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

LIONEL RAMIREZ

Allopathic & Osteopathic Physicians General Practice

NPI
1508387200
CMS profile
8796303
Location
GUAYNABO, PR

General Payments · PY2021–2024

$1,333.63

  • Reported across 59 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$450.86

24 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 $450.86 24

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $231.19 10
PY2022 $431.59 17
PY2023 $219.99 8
PY2024 $450.86 24

Payment records · PY2024 (24)

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

Program year 2024 202120222023 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. $24.15 01/16/2024 Food and Beverage Undisputed 01/23/2026 1105364961 CMS
Amgen Inc. $19.52 11/01/2024 Food and Beverage Undisputed 01/23/2026 1117365509 CMS
AstraZeneca Pharmaceuticals LP $14.59 02/06/2024 Food and Beverage Undisputed 01/23/2026 1105816683 CMS
AstraZeneca Pharmaceuticals LP $15.43 03/08/2024 Food and Beverage Undisputed 01/23/2026 1104508672 CMS
AstraZeneca Pharmaceuticals LP $16.26 06/08/2024 Food and Beverage Undisputed 01/23/2026 1104302956 CMS
AstraZeneca Pharmaceuticals LP $13.53 07/01/2024 Food and Beverage Undisputed 01/23/2026 1104581602 CMS
AstraZeneca Pharmaceuticals LP $5.99 07/23/2024 Food and Beverage Undisputed 01/23/2026 1104518908 CMS
AstraZeneca Pharmaceuticals LP $18.20 08/20/2024 Food and Beverage Undisputed 01/23/2026 1105530710 CMS
AstraZeneca Pharmaceuticals LP $15.91 09/03/2024 Food and Beverage Undisputed 01/23/2026 1105753773 CMS
AstraZeneca Pharmaceuticals LP $19.97 09/25/2024 Food and Beverage Undisputed 01/23/2026 1104437721 CMS
AstraZeneca Pharmaceuticals LP $17.97 10/04/2024 Food and Beverage Undisputed 01/23/2026 1104566206 CMS
Bayer Healthcare Pharmaceuticals Inc. $19.85 07/25/2024 Food and Beverage Undisputed 01/23/2026 1086178374 CMS
Bayer Healthcare Pharmaceuticals Inc. $21.17 08/24/2024 Food and Beverage Undisputed 01/23/2026 1086179906 CMS
Bayer Healthcare Pharmaceuticals Inc. $17.58 12/03/2024 Food and Beverage Undisputed 01/23/2026 1086113902 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $20.80 11/05/2024 Food and Beverage Undisputed 01/23/2026 1118037040 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $15.82 12/11/2024 Food and Beverage Undisputed 01/23/2026 1118037038 CMS
Dexcom, Inc. $24.89 01/24/2024 Food and Beverage Undisputed 01/23/2026 1153317028 CMS
Lilly USA, LLC $20.01 05/10/2024 Food and Beverage Undisputed 01/23/2026 1135143825 CMS
Novo Nordisk Inc $23.09 03/11/2024 Food and Beverage Undisputed 01/23/2026 1097138225 CMS
PFIZER INC. $30.14 07/23/2024 Food and Beverage Undisputed 01/23/2026 1131830143 CMS
Phathom Pharmaceuticals, Inc. $23.39 04/29/2024 Food and Beverage Undisputed 01/23/2026 1151113800 CMS
Phathom Pharmaceuticals, Inc. $22.38 08/05/2024 Food and Beverage Undisputed 01/23/2026 1151113802 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $14.65 02/21/2024 Food and Beverage Undisputed 01/23/2026 1153479210 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $15.57 05/30/2024 Food and Beverage Undisputed 01/23/2026 1153435841 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
2021, 2022, 2023, 2024
Source files
Dataset page · Bulk file · PY2021 , PY2022 , PY2023 , PY2024
Generated from
OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv

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