Official source Data mirrored from Centers for Medicare & Medicaid Services Open Payments · General Payments · as published 2026-06-30 View official record Methodology

Covered recipient · General Payments record

DOMENICA MARIELA RAMIREZ

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

NPI
1053079590
CMS profile
11521793
Location
ORLANDO, FL

General Payments · PY2023–2025

$782.79

  • Reported across 36 records
  • CMS publication 2026-06-30

Latest program year · PY2025

$372.30

17 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

PY2025 · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $372.30 17

By paying entity

PY2025 · sorted by reported total

Paying entityAmountRecords
MAYNE PHARMA COMMERCIAL LLC $185.91 10
Astellas Pharma US Inc $139.32 5
Organon LLC $24.35 1
Hologic Sales and Service, LLC $22.72 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2023 $53.99 2
PY2024 $356.50 17
PY2025 $372.30 17

Payment records · PY2025 (17)

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

Program year 2025 20232024 Record-level detail is published for PY2025; earlier years are summarised in “By program year”.
Paying entity Amount Date Nature of payment Dispute status Published Record ID Source
Astellas Pharma US Inc $31.95 03/03/2025 Food and Beverage Undisputed 06/30/2026 1238738228 CMS
Astellas Pharma US Inc $24.28 04/07/2025 Food and Beverage Undisputed 06/30/2026 1238612680 CMS
Astellas Pharma US Inc $27.70 09/03/2025 Food and Beverage Undisputed 06/30/2026 1238650493 CMS
Astellas Pharma US Inc $27.70 09/29/2025 Food and Beverage Undisputed 06/30/2026 1238666711 CMS
Astellas Pharma US Inc $27.69 12/01/2025 Food and Beverage Undisputed 06/30/2026 1238584994 CMS
Hologic Sales and Service, LLC $22.72 01/14/2025 Food and Beverage Undisputed 06/30/2026 1182635952 CMS
MAYNE PHARMA COMMERCIAL LLC $2.39 06/02/2025 Food and Beverage Undisputed 06/30/2026 1254294394 CMS
MAYNE PHARMA COMMERCIAL LLC $29.98 06/02/2025 Food and Beverage Undisputed 06/30/2026 1254294400 CMS
MAYNE PHARMA COMMERCIAL LLC $33.43 07/16/2025 Food and Beverage Undisputed 06/30/2026 1254294248 CMS
MAYNE PHARMA COMMERCIAL LLC $0.98 08/05/2025 Food and Beverage Undisputed 06/30/2026 1254293946 CMS
MAYNE PHARMA COMMERCIAL LLC $27.65 08/05/2025 Food and Beverage Undisputed 06/30/2026 1254293948 CMS
MAYNE PHARMA COMMERCIAL LLC $24.13 09/02/2025 Food and Beverage Undisputed 06/30/2026 1254294613 CMS
MAYNE PHARMA COMMERCIAL LLC $26.90 11/12/2025 Food and Beverage Undisputed 06/30/2026 1254294587 CMS
MAYNE PHARMA COMMERCIAL LLC $3.60 11/12/2025 Food and Beverage Undisputed 06/30/2026 1254294589 CMS
MAYNE PHARMA COMMERCIAL LLC $34.36 12/15/2025 Food and Beverage Undisputed 06/30/2026 1254294020 CMS
MAYNE PHARMA COMMERCIAL LLC $2.49 12/15/2025 Food and Beverage Undisputed 06/30/2026 1254294022 CMS
Organon LLC $24.35 10/10/2025 Food and Beverage Undisputed 06/30/2026 1237643894 CMS

Source & provenance

Dataset
CMS Open Payments — General Payments
Publisher of source data
Centers for Medicare & Medicaid Services
CMS publication date
2026-06-30
Program years on this page
2023, 2024, 2025
Source files
Dataset page · Bulk file · PY2023 , PY2024 , PY2025
Generated from
OP_DTL_GNRL_PGYR2025_P06302026_06032026.csv

One page per canonical provider; split Profile_IDs are merged via Associated_Covered_Recipient_Profile_ID_1/_2 from the Covered Recipient Profile Supplement.

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