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

ROBERTO RAMIREZ

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

NPI
1629669973
CMS profile
10683822
Location
MCALLEN, TX

General Payments · PY2021–2024

$3,604.21

  • Reported across 219 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$917.71

50 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 $917.71 50

By paying entity

PY2024 · sorted by reported total

Paying entityAmountRecords
Relypsa, Inc. $378.76 23
Acerta Pharma LLC $177.58 4
Bayer HealthCare Pharmaceuticals Inc. $148.18 11
Fresenius USA Marketing, Inc. $140.40 6
Retrophin, Inc. $49.93 5
Novo Nordisk AS $22.86 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $506.99 31
PY2022 $1,182.01 71
PY2023 $997.50 67
PY2024 $917.71 50

Payment records · PY2024 (50)

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
AstraZeneca Pharmaceuticals LP $10.83 02/07/2024 Food and Beverage Undisputed 01/23/2026 1105577660 CMS
AstraZeneca Pharmaceuticals LP $16.66 03/29/2024 Food and Beverage Undisputed 01/23/2026 1105522743 CMS
AstraZeneca Pharmaceuticals LP $125.00 05/09/2024 Food and Beverage Undisputed 01/23/2026 1105841317 CMS
AstraZeneca Pharmaceuticals LP $25.09 09/12/2024 Food and Beverage Undisputed 01/23/2026 1105484285 CMS
Bayer Healthcare Pharmaceuticals Inc. $12.90 01/11/2024 Food and Beverage Undisputed 01/23/2026 1086103534 CMS
Bayer Healthcare Pharmaceuticals Inc. $13.63 01/25/2024 Food and Beverage Undisputed 01/23/2026 1086360096 CMS
Bayer Healthcare Pharmaceuticals Inc. $20.26 02/29/2024 Food and Beverage Undisputed 01/23/2026 1086293930 CMS
Bayer Healthcare Pharmaceuticals Inc. $8.79 04/04/2024 Food and Beverage Undisputed 01/23/2026 1086098139 CMS
Bayer Healthcare Pharmaceuticals Inc. $10.57 04/18/2024 Food and Beverage Undisputed 01/23/2026 1086105000 CMS
Bayer Healthcare Pharmaceuticals Inc. $24.93 05/09/2024 Food and Beverage Undisputed 01/23/2026 1086368169 CMS
Bayer Healthcare Pharmaceuticals Inc. $8.03 06/13/2024 Food and Beverage Undisputed 01/23/2026 1086106364 CMS
Bayer Healthcare Pharmaceuticals Inc. $12.70 08/08/2024 Food and Beverage Undisputed 01/23/2026 1086106488 CMS
Bayer Healthcare Pharmaceuticals Inc. $10.46 09/19/2024 Food and Beverage Undisputed 01/23/2026 1086101689 CMS
Bayer Healthcare Pharmaceuticals Inc. $12.82 10/10/2024 Food and Beverage Undisputed 01/23/2026 1086099443 CMS
Bayer Healthcare Pharmaceuticals Inc. $13.09 11/14/2024 Food and Beverage Undisputed 01/23/2026 1086358230 CMS
Fresenius USA Marketing, Inc. $24.90 01/04/2024 Food and Beverage Undisputed 01/23/2026 1154201074 CMS
Fresenius USA Marketing, Inc. $15.93 01/25/2024 Food and Beverage Undisputed 01/23/2026 1154201078 CMS
Fresenius USA Marketing, Inc. $24.89 05/28/2024 Food and Beverage Undisputed 01/23/2026 1154201080 CMS
Fresenius USA Marketing, Inc. $24.89 07/16/2024 Food and Beverage Undisputed 01/23/2026 1154201070 CMS
Fresenius USA Marketing, Inc. $24.89 10/01/2024 Food and Beverage Undisputed 01/23/2026 1154201072 CMS
Fresenius USA Marketing, Inc. $24.90 11/11/2024 Food and Beverage Undisputed 01/23/2026 1154201076 CMS
Novo Nordisk Inc $22.86 10/17/2024 Food and Beverage Undisputed 01/23/2026 1100418848 CMS
Travere Therapeutics, Inc. $9.32 01/24/2024 Food and Beverage Undisputed 01/23/2026 1149925631 CMS
Travere Therapeutics, Inc. $10.90 03/13/2024 Food and Beverage Undisputed 01/23/2026 1149925643 CMS
Travere Therapeutics, Inc. $9.05 04/24/2024 Food and Beverage Undisputed 01/23/2026 1149925627 CMS
Travere Therapeutics, Inc. $10.39 10/02/2024 Food and Beverage Undisputed 01/23/2026 1149925639 CMS
Travere Therapeutics, Inc. $10.27 10/03/2024 Food and Beverage Undisputed 01/23/2026 1149925635 CMS
Vifor Pharma, Inc. $25.13 01/11/2024 Food and Beverage Undisputed 01/23/2026 1124040865 CMS
Vifor Pharma, Inc. $16.29 01/25/2024 Food and Beverage Undisputed 01/23/2026 1124046055 CMS
Vifor Pharma, Inc. $21.05 01/31/2024 Food and Beverage Undisputed 01/23/2026 1124035285 CMS
Vifor Pharma, Inc. $16.31 02/01/2024 Food and Beverage Undisputed 01/23/2026 1124035468 CMS
Vifor Pharma, Inc. $25.77 02/07/2024 Food and Beverage Undisputed 01/23/2026 1124039196 CMS
Vifor Pharma, Inc. $20.28 02/16/2024 Food and Beverage Undisputed 01/23/2026 1124046346 CMS
Vifor Pharma, Inc. $17.63 02/22/2024 Food and Beverage Undisputed 01/23/2026 1124035508 CMS
Vifor Pharma, Inc. $17.04 03/21/2024 Food and Beverage Undisputed 01/23/2026 1124034185 CMS
Vifor Pharma, Inc. $26.20 03/21/2024 Food and Beverage Undisputed 01/23/2026 1124034189 CMS
Vifor Pharma, Inc. $5.64 03/27/2024 Food and Beverage Undisputed 01/23/2026 1124037654 CMS
Vifor Pharma, Inc. $26.05 04/03/2024 Food and Beverage Undisputed 01/23/2026 1124041802 CMS
Vifor Pharma, Inc. $1.97 04/04/2024 Food and Beverage Undisputed 01/23/2026 1124043455 CMS
Vifor Pharma, Inc. $19.37 04/04/2024 Food and Beverage Undisputed 01/23/2026 1124043459 CMS
Vifor Pharma, Inc. $1.82 04/18/2024 Food and Beverage Undisputed 01/23/2026 1124040093 CMS
Vifor Pharma, Inc. $5.69 04/18/2024 Food and Beverage Undisputed 01/23/2026 1124040098 CMS
Vifor Pharma, Inc. $20.40 04/18/2024 Food and Beverage Undisputed 01/23/2026 1124040102 CMS
Vifor Pharma, Inc. $8.65 04/25/2024 Food and Beverage Undisputed 01/23/2026 1124045556 CMS
Vifor Pharma, Inc. $24.19 05/22/2024 Food and Beverage Undisputed 01/23/2026 1124047611 CMS
Vifor Pharma, Inc. $16.97 05/24/2024 Food and Beverage Undisputed 01/23/2026 1124034884 CMS
Vifor Pharma, Inc. $28.32 06/05/2024 Food and Beverage Undisputed 01/23/2026 1124052124 CMS
Vifor Pharma, Inc. $14.56 06/06/2024 Food and Beverage Undisputed 01/23/2026 1124053142 CMS
Vifor Pharma, Inc. $2.31 12/19/2024 Food and Beverage Undisputed 01/23/2026 1124063547 CMS
Vifor Pharma, Inc. $17.12 12/19/2024 Food and Beverage Undisputed 01/23/2026 1124063550 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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