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

RAMON RUIZ RIVERA

Allopathic & Osteopathic Physicians General Practice

NPI
1447310685
CMS profile
1116466
Location
TRUJILLO ALTO, PR

General Payments · PY2018–2024

$595.87

  • Reported across 22 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$403.82

16 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 $403.82 16

By paying entity

PY2024 · sorted by reported total

Paying entityAmountRecords
SHIELD THERAPEUTICS INC $159.20 3
Noven Therapeutics, LLC $48.61 2
Lilly USA, LLC $45.51 3
ALK-Abello, Inc $27.37 1
Medtronic, Inc. $24.28 1
ITI, Inc. $19.35 1
DEXCOM, INC. $18.21 1
Exact Sciences Corporation $16.69 1
PFIZER INC. $15.13 1
Novo Nordisk AS $14.82 1
IDORSIA PHARMACEUTICALS US INC $14.65 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2018 $125.00 1
PY2023 $67.05 5
PY2024 $403.82 16

Payment records · PY2024 (16)

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

Program year 2024 20182023 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
ALK-Abello, Inc $27.37 09/05/2024 Food and Beverage Undisputed 01/23/2026 1099894813 CMS
Dexcom, Inc. $18.21 06/06/2024 Food and Beverage Undisputed 01/23/2026 1153329477 CMS
Exact Sciences Corporation $16.69 10/31/2024 Food and Beverage Undisputed 01/23/2026 1114864479 CMS
IDORSIA PHARMACEUTICALS US INC $14.65 01/30/2024 Food and Beverage Undisputed 01/23/2026 1146764418 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $19.35 11/07/2024 Food and Beverage Undisputed 01/23/2026 1143311013 CMS
Lilly USA, LLC $17.05 03/15/2024 Food and Beverage Undisputed 01/23/2026 1135351997 CMS
Lilly USA, LLC $14.76 05/21/2024 Food and Beverage Undisputed 01/23/2026 1135312013 CMS
Lilly USA, LLC $13.70 08/15/2024 Food and Beverage Undisputed 01/23/2026 1135359898 CMS
Medtronic, Inc. $24.28 11/14/2024 Food and Beverage Undisputed 01/23/2026 1119321625 CMS
Noven Therapeutics, LLC $24.87 01/08/2024 Food and Beverage Undisputed 01/23/2026 1084824523 CMS
Noven Therapeutics, LLC $23.74 07/24/2024 Food and Beverage Undisputed 01/23/2026 1084824525 CMS
Novo Nordisk Inc $14.82 05/13/2024 Food and Beverage Undisputed 01/23/2026 1097255852 CMS
PFIZER INC. $15.13 06/18/2024 Food and Beverage Undisputed 01/23/2026 1132037200 CMS
SHIELD THERAPEUTICS INC $25.92 03/08/2024 Food and Beverage Undisputed 01/23/2026 1150123187 CMS
SHIELD THERAPEUTICS INC $80.87 06/11/2024 Food and Beverage Undisputed 01/23/2026 1150134409 CMS
SHIELD THERAPEUTICS INC $52.41 08/13/2024 Food and Beverage Undisputed 01/23/2026 1150141936 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, 2023, 2024
Source files
Dataset page · Bulk file · PY2018 , PY2023 , PY2024
Generated from
OP_DTL_GNRL_PGYR2024_P01232026_01102026.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.