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

JULIO A RAMIREZ

Allopathic & Osteopathic Physicians Internal Medicine Infectious Disease

NPI
1225016983
CMS profile
55720
Location
LOUISVILLE, KY

General Payments · PY2018–2024

$276,140.98

  • Reported across 247 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$66,856.43

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

By paying entity

PY2024 · sorted by reported total

Paying entityAmountRecords
PFIZER INTERNATIONAL LLC $58,442.04 13
PFIZER INC. $8,414.39 5

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2018 $95,897.02 106
PY2019 $43,372.57 70
PY2020 $21,822.29 23
PY2021 $14,548.42 18
PY2022 $6,901.66 2
PY2023 $26,742.59 10
PY2024 $66,856.43 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
PFIZER INC. $267.99 09/04/2024 Travel and Lodging Undisputed 01/23/2026 1131594319 CMS
PFIZER INC. $252.61 09/04/2024 Food and Beverage Undisputed 01/23/2026 1131594327 CMS
PFIZER INC. $1,049.07 09/04/2024 Travel and Lodging Undisputed 01/23/2026 1131594332 CMS
PFIZER INC. $219.72 09/04/2024 Travel and Lodging Undisputed 01/23/2026 1131595252 CMS
PFIZER INC. $6,625.00 10/22/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 01/23/2026 1132030103 CMS
PFIZER INTERNATIONAL LLC $248.59 01/20/2024 Food and Beverage Undisputed 01/23/2026 1131586289 CMS
PFIZER INTERNATIONAL LLC $192.49 01/20/2024 Travel and Lodging Undisputed 01/23/2026 1131595248 CMS
PFIZER INTERNATIONAL LLC $3,710.80 01/20/2024 Travel and Lodging Undisputed 01/23/2026 1131595256 CMS
PFIZER INTERNATIONAL LLC $10,547.75 02/20/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 01/23/2026 1131201710 CMS
PFIZER INTERNATIONAL LLC $84.80 03/04/2024 Travel and Lodging Undisputed 01/23/2026 1131468724 CMS
PFIZER INTERNATIONAL LLC $281.44 06/01/2024 Travel and Lodging Undisputed 01/23/2026 1132038026 CMS
PFIZER INTERNATIONAL LLC $6,693.20 06/01/2024 Travel and Lodging Undisputed 01/23/2026 1132038028 CMS
PFIZER INTERNATIONAL LLC $509.03 06/01/2024 Travel and Lodging Undisputed 01/23/2026 1132038030 CMS
PFIZER INTERNATIONAL LLC $16,875.00 08/07/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 01/23/2026 1131810626 CMS
PFIZER INTERNATIONAL LLC $925.32 08/23/2024 Travel and Lodging Undisputed 01/23/2026 1131229404 CMS
PFIZER INTERNATIONAL LLC $5,014.80 08/23/2024 Travel and Lodging Undisputed 01/23/2026 1131229408 CMS
PFIZER INTERNATIONAL LLC $1,133.82 08/23/2024 Travel and Lodging Undisputed 01/23/2026 1131410898 CMS
PFIZER INTERNATIONAL LLC $12,225.00 09/24/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 01/23/2026 1131898839 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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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.