IndustryPayments
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

STEPHEN RAMIREZ

Allopathic & Osteopathic Physicians Family Medicine

NPI
1184716524
CMS profile
145252
Location
SAN ANTONIO, TX

General Payments · PY2019–2025

$6,638.33

  • Reported across 389 records
  • CMS publication 2026-06-30

Latest program year · PY2025

$919.16

57 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.

Related groups: Family Medicine TX All categories

By nature of payment

PY2025 · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $919.16 57

By paying entity

PY2025 · sorted by reported total

Paying entityAmountRecords
Novo Nordisk AS $381.94 28
Axsome Therapeutics, Inc. $241.33 19
Phathom Pharmaceuticals, Inc. $124.98 1
Lundbeck LLC $77.70 4
Organon LLC $25.25 1
Inspire Medical Systems, Inc. $19.06 1
Takeda Pharmaceuticals U.S.A., Inc. $17.73 1
Bausch Health US, LLC $15.90 1
PFIZER INC. $15.27 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2019 $905.27 58
PY2020 $654.32 45
PY2021 $1,336.84 82
PY2022 $1,036.23 50
PY2023 $775.32 58
PY2024 $1,011.19 39
PY2025 $919.16 57

Payment records · PY2025 (57)

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

Program year 2025 201920202021202220232024 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
Axsome Therapeutics, Inc. $24.21 01/09/2025 Food and Beverage Undisputed 06/30/2026 1235346864 CMS
Axsome Therapeutics, Inc. $15.65 03/27/2025 Food and Beverage Undisputed 06/30/2026 1235700187 CMS
Axsome Therapeutics, Inc. $7.87 03/31/2025 Food and Beverage Undisputed 06/30/2026 1235690737 CMS
Axsome Therapeutics, Inc. $10.30 04/10/2025 Food and Beverage Undisputed 06/30/2026 1235690747 CMS
Axsome Therapeutics, Inc. $6.54 05/14/2025 Food and Beverage Undisputed 06/30/2026 1235726950 CMS
Axsome Therapeutics, Inc. $22.25 06/04/2025 Food and Beverage Undisputed 06/30/2026 1235296733 CMS
Axsome Therapeutics, Inc. $7.20 07/29/2025 Food and Beverage Undisputed 06/30/2026 1235486945 CMS
Axsome Therapeutics, Inc. $5.76 08/15/2025 Food and Beverage Undisputed 06/30/2026 1235463885 CMS
Axsome Therapeutics, Inc. $6.55 08/15/2025 Food and Beverage Undisputed 06/30/2026 1235463904 CMS
Axsome Therapeutics, Inc. $8.08 09/11/2025 Food and Beverage Undisputed 06/30/2026 1235527906 CMS
Axsome Therapeutics, Inc. $13.36 10/07/2025 Food and Beverage Undisputed 06/30/2026 1235514111 CMS
Axsome Therapeutics, Inc. $10.86 10/07/2025 Food and Beverage Undisputed 06/30/2026 1235514115 CMS
Axsome Therapeutics, Inc. $11.22 11/03/2025 Food and Beverage Undisputed 06/30/2026 1235596204 CMS
Axsome Therapeutics, Inc. $15.19 11/05/2025 Food and Beverage Undisputed 06/30/2026 1235596165 CMS
Axsome Therapeutics, Inc. $17.02 11/05/2025 Food and Beverage Undisputed 06/30/2026 1235641642 CMS
Axsome Therapeutics, Inc. $19.94 11/13/2025 Food and Beverage Undisputed 06/30/2026 1235641676 CMS
Axsome Therapeutics, Inc. $13.01 12/05/2025 Food and Beverage Undisputed 06/30/2026 1235652981 CMS
Axsome Therapeutics, Inc. $18.13 12/08/2025 Food and Beverage Undisputed 06/30/2026 1235652956 CMS
Axsome Therapeutics, Inc. $8.19 12/16/2025 Food and Beverage Undisputed 06/30/2026 1235653067 CMS
Bausch Health US, LLC $15.90 07/21/2025 Food and Beverage Undisputed 06/30/2026 1239990480 CMS
Inspire Medical Systems, Inc. $19.06 11/07/2025 Food and Beverage Undisputed 06/30/2026 1251501624 CMS
Lundbeck LLC $18.11 04/28/2025 Food and Beverage Undisputed 06/30/2026 1251838079 CMS
Lundbeck LLC $18.06 05/19/2025 Food and Beverage Undisputed 06/30/2026 1251838081 CMS
Lundbeck LLC $17.10 08/11/2025 Food and Beverage Undisputed 06/30/2026 1251838083 CMS
Lundbeck LLC $24.43 10/23/2025 Food and Beverage Undisputed 06/30/2026 1251838085 CMS
Novo Nordisk Inc $17.80 01/13/2025 Food and Beverage Undisputed 06/30/2026 1188179492 CMS
Novo Nordisk Inc $13.86 02/07/2025 Food and Beverage Undisputed 06/30/2026 1188779580 CMS
Novo Nordisk Inc $5.84 02/21/2025 Food and Beverage Undisputed 06/30/2026 1188731194 CMS
Novo Nordisk Inc $14.56 03/04/2025 Food and Beverage Undisputed 06/30/2026 1188757795 CMS
Novo Nordisk Inc $6.97 03/20/2025 Food and Beverage Undisputed 06/30/2026 1188166193 CMS
Novo Nordisk Inc $0.31 03/20/2025 Food and Beverage Undisputed 06/30/2026 1188777383 CMS
Novo Nordisk Inc $4.86 03/28/2025 Food and Beverage Undisputed 06/30/2026 1188761222 CMS
Novo Nordisk Inc $124.99 04/16/2025 Food and Beverage Undisputed 06/30/2026 1188200202 CMS
Novo Nordisk Inc $4.59 04/23/2025 Food and Beverage Undisputed 06/30/2026 1188467755 CMS
Novo Nordisk Inc $6.06 05/12/2025 Food and Beverage Undisputed 06/30/2026 1188141988 CMS
Novo Nordisk Inc $4.73 05/19/2025 Food and Beverage Undisputed 06/30/2026 1188168173 CMS
Novo Nordisk Inc $20.17 06/10/2025 Food and Beverage Undisputed 06/30/2026 1188152142 CMS
Novo Nordisk Inc $19.81 06/27/2025 Food and Beverage Undisputed 06/30/2026 1188832334 CMS
Novo Nordisk Inc $9.88 07/07/2025 Food and Beverage Undisputed 06/30/2026 1188613312 CMS
Novo Nordisk Inc $4.39 07/21/2025 Food and Beverage Undisputed 06/30/2026 1188531201 CMS
Novo Nordisk Inc $16.01 07/22/2025 Food and Beverage Undisputed 06/30/2026 1188677394 CMS
Novo Nordisk Inc $8.49 08/07/2025 Food and Beverage Undisputed 06/30/2026 1188804270 CMS
Novo Nordisk Inc $6.40 08/13/2025 Food and Beverage Undisputed 06/30/2026 1188449432 CMS
Novo Nordisk Inc $21.24 08/21/2025 Food and Beverage Undisputed 06/30/2026 1188211855 CMS
Novo Nordisk Inc $4.10 08/26/2025 Food and Beverage Undisputed 06/30/2026 1188753676 CMS
Novo Nordisk Inc $10.75 09/02/2025 Food and Beverage Undisputed 06/30/2026 1188131794 CMS
Novo Nordisk Inc $5.42 09/08/2025 Food and Beverage Undisputed 06/30/2026 1188872689 CMS
Novo Nordisk Inc $8.64 09/15/2025 Food and Beverage Undisputed 06/30/2026 1188155775 CMS
Novo Nordisk Inc $6.99 09/22/2025 Food and Beverage Undisputed 06/30/2026 1188773426 CMS
Novo Nordisk Inc $6.72 10/06/2025 Food and Beverage Undisputed 06/30/2026 1188512744 CMS
Novo Nordisk Inc $8.17 10/14/2025 Food and Beverage Undisputed 06/30/2026 1188240290 CMS
Novo Nordisk Inc $5.28 10/31/2025 Food and Beverage Undisputed 06/30/2026 1188497968 CMS
Novo Nordisk Inc $14.91 11/12/2025 Food and Beverage Undisputed 06/30/2026 1188202392 CMS
Organon LLC $25.25 08/21/2025 Food and Beverage Undisputed 06/30/2026 1237668226 CMS
PFIZER INC. $15.27 04/17/2025 Food and Beverage Undisputed 06/30/2026 1230546860 CMS
Phathom Pharmaceuticals, Inc. $124.98 07/22/2025 Food and Beverage Undisputed 06/30/2026 1219251769 CMS
Takeda Pharmaceuticals U.S.A., Inc. $17.73 03/17/2025 Food and Beverage Undisputed 06/30/2026 1223838313 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
2019, 2020, 2021, 2022, 2023, 2024, 2025
Source files
Dataset page · Bulk file · PY2019 , PY2020 , PY2021 , PY2022 , PY2023 , PY2024 , PY2025
Generated from
OP_DTL_GNRL_PGYR2025_P06302026_06032026.csv

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