janssen Pharmaceuticals, Inc $31.22 05/14/2021 Food and Beverage Undisputed 01/23/2026 788925343 CMS
Novartis Pharmaceuticals Corporation $12.91 07/09/2021 Food and Beverage Undisputed 01/23/2026 813185869 CMS
Novartis Pharmaceuticals Corporation $12.94 08/04/2021 Food and Beverage Undisputed 01/23/2026 813185873 CMS
Novartis Pharmaceuticals Corporation $15.87 12/01/2021 Food and Beverage Undisputed 01/23/2026 813185877 CMS
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) $22.18 11/11/2021 Food and Beverage Undisputed 01/23/2026 768815282 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
2019, 2020, 2021
Source files
Dataset page · Bulk file · PY2019 , PY2020 , PY2021
Generated from
OP_DTL_GNRL_PGYR2021_P01232026_01102026.csv

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