Covered recipient · General Payments record
AMERICA DENISSE RAMIREZ SIERRA
Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner
General Payments · PY2022–2025
$20,865.45
- Reported across 357 records
- CMS publication 2026-06-30
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
PY2025 · sorted by reported total
| Nature of payment | Amount | Records |
|---|---|---|
| Food and Beverage | $1,732.45 | 40 |
| Consulting Fee | $225.00 | 1 |
| Travel and Lodging | $38.80 | 1 |
By paying entity
PY2025 · sorted by reported total
| Paying entity | Amount | Records |
|---|---|---|
| Saluda Medical Americas, Inc. | $1,056.92 | 19 |
| Abbott Laboratories | $431.94 | 8 |
| ABBVIE INC. | $190.23 | 3 |
| BOSTON SCIENTIFIC CORPORATION | $97.02 | 2 |
| Collegium Pharmaceutical, Inc. | $73.50 | 4 |
| SPR Therapeutics, Inc | $56.25 | 1 |
| Globus Medical, Inc. | $53.26 | 3 |
| VERTEX PHARMACEUTICALS INCORPORATED | $37.13 | 2 |
By program year
All program years on this page · sorted by year
Payment records · PY2025 (42)
Sorted by paying entity, then date · as published by CMS
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
- 2022, 2023, 2024, 2025
- Generated from
- OP_DTL_GNRL_PGYR2025_P06302026_06032026.csv
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