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

Covered recipient · General Payments record

SHELLEY A RAMIREZ

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

NPI
1104459106
CMS profile
11163176
Location
HOUSTON, TX

A name match is not confirmation of identity. CMS publishes records for different people under similar names; the NPI, specialty, and location shown on this page are the CMS-published fields that distinguish them.

General Payments · PY2025

$222.68

10 records · 0 disputed

Summary and payment records

  • CMS publication 2026-06-30
Read the payment records

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

— Centers for Medicare & Medicaid Services, Open Payments

A reported payment reflects a financial relationship a company disclosed. It does not indicate wrongdoing or a conflict of interest, and it says nothing about the quality of a provider's care.

These records are submitted to CMS and attested to by the reporting companies. CMS publishes them as reported; this site mirrors them without independent verification.

A payment attributed to a provider may have been made to a third party — a hospital, practice, or research institution — rather than paid to the provider personally.

How these totals are calculated
  • This total is the sum of the individual General Payments record amounts CMS published for the labeled program year(s); each record amount is used unmodified. The total itself is computed by this site. 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.
  • Methodology & Data — sourcing, labeling, and limitations.

Data mirrored . CMS updates this data on an annual cycle, and corrections or successful disputes made at CMS may not yet appear here. The official CMS record is authoritative for the current state. View the official CMS record ↗

By nature of payment

PY2025 · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $222.68 10

By paying entity

PY2025 · sorted by reported total

Paying entityAmountRecords
Sumitomo Pharma America, Inc. $72.26 3
Janssen Biotech, Inc. $46.18 2
Endo USA, Inc. $46.15 2
COLOPLAST CORP $24.07 1
ABBVIE INC. $19.87 1
QIAGEN, LLC $14.15 1

Payment records · PY2025 (10)

Ordering applied by this site (date, newest first, then paying entity) · record values are shown as CMS published them

Paying entity Amount Date Nature of payment Dispute status Published Record ID Source
Sumitomo Pharma America, Inc. $24.62 12/16/2025 Food and Beverage No dispute reported 06/30/2026 1176795193 CMS
Endo USA, Inc. $22.19 12/12/2025 Food and Beverage No dispute reported 06/30/2026 1201229352 CMS
Sumitomo Pharma America, Inc. $21.58 11/11/2025 Food and Beverage No dispute reported 06/30/2026 1176795191 CMS
COLOPLAST CORP $24.07 10/29/2025 Food and Beverage No dispute reported 06/30/2026 1226979142 CMS
Janssen Biotech, Inc. $23.58 10/23/2025 Food and Beverage No dispute reported 06/30/2026 1175056926 CMS
Sumitomo Pharma America, Inc. $26.06 09/29/2025 Food and Beverage No dispute reported 06/30/2026 1176795189 CMS
Endo USA, Inc. $23.96 09/22/2025 Food and Beverage No dispute reported 06/30/2026 1201229350 CMS
Janssen Biotech, Inc. $22.60 08/27/2025 Food and Beverage No dispute reported 06/30/2026 1175062973 CMS
ABBVIE INC. $19.87 08/20/2025 Food and Beverage No dispute reported 06/30/2026 1205568026 CMS
QIAGEN, LLC $14.15 04/21/2025 Food and Beverage No dispute reported 06/30/2026 1250465050 CMS

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2025 $222.68 10

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
2025
Source files and profile matching
Source files
Dataset page · Bulk file · 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.

Corrections to the substance of a record route to CMS through its review-and-dispute process; errors in how this site mirrors or displays a record route to us. Both paths are described in Methodology & Data.

Cite this record.

Plain
SHELLEY A RAMIREZ, NPI 1104459106. IndustryPayments, data edition 2026-07-26T04:22:22Z. https://industrypayments.org/provider/npi-1104459106.
APA 7
IndustryPayments. (2026). SHELLEY A RAMIREZ, NPI 1104459106 (Data edition 2026-07-26T04:22:22Z) [Data set]. https://industrypayments.org/provider/npi-1104459106
Bluebook
SHELLEY A RAMIREZ, NPI 1104459106, IndustryPayments (data edition 2026-07-26T04:22:22Z), https://industrypayments.org/provider/npi-1104459106.

Source: Centers for Medicare & Medicaid Services, Open Payments.