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

RYAN C RAMAEKERS

Allopathic & Osteopathic Physicians Internal Medicine Hematology & Oncology

NPI
1174539936
CMS profile
53598
Location
GRAND ISLAND, NE

General Payments · PY2018–2024

$1,553.52

  • Reported across 75 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$536.86

18 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 $461.87 17
Education $74.99 1

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2018 $428.32 25
PY2019 $165.59 5
PY2020 $13.04 1
PY2021 $82.69 6
PY2022 $130.10 8
PY2023 $196.92 12
PY2024 $536.86 18

Payment records · PY2024 (18)

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

Program year 2024 201820192020202120222023 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
ABBVIE INC. $18.16 02/28/2024 Food and Beverage Undisputed 01/23/2026 1105361714 CMS
ABBVIE INC. $17.53 05/24/2024 Food and Beverage Undisputed 01/23/2026 1105361718 CMS
ABBVIE INC. $26.70 07/12/2024 Food and Beverage Undisputed 01/23/2026 1105361722 CMS
AIMMUNE THERAPEUTICS, INC. $152.15 01/19/2024 Food and Beverage Undisputed 01/23/2026 1147021823 CMS
ARRAY BIOPHARMA INC $14.03 10/03/2024 Food and Beverage Undisputed 01/23/2026 1131372865 CMS
Astellas Pharma US Inc $14.50 02/08/2024 Food and Beverage Undisputed 01/23/2026 1139292316 CMS
AstraZeneca Pharmaceuticals LP $13.48 05/31/2024 Food and Beverage Undisputed 01/23/2026 1105208612 CMS
AstraZeneca Pharmaceuticals LP $21.90 06/19/2024 Food and Beverage Undisputed 01/23/2026 1104677265 CMS
Daiichi Sankyo Inc. $74.99 09/18/2024 Education Undisputed 01/23/2026 1089472191 CMS
E.R. Squibb & Sons, L.L.C. $17.75 08/01/2024 Food and Beverage Undisputed 01/23/2026 1101215500 CMS
Ipsen Biopharmaceuticals, Inc $14.09 01/05/2024 Food and Beverage Undisputed 01/23/2026 1091953765 CMS
Ipsen Biopharmaceuticals, Inc $14.39 09/19/2024 Food and Beverage Undisputed 01/23/2026 1091953767 CMS
Novartis Pharmaceuticals Corporation $20.86 04/18/2024 Food and Beverage Undisputed 01/23/2026 1087341559 CMS
Novartis Pharmaceuticals Corporation $18.44 10/31/2024 Food and Beverage Undisputed 01/23/2026 1087341573 CMS
Octapharma USA, Inc. $17.86 05/16/2024 Food and Beverage Undisputed 01/23/2026 1142318062 CMS
Octapharma USA, Inc. $24.05 12/02/2024 Food and Beverage Undisputed 01/23/2026 1142318064 CMS
SERVIER PHARMACEUTICALS LLC $22.95 02/16/2024 Food and Beverage Undisputed 01/23/2026 1147263209 CMS
TerSera Therapeutics LLC $33.03 05/08/2024 Food and Beverage Undisputed 01/23/2026 1144718094 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
2018, 2019, 2020, 2021, 2022, 2023, 2024
Source files
Dataset page · Bulk file · PY2018 , PY2019 , PY2020 , PY2021 , PY2022 , PY2023 , PY2024
Generated from
OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv

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