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

SAUL RAMIREZ

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

NPI
1043881691
CMS profile
10413896
Location
SAN BERNARDINO, CA

General Payments · PY2023–2024

$2,897.99

  • Reported across 137 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$2,307.46

101 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 paymentAmountRecords
Food and Beverage $2,307.46 101

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2023 $590.53 36
PY2024 $2,307.46 101

Payment records · PY2024 (101)

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

Program year 2024 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
Actelion Pharmaceuticals US, Inc. $20.84 01/11/2024 Food and Beverage Undisputed 01/23/2026 1078871348 CMS
AIMMUNE THERAPEUTICS, INC. $17.14 11/05/2024 Food and Beverage Undisputed 01/23/2026 1147008805 CMS
Amgen Inc. $16.67 04/17/2024 Food and Beverage Undisputed 01/23/2026 1117360160 CMS
Amgen Inc. $17.00 10/09/2024 Food and Beverage Undisputed 01/23/2026 1117360162 CMS
Astellas Pharma US Inc $32.75 08/26/2024 Food and Beverage Undisputed 01/23/2026 1139527250 CMS
AstraZeneca Pharmaceuticals LP $14.30 01/23/2024 Food and Beverage Undisputed 01/23/2026 1104203531 CMS
AstraZeneca Pharmaceuticals LP $18.98 02/21/2024 Food and Beverage Undisputed 01/23/2026 1104422557 CMS
AstraZeneca Pharmaceuticals LP $20.20 03/08/2024 Food and Beverage Undisputed 01/23/2026 1105701736 CMS
AstraZeneca Pharmaceuticals LP $112.50 03/20/2024 Food and Beverage Undisputed 01/23/2026 1105523869 CMS
AstraZeneca Pharmaceuticals LP $13.56 04/01/2024 Food and Beverage Undisputed 01/23/2026 1105413428 CMS
AstraZeneca Pharmaceuticals LP $13.84 04/16/2024 Food and Beverage Undisputed 01/23/2026 1105730851 CMS
AstraZeneca Pharmaceuticals LP $14.70 06/13/2024 Food and Beverage Undisputed 01/23/2026 1105478009 CMS
AstraZeneca Pharmaceuticals LP $16.10 06/15/2024 Food and Beverage Undisputed 01/23/2026 1104553568 CMS
AstraZeneca Pharmaceuticals LP $15.36 07/29/2024 Food and Beverage Undisputed 01/23/2026 1104723923 CMS
AstraZeneca Pharmaceuticals LP $13.87 09/05/2024 Food and Beverage Undisputed 01/23/2026 1105288173 CMS
AstraZeneca Pharmaceuticals LP $14.85 09/12/2024 Food and Beverage Undisputed 01/23/2026 1105268441 CMS
AstraZeneca Pharmaceuticals LP $16.74 10/09/2024 Food and Beverage Undisputed 01/23/2026 1105865058 CMS
AstraZeneca Pharmaceuticals LP $14.64 10/18/2024 Food and Beverage Undisputed 01/23/2026 1104591790 CMS
AstraZeneca Pharmaceuticals LP $14.65 10/30/2024 Food and Beverage Undisputed 01/23/2026 1105527802 CMS
Bayer Healthcare Pharmaceuticals Inc. $15.56 02/07/2024 Food and Beverage Undisputed 01/23/2026 1086312953 CMS
Bayer Healthcare Pharmaceuticals Inc. $10.67 02/09/2024 Food and Beverage Undisputed 01/23/2026 1086104374 CMS
Bayer Healthcare Pharmaceuticals Inc. $9.16 03/21/2024 Food and Beverage Undisputed 01/23/2026 1086105678 CMS
Bayer Healthcare Pharmaceuticals Inc. $20.44 04/25/2024 Food and Beverage Undisputed 01/23/2026 1086344075 CMS
Bayer Healthcare Pharmaceuticals Inc. $13.92 05/15/2024 Food and Beverage Undisputed 01/23/2026 1086305600 CMS
Bayer Healthcare Pharmaceuticals Inc. $16.59 06/07/2024 Food and Beverage Undisputed 01/23/2026 1086353234 CMS
Bayer Healthcare Pharmaceuticals Inc. $16.14 06/08/2024 Food and Beverage Undisputed 01/23/2026 1086346621 CMS
Bayer Healthcare Pharmaceuticals Inc. $14.84 07/21/2024 Food and Beverage Undisputed 01/23/2026 1086303947 CMS
Bayer Healthcare Pharmaceuticals Inc. $21.78 09/26/2024 Food and Beverage Undisputed 01/23/2026 1086367625 CMS
Bayer Healthcare Pharmaceuticals Inc. $13.98 10/09/2024 Food and Beverage Undisputed 01/23/2026 1086302756 CMS
Bayer Healthcare Pharmaceuticals Inc. $14.98 11/06/2024 Food and Beverage Undisputed 01/23/2026 1086368273 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $7.10 01/22/2024 Food and Beverage Undisputed 01/23/2026 1117851639 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $19.52 02/05/2024 Food and Beverage Undisputed 01/23/2026 1117851647 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $24.68 03/25/2024 Food and Beverage Undisputed 01/23/2026 1117851659 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $23.30 04/10/2024 Food and Beverage Undisputed 01/23/2026 1117851655 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $27.64 05/15/2024 Food and Beverage Undisputed 01/23/2026 1117851661 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $17.79 05/20/2024 Food and Beverage Undisputed 01/23/2026 1117851645 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $21.96 05/31/2024 Food and Beverage Undisputed 01/23/2026 1117851653 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $115.67 06/06/2024 Food and Beverage Undisputed 01/23/2026 1117851665 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $20.52 06/13/2024 Food and Beverage Undisputed 01/23/2026 1117851651 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $15.77 07/08/2024 Food and Beverage Undisputed 01/23/2026 1117851643 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $20.30 07/10/2024 Food and Beverage Undisputed 01/23/2026 1117851649 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $24.58 08/27/2024 Food and Beverage Undisputed 01/23/2026 1117851657 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $33.13 08/28/2024 Food and Beverage Undisputed 01/23/2026 1117851663 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $15.03 09/23/2024 Food and Beverage Undisputed 01/23/2026 1117851641 CMS
Dexcom, Inc. $17.66 07/01/2024 Food and Beverage Undisputed 01/23/2026 1153385552 CMS
Exact Sciences Corporation $17.89 02/22/2024 Food and Beverage Undisputed 01/23/2026 1114846547 CMS
Exact Sciences Corporation $15.32 06/22/2024 Food and Beverage Undisputed 01/23/2026 1114846553 CMS
Exact Sciences Corporation $18.18 10/12/2024 Food and Beverage Undisputed 01/23/2026 1114846558 CMS
Exact Sciences Corporation $19.10 11/22/2024 Food and Beverage Undisputed 01/23/2026 1114846564 CMS
GlaxoSmithKline, LLC. $21.73 05/02/2024 Food and Beverage Undisputed 01/23/2026 1116480857 CMS
GlaxoSmithKline, LLC. $16.48 08/26/2024 Food and Beverage Undisputed 01/23/2026 1116680607 CMS
GlaxoSmithKline, LLC. $15.46 12/26/2024 Food and Beverage Undisputed 01/23/2026 1116412679 CMS
Janssen Pharmaceuticals, Inc $146.19 03/06/2024 Food and Beverage Undisputed 01/23/2026 1077938596 CMS
Kowa Pharmaceuticals America, Inc. $14.43 10/22/2024 Food and Beverage Undisputed 01/23/2026 1113474405 CMS
Kowa Pharmaceuticals America, Inc. $15.13 11/19/2024 Food and Beverage Undisputed 01/23/2026 1113474407 CMS
Lexicon Pharmaceuticals, Inc. $25.95 05/08/2024 Food and Beverage Undisputed 01/23/2026 1081733033 CMS
Lexicon Pharmaceuticals, Inc. $25.01 09/18/2024 Food and Beverage Undisputed 01/23/2026 1081733031 CMS
Lilly USA, LLC $24.44 01/17/2024 Food and Beverage Undisputed 01/23/2026 1135947509 CMS
Lilly USA, LLC $9.21 01/29/2024 Food and Beverage Undisputed 01/23/2026 1135942942 CMS
Lilly USA, LLC $9.92 02/26/2024 Food and Beverage Undisputed 01/23/2026 1135886886 CMS
Lilly USA, LLC $24.44 03/19/2024 Food and Beverage Undisputed 01/23/2026 1135942438 CMS
Lilly USA, LLC $30.92 03/26/2024 Food and Beverage Undisputed 01/23/2026 1135942944 CMS
Lilly USA, LLC $6.42 04/19/2024 Food and Beverage Undisputed 01/23/2026 1135905295 CMS
Lilly USA, LLC $12.40 04/26/2024 Food and Beverage Undisputed 01/23/2026 1135863047 CMS
Lilly USA, LLC $19.41 04/29/2024 Food and Beverage Undisputed 01/23/2026 1135961735 CMS
Lilly USA, LLC $21.47 06/25/2024 Food and Beverage Undisputed 01/23/2026 1135942946 CMS
Lilly USA, LLC $10.01 06/27/2024 Food and Beverage Undisputed 01/23/2026 1135933658 CMS
Lilly USA, LLC $13.74 07/30/2024 Food and Beverage Undisputed 01/23/2026 1135947511 CMS
Lilly USA, LLC $2.31 07/30/2024 Food and Beverage Undisputed 01/23/2026 1135961737 CMS
Merck Sharp & Dohme LLC $16.36 02/01/2024 Food and Beverage Undisputed 01/23/2026 1141714762 CMS
Merck Sharp & Dohme LLC $18.31 02/13/2024 Food and Beverage Undisputed 01/23/2026 1141714764 CMS
Merck Sharp & Dohme LLC $15.03 07/15/2024 Food and Beverage Undisputed 01/23/2026 1141967843 CMS
Merck Sharp & Dohme LLC $15.06 10/29/2024 Food and Beverage Undisputed 01/23/2026 1141714766 CMS
Mylan Specialty L.P. $20.35 08/28/2024 Food and Beverage Undisputed 01/23/2026 1147298932 CMS
Mylan Specialty L.P. $17.87 09/27/2024 Food and Beverage Undisputed 01/23/2026 1147356698 CMS
Mylan Specialty L.P. $19.39 11/15/2024 Food and Beverage Undisputed 01/23/2026 1147357063 CMS
Novartis Pharmaceuticals Corporation $16.39 01/31/2024 Food and Beverage Undisputed 01/23/2026 1087301525 CMS
Novartis Pharmaceuticals Corporation $19.27 03/04/2024 Food and Beverage Undisputed 01/23/2026 1087301529 CMS
Novartis Pharmaceuticals Corporation $17.90 03/27/2024 Food and Beverage Undisputed 01/23/2026 1087301527 CMS
Novartis Pharmaceuticals Corporation $18.10 04/24/2024 Food and Beverage Undisputed 01/23/2026 1087301531 CMS
Novartis Pharmaceuticals Corporation $15.63 05/17/2024 Food and Beverage Undisputed 01/23/2026 1087301533 CMS
Novartis Pharmaceuticals Corporation $13.04 07/19/2024 Food and Beverage Undisputed 01/23/2026 1087301539 CMS
Novartis Pharmaceuticals Corporation $15.70 07/25/2024 Food and Beverage Undisputed 01/23/2026 1087301535 CMS
Novartis Pharmaceuticals Corporation $18.59 10/16/2024 Food and Beverage Undisputed 01/23/2026 1087301543 CMS
Novo Nordisk Inc $23.74 01/12/2024 Food and Beverage Undisputed 01/23/2026 1100610686 CMS
Novo Nordisk Inc $14.66 04/26/2024 Food and Beverage Undisputed 01/23/2026 1100253608 CMS
Novo Nordisk Inc $23.45 05/22/2024 Food and Beverage Undisputed 01/23/2026 1100467056 CMS
Novo Nordisk Inc $14.10 06/26/2024 Food and Beverage Undisputed 01/23/2026 1100388299 CMS
Novo Nordisk Inc $21.10 08/07/2024 Food and Beverage Undisputed 01/23/2026 1100483161 CMS
Novo Nordisk Inc $20.92 08/30/2024 Food and Beverage Undisputed 01/23/2026 1100583978 CMS
Otsuka America Pharmaceutical, Inc. $21.71 01/03/2024 Food and Beverage Undisputed 01/23/2026 1119167910 CMS
Otsuka America Pharmaceutical, Inc. $121.82 03/27/2024 Food and Beverage Undisputed 01/23/2026 1119167912 CMS
Otsuka America Pharmaceutical, Inc. $1.33 05/10/2024 Food and Beverage Undisputed 01/23/2026 1119167914 CMS
Otsuka America Pharmaceutical, Inc. $12.22 05/10/2024 Food and Beverage Undisputed 01/23/2026 1119167916 CMS
Otsuka America Pharmaceutical, Inc. $22.08 11/15/2024 Food and Beverage Undisputed 01/23/2026 1119167918 CMS
Otsuka America Pharmaceutical, Inc. $123.63 12/11/2024 Food and Beverage Undisputed 01/23/2026 1119167920 CMS
PFIZER INC. $21.39 04/04/2024 Food and Beverage Undisputed 01/23/2026 1131383724 CMS
PFIZER INC. $19.84 06/14/2024 Food and Beverage Undisputed 01/23/2026 1131677527 CMS
PFIZER INC. $24.40 07/11/2024 Food and Beverage Undisputed 01/23/2026 1131754992 CMS
PFIZER INC. $21.30 11/18/2024 Food and Beverage Undisputed 01/23/2026 1131195248 CMS
SANOFI-AVENTIS U.S. LLC $15.82 10/08/2024 Food and Beverage Undisputed 01/23/2026 1139909863 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
2023, 2024
Source files
Dataset page · Bulk file · PY2023 , PY2024
Generated from
OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv

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