Covered recipient · General Payments record

VYANNHE VELA-RAMIREZ

Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Medical

NPI: 1477642643
CMS profile: 10459704
Location: MCALLEN, 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.

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General Payments · PY2021 · Entire year

$3,023.96

215 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.

Provider summaries generated July 26, 2026. 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

PY2021 · entire year · sorted by reported total

Nature of payment	Amount	Records
Food and Beverage	$2,910.08	213
Education	$113.88	2

By paying entity

PY2021 · entire year · sorted by reported total

Paying entity	Amount	Records
Novo Nordisk Inc	$319.06	17
Amgen Inc.	$246.78	19
AbbVie Inc.	$229.21	21
Astellas Pharma US Inc	$210.78	11
Biohaven Pharmaceuticals, Inc.	$187.47	10
Amarin Pharma Inc.	$176.11	14
Lilly USA, LLC	$168.61	14
AstraZeneca Pharmaceuticals LP	$149.72	8
Boehringer Ingelheim Pharmaceuticals, Inc.	$144.19	10
DEXCOM, INC.	$136.83	7
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$133.68	16
Merck Sharp & Dohme Corporation	$132.89	10
Antares Pharma, Inc.	$113.61	10
SANOFI-AVENTIS U.S. LLC	$96.22	6
Mylan Specialty L.P.	$81.03	5
Genentech USA, Inc.	$70.71	10
Kowa Pharmaceuticals America, Inc.	$55.66	3
Ironwood Pharmaceuticals, Inc	$49.25	3
Takeda Pharmaceuticals U.S.A., Inc.	$43.10	3
Abbott Laboratories	$42.46	2
Esperion Therapeutics, Inc.	$40.86	3
ARBOR PHARMACEUTICALS, INC.	$40.46	3
Eisai Inc.	$38.06	2
Novartis Pharmaceuticals Corporation	$27.56	2
Janssen Pharmaceuticals, Inc	$24.89	2
Biogen, Inc.	$19.22	1
Allergan, Inc.	$17.79	1
MannKind Corporation	$15.28	1
RedHill Biopharma Inc.	$12.47	1

Page 2 of 5; records 51–100 of 215 matching records. This page contains 50 records (maximum 50), not the full filtered export. Use the CSV download for all matching records.

IndustryPayments · General Payments

VYANNHE VELA-RAMIREZ

NPI 1477642643 · CMS profile ID 10459704

Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant / Medical

MCALLEN, TX

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.

General Payments, PY2021; Recipient scope: Physicians and non-physician practitioners; Reporting company: All reporting companies; Nature of payment: All payment types

Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00

Page 2 of 5; records 51–100 of 215 matching records. This page contains 50 records (maximum 50), not the full filtered export.

Filtered page: https://industrypayments.org/provider/npi-1477642643?year=2021&recipient=provider&page=2#records-h

CMS source: https://openpaymentsdata.cms.gov/dataset/0380bbeb-aea1-58b6-b708-829f92a48202

Cite these filtered records

The citation includes this program year, filters, data edition, and page of results.

Plain: VYANNHE VELA-RAMIREZ, NPI 1477642643, CMS profile ID 10459704. General Payments, PY2021; Recipient scope: Physicians and non-physician practitioners; Reporting company: All reporting companies; Nature of payment: All payment types. Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00. Page 2 of 5; records 51–100 of 215 matching records. This page contains 50 records (maximum 50), not the full filtered export. IndustryPayments. https://industrypayments.org/provider/npi-1477642643?year=2021&recipient=provider&page=2#records-h. Source: https://openpaymentsdata.cms.gov/dataset/0380bbeb-aea1-58b6-b708-829f92a48202.
APA 7: IndustryPayments. (2026). VYANNHE VELA-RAMIREZ, NPI 1477642643, CMS profile ID 10459704. General Payments, PY2021; Recipient scope: Physicians and non-physician practitioners; Reporting company: All reporting companies; Nature of payment: All payment types. Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00. Page 2 of 5; records 51–100 of 215 matching records. This page contains 50 records (maximum 50), not the full filtered export. [Filtered data set page]. https://industrypayments.org/provider/npi-1477642643?year=2021&recipient=provider&page=2#records-h. Source: https://openpaymentsdata.cms.gov/dataset/0380bbeb-aea1-58b6-b708-829f92a48202.
Bluebook: VYANNHE VELA-RAMIREZ, NPI 1477642643, CMS profile ID 10459704, IndustryPayments, General Payments, PY2021; Recipient scope: Physicians and non-physician practitioners; Reporting company: All reporting companies; Nature of payment: All payment types (Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00). Page 2 of 5; records 51–100 of 215 matching records. This page contains 50 records (maximum 50), not the full filtered export. Source: https://openpaymentsdata.cms.gov/dataset/0380bbeb-aea1-58b6-b708-829f92a48202. https://industrypayments.org/provider/npi-1477642643?year=2021&recipient=provider&page=2#records-h.

Centers for Medicare & Medicaid Services, Open Payments

Citation formats are provided for reference; check the requirements of your publication.

General Payments only. Research Payments and Ownership/Investment Interests are separate datasets and are not included.

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

Centers for Medicare & Medicaid Services, Open Payments

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.

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.

IndustryPayments.org is not a consumer reporting agency as defined by the Fair Credit Reporting Act. Do not use this site to determine any person's eligibility for employment, credentialing, insurance, credit, housing, or any other purpose covered by the FCRA.

Methodology: https://industrypayments.org/methodology

Payment records · PY2021

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

Reporting company Nature of payment

General Payments · PY2021 · Physicians and non-physician practitioners · CMS publication 2026-06-30

215 matching records · $3,023.96 reported total · 0 disputed

Nature of payment: All payment types

Records imported here November 5, 2026 (UTC).

Link to these filtered records · CMS source dataset ↗

Download all 215 matching records (CSV)

CSV includes CMS record IDs, source and publication dates, the data edition, and a link to these filters. Formula-like text cells are prefixed with an apostrophe for spreadsheet safety.

Showing records 51–100 of 215.

Paying entity	Amount	Date	Nature of payment	Dispute status	Publication flags	Published	Record ID	Source
Genentech USA, Inc.	$3.28	09/24/2021	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	836089203	CMS
Amarin Pharma Inc.	$13.48	09/23/2021	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	815265535	CMS
AstraZeneca Pharmaceuticals LP	$14.69	09/23/2021	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	829498193	CMS
AbbVie Inc.	$11.37	09/22/2021	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	795826237	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$8.89	09/22/2021	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	850393245	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$14.30	09/21/2021	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	763416310	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$9.39	09/15/2021	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	850188683	CMS
Merck Sharp & Dohme Corporation	$17.41	09/14/2021	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	848349463	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$18.27	09/10/2021	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	820679979	CMS
DEXCOM, INC.	$19.49	09/08/2021	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	845329279	CMS
Novo Nordisk Inc	$15.02	09/03/2021	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	811187221	CMS
Mylan Specialty L.P.	$19.82	09/02/2021	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	965430045	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$13.20	09/01/2021	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	850053191	CMS
Astellas Pharma US Inc	$14.51	08/30/2021	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	821798799	CMS
Abbott Laboratories	$21.19	08/29/2021	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	833887691	CMS
AbbVie Inc.	$17.90	08/26/2021	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	795826233	CMS
Novo Nordisk Inc	$6.84	08/26/2021	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	811530113	CMS
Antares Pharma, Inc.	$9.82	08/24/2021	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	827480251	CMS
Lilly USA, LLC	$13.07	08/23/2021	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	819354149	CMS
AbbVie Inc.	$9.95	08/20/2021	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	795826229	CMS
AstraZeneca Pharmaceuticals LP	$13.64	08/19/2021	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	830018267	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$14.38	08/18/2021	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	763416312	CMS
Lilly USA, LLC	$11.14	08/18/2021	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	819354137	CMS
Merck Sharp & Dohme Corporation	$14.08	08/17/2021	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	848608431	CMS
DEXCOM, INC.	$24.02	08/12/2021	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	845329277	CMS
Esperion Therapeutics, Inc.	$14.28	08/11/2021	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	838512365	CMS
AbbVie Inc.	$14.23	08/09/2021	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	795826225	CMS
Amgen Inc.	$18.26	08/07/2021	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	826525783	CMS
Lilly USA, LLC	$13.00	08/04/2021	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	819438607	CMS
Biohaven Pharmaceuticals, Inc.	$22.97	08/03/2021	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	852822775	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$14.17	07/28/2021	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	850398097	CMS
Biogen, Inc.	$19.22	07/21/2021	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	827822679	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$6.56	07/21/2021	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	850258281	CMS
Amgen Inc.	$5.73	07/20/2021	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	826277075	CMS
Astellas Pharma US Inc	$18.09	07/16/2021	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	821798793	CMS
Mylan Specialty L.P.	$15.05	07/14/2021	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	965423003	CMS
Merck Sharp & Dohme Corporation	$13.29	07/13/2021	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	848477795	CMS
AbbVie Inc.	$11.17	07/08/2021	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	795826221	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$8.39	07/07/2021	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	850006317	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$7.46	07/07/2021	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	850257987	CMS
Biohaven Pharmaceuticals, Inc.	$14.92	07/06/2021	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	852822771	CMS
Biohaven Pharmaceuticals, Inc.	$0.33	07/06/2021	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	852822773	CMS
Kowa Pharmaceuticals America, Inc.	$24.09	07/02/2021	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	805596183	CMS
Amarin Pharma Inc.	$23.75	07/01/2021	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	815445035	CMS
Amgen Inc.	$13.33	06/29/2021	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	826277107	CMS
Antares Pharma, Inc.	$9.49	06/29/2021	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	827489955	CMS
Novo Nordisk Inc	$14.12	06/28/2021	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	811416293	CMS
Ironwood Pharmaceuticals, Inc	$13.12	06/26/2021	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	855130807	CMS
AbbVie Inc.	$17.03	06/24/2021	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	795826217	CMS
DEXCOM, INC.	$16.73	06/23/2021	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	845329275	CMS

By program year

All program years on this page · sorted by year

Program year	Amount	Records
PY2021	$3,023.96	215
PY2022	$2,268.87	168
PY2023	$1,962.07	136
PY2024	$2,129.27	140
PY2025	$2,730.94	136

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: 2021, 2022, 2023, 2024, 2025

Source files and profile matching

Source files: Dataset page · Bulk file · PY2021 , PY2022 , PY2023 , PY2024 , 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.