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

ROXANA RAMOS

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

NPI
1700651197
CMS profile
11545403
Location
LANCASTER, PA

General Payments · PY2022–2024

$2,200.26

  • Reported across 79 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$1,469.42

64 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 $1,404.43 63
Education $64.99 1

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2022 $184.34 4
PY2023 $546.50 11
PY2024 $1,469.42 64

Payment records · PY2024 (64)

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

Program year 2024 20222023 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. $27.19 04/23/2024 Food and Beverage Undisputed 01/23/2026 1108057997 CMS
ABBVIE INC. $27.46 07/03/2024 Food and Beverage Undisputed 01/23/2026 1108057999 CMS
Adaptive Biotechnologies Corporation $26.31 08/29/2024 Food and Beverage Undisputed 01/23/2026 1150266533 CMS
Astellas Pharma US Inc $22.16 08/12/2024 Food and Beverage Undisputed 01/23/2026 1139511803 CMS
AstraZeneca Pharmaceuticals LP $21.69 04/12/2024 Food and Beverage Undisputed 01/23/2026 1104313870 CMS
AstraZeneca Pharmaceuticals LP $19.69 09/04/2024 Food and Beverage Undisputed 01/23/2026 1104615664 CMS
AstraZeneca Pharmaceuticals LP $14.89 10/07/2024 Food and Beverage Undisputed 01/23/2026 1104371229 CMS
Aveo Pharmaceuticals, Inc. $17.24 01/24/2024 Food and Beverage Undisputed 01/23/2026 1143498342 CMS
Aveo Pharmaceuticals, Inc. $18.58 05/14/2024 Food and Beverage Undisputed 01/23/2026 1143498347 CMS
Bayer Healthcare Pharmaceuticals Inc. $31.48 01/04/2024 Food and Beverage Undisputed 01/23/2026 1086361807 CMS
Bayer Healthcare Pharmaceuticals Inc. $18.80 04/26/2024 Food and Beverage Undisputed 01/23/2026 1086279482 CMS
BeiGene USA, Inc. $18.33 08/19/2024 Food and Beverage Undisputed 01/23/2026 1120866448 CMS
Celgene Corporation $20.97 01/11/2024 Food and Beverage Undisputed 01/23/2026 1101142230 CMS
Celgene Corporation $17.64 02/05/2024 Food and Beverage Undisputed 01/23/2026 1101142242 CMS
Celgene Corporation $14.57 05/09/2024 Food and Beverage Undisputed 01/23/2026 1101142262 CMS
Celgene Corporation $14.17 07/25/2024 Food and Beverage Undisputed 01/23/2026 1101142272 CMS
Celgene Corporation $14.17 09/05/2024 Food and Beverage Undisputed 01/23/2026 1101142276 CMS
Celgene Corporation $15.05 10/30/2024 Food and Beverage Undisputed 01/23/2026 1101142278 CMS
Celgene Corporation $17.58 11/07/2024 Food and Beverage Undisputed 01/23/2026 1101142280 CMS
Celltrion USA Inc. $24.16 07/15/2024 Food and Beverage Undisputed 01/23/2026 1075866115 CMS
Daiichi Sankyo Inc. $28.66 04/02/2024 Food and Beverage Undisputed 01/23/2026 1089472331 CMS
Deciphera Pharmaceuticals Inc. $20.16 10/10/2024 Food and Beverage Undisputed 01/23/2026 1145877953 CMS
E.R. Squibb & Sons, L.L.C. $17.49 03/13/2024 Food and Beverage Undisputed 01/23/2026 1101460325 CMS
E.R. Squibb & Sons, L.L.C. $18.14 08/05/2024 Food and Beverage Undisputed 01/23/2026 1101460359 CMS
E.R. Squibb & Sons, L.L.C. $21.69 08/27/2024 Food and Beverage Undisputed 01/23/2026 1101460363 CMS
E.R. Squibb & Sons, L.L.C. $21.16 12/18/2024 Food and Beverage Undisputed 01/23/2026 1101460395 CMS
EMD Serono, Inc. $30.26 05/15/2024 Food and Beverage Undisputed 01/23/2026 1120229430 CMS
EMD Serono, Inc. $27.87 09/26/2024 Food and Beverage Undisputed 01/23/2026 1120272066 CMS
GENZYME CORPORATION $38.36 02/06/2024 Food and Beverage Undisputed 01/23/2026 1139826684 CMS
GENZYME CORPORATION $37.42 06/04/2024 Food and Beverage Undisputed 01/23/2026 1139826720 CMS
GENZYME CORPORATION $38.92 10/09/2024 Food and Beverage Undisputed 01/23/2026 1139826768 CMS
GlaxoSmithKline, LLC. $27.30 01/29/2024 Food and Beverage Undisputed 01/23/2026 1116593680 CMS
GlaxoSmithKline, LLC. $19.59 05/06/2024 Food and Beverage Undisputed 01/23/2026 1116381228 CMS
GlaxoSmithKline, LLC. $18.08 09/30/2024 Food and Beverage Undisputed 01/23/2026 1116544980 CMS
GlaxoSmithKline, LLC. $17.44 11/21/2024 Food and Beverage Undisputed 01/23/2026 1115743852 CMS
Ipsen Biopharmaceuticals, Inc $23.79 05/29/2024 Food and Beverage Undisputed 01/23/2026 1091980751 CMS
Ipsen Biopharmaceuticals, Inc $22.76 11/12/2024 Food and Beverage Undisputed 01/23/2026 1091980749 CMS
Janssen Biotech, Inc. $24.04 01/09/2024 Food and Beverage Undisputed 01/23/2026 1078573850 CMS
Janssen Biotech, Inc. $22.35 07/09/2024 Food and Beverage Undisputed 01/23/2026 1078574006 CMS
JAZZ PHARMACEUTICALS INC. $21.99 02/29/2024 Food and Beverage Undisputed 01/23/2026 1151312233 CMS
JAZZ PHARMACEUTICALS INC. $26.32 06/14/2024 Food and Beverage Undisputed 01/23/2026 1151312231 CMS
Kyowa Kirin, Inc. $24.04 08/22/2024 Food and Beverage Undisputed 01/23/2026 1127055305 CMS
Lilly USA, LLC $20.43 08/21/2024 Food and Beverage Undisputed 01/23/2026 1135859605 CMS
Merck Sharp & Dohme LLC $18.99 06/11/2024 Food and Beverage Undisputed 01/23/2026 1141898450 CMS
Merck Sharp & Dohme LLC $25.53 10/24/2024 Food and Beverage Undisputed 01/23/2026 1141941811 CMS
Novartis Pharmaceuticals Corporation $22.47 01/02/2024 Food and Beverage Undisputed 01/23/2026 1087296959 CMS
Novartis Pharmaceuticals Corporation $14.87 03/05/2024 Food and Beverage Undisputed 01/23/2026 1087296965 CMS
Novartis Pharmaceuticals Corporation $19.82 04/03/2024 Food and Beverage Undisputed 01/23/2026 1087296967 CMS
Novartis Pharmaceuticals Corporation $22.93 05/01/2024 Food and Beverage Undisputed 01/23/2026 1087296973 CMS
Novartis Pharmaceuticals Corporation $22.35 05/30/2024 Food and Beverage Undisputed 01/23/2026 1087296977 CMS
Novartis Pharmaceuticals Corporation $17.42 10/01/2024 Food and Beverage Undisputed 01/23/2026 1087296981 CMS
Novartis Pharmaceuticals Corporation $16.28 11/13/2024 Food and Beverage Undisputed 01/23/2026 1087296983 CMS
PFIZER INC. $25.11 01/16/2024 Food and Beverage Undisputed 01/23/2026 1131353642 CMS
PFIZER INC. $19.24 01/31/2024 Food and Beverage Undisputed 01/23/2026 1131341781 CMS
PFIZER INC. $28.79 06/27/2024 Food and Beverage Undisputed 01/23/2026 1131343835 CMS
Pharmacosmos Therapeutics Inc. $22.28 01/17/2024 Food and Beverage Undisputed 01/23/2026 1154831948 CMS
PROGENICS PHARMACEUTICALS, INC. $28.85 03/06/2024 Food and Beverage Undisputed 01/23/2026 1128513309 CMS
SOBI, INC $21.21 07/31/2024 Food and Beverage Undisputed 01/23/2026 1141432859 CMS
Stemline Therapeutics Inc. $23.50 08/28/2024 Food and Beverage Undisputed 01/23/2026 1142970179 CMS
Sumitomo Pharma America, Inc. $16.37 07/03/2024 Food and Beverage Undisputed 01/23/2026 1148989640 CMS
Takeda Pharmaceuticals U.S.A., Inc. $64.99 02/06/2024 Education Undisputed 01/23/2026 1144982280 CMS
Takeda Pharmaceuticals U.S.A., Inc. $25.42 03/19/2024 Food and Beverage Undisputed 01/23/2026 1144982282 CMS
Takeda Pharmaceuticals U.S.A., Inc. $24.25 07/23/2024 Food and Beverage Undisputed 01/23/2026 1144982284 CMS
Tempus AI, Inc $18.36 01/30/2024 Food and Beverage Undisputed 01/23/2026 1150186136 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
2022, 2023, 2024
Source files
Dataset page · Bulk file · 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.

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.