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

RANDY R RAMIREZ

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner

NPI
1639613037
CMS profile
10604851
Location
SAN ANTONIO, TX

General Payments · PY2021–2024

$942.54

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

Latest program year · PY2024

$771.35

13 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 $665.85 12
Education $105.50 1

By paying entity

PY2024 · sorted by reported total

Paying entityAmountRecords
Teva Pharmaceuticals USA, Inc. $619.24 9
Janssen Pharmaceuticals, Inc $108.09 1
Lundbeck LLC $30.79 2
Neurocrine BioSciences, Inc. $13.23 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $67.18 4
PY2022 $48.30 3
PY2023 $55.71 3
PY2024 $771.35 13

Payment records · PY2024 (13)

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
Janssen Pharmaceuticals, Inc $108.09 03/26/2024 Food and Beverage Undisputed 01/23/2026 1078214561 CMS
Lundbeck LLC $14.59 03/21/2024 Food and Beverage Undisputed 01/23/2026 1146079028 CMS
Lundbeck LLC $16.20 10/10/2024 Food and Beverage Undisputed 01/23/2026 1146079030 CMS
Neurocrine Biosciences, Inc. $13.23 11/21/2024 Food and Beverage Undisputed 01/23/2026 1151010243 CMS
Teva Pharmaceuticals USA, Inc. $119.27 02/20/2024 Food and Beverage Undisputed 01/23/2026 1151620621 CMS
Teva Pharmaceuticals USA, Inc. $124.99 02/21/2024 Food and Beverage Undisputed 01/23/2026 1151620627 CMS
Teva Pharmaceuticals USA, Inc. $118.91 03/14/2024 Food and Beverage Undisputed 01/23/2026 1151620629 CMS
Teva Pharmaceuticals USA, Inc. $3.89 05/06/2024 Food and Beverage Undisputed 01/23/2026 1151620647 CMS
Teva Pharmaceuticals USA, Inc. $105.50 05/06/2024 Education Undisputed 01/23/2026 1151620685 CMS
Teva Pharmaceuticals USA, Inc. $6.23 07/12/2024 Food and Beverage Undisputed 01/23/2026 1151620673 CMS
Teva Pharmaceuticals USA, Inc. $11.37 08/22/2024 Food and Beverage Undisputed 01/23/2026 1151620683 CMS
Teva Pharmaceuticals USA, Inc. $120.56 09/25/2024 Food and Beverage Undisputed 01/23/2026 1151620741 CMS
Teva Pharmaceuticals USA, Inc. $8.52 10/03/2024 Food and Beverage Undisputed 01/23/2026 1151620709 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

One page per canonical provider; split Profile_IDs are merged via Associated_Covered_Recipient_Profile_ID_1/_2 from the Covered Recipient Profile Supplement.

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