Covered recipient · General Payments record

FANNY E RAMIREZ

Allopathic & Osteopathic Physicians Family Medicine

NPI: 1881796076
CMS profile: 84930
Location: HOUSTON, TX

General Payments · PY2018–2020

$5,590.35

Reported across 374 records
CMS publication 2026-01-23

Latest program year · PY2020

$954.71

63 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

PY2020 · sorted by reported total

Nature of payment	Amount	Records
Food and Beverage	$954.71	63

By paying entity

PY2020 · sorted by reported total

Paying entity	Amount	Records
Amarin Pharma Inc.	$217.79	14
Acerta Pharma LLC	$162.04	11
Novo Nordisk AS	$103.61	7
Janssen Pharmaceuticals, Inc	$86.11	6
Allergan Inc.	$53.74	4
Lilly USA, LLC	$51.61	4
Astellas Pharma US Inc	$46.51	2
GlaxoSmithKline, LLC.	$45.48	3
Kowa Pharmaceuticals America, Inc.	$29.63	2
PFIZER INC.	$29.55	2
E.R. Squibb & Sons, L.L.C.	$28.20	2
BOSTON SCIENTIFIC CORPORATION	$24.56	1
NOVARTIS PHARMACEUTICALS CORPORATION	$17.82	1
Merck Sharp & Dohme Corporation	$16.80	1
SANOFI-AVENTIS U.S. LLC	$15.32	1
Boehringer Ingelheim Pharmaceuticals, Inc.	$13.78	1
Smith & Nephew, Inc.	$12.16	1

By program year

All program years on this page · sorted by year

Program year	Amount	Records
PY2018	$2,559.29	156
PY2019	$2,076.35	155
PY2020	$954.71	63

Payment records · PY2020 (63)

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

Program year 2020 2018 2019 Record-level detail is published for PY2020; earlier years are summarised in “By program year”.

Paying entity	Amount	Date	Nature of payment	Dispute status	Published	Record ID	Source
Allergan, Inc.	$11.88	01/27/2020	Food and Beverage	Undisputed	01/23/2026	723746213	CMS
Allergan, Inc.	$17.34	02/27/2020	Food and Beverage	Undisputed	01/23/2026	723746215	CMS
Allergan, Inc.	$13.19	03/12/2020	Food and Beverage	Undisputed	01/23/2026	723746217	CMS
Allergan, Inc.	$11.33	10/14/2020	Food and Beverage	Undisputed	01/23/2026	723746219	CMS
Amarin Pharma Inc.	$18.73	01/20/2020	Food and Beverage	Undisputed	01/23/2026	739962927	CMS
Amarin Pharma Inc.	$13.77	02/03/2020	Food and Beverage	Undisputed	01/23/2026	739962925	CMS
Amarin Pharma Inc.	$18.83	03/03/2020	Food and Beverage	Undisputed	01/23/2026	739893321	CMS
Amarin Pharma Inc.	$14.75	05/19/2020	Food and Beverage	Undisputed	01/23/2026	739962919	CMS
Amarin Pharma Inc.	$12.56	06/25/2020	Food and Beverage	Undisputed	01/23/2026	739888955	CMS
Amarin Pharma Inc.	$17.17	07/08/2020	Food and Beverage	Undisputed	01/23/2026	739888957	CMS
Amarin Pharma Inc.	$14.70	07/28/2020	Food and Beverage	Undisputed	01/23/2026	739893319	CMS
Amarin Pharma Inc.	$18.32	08/05/2020	Food and Beverage	Undisputed	01/23/2026	739893317	CMS
Amarin Pharma Inc.	$15.47	09/22/2020	Food and Beverage	Undisputed	01/23/2026	739962921	CMS
Amarin Pharma Inc.	$12.80	10/06/2020	Food and Beverage	Undisputed	01/23/2026	739886667	CMS
Amarin Pharma Inc.	$14.95	10/14/2020	Food and Beverage	Undisputed	01/23/2026	739962923	CMS
Amarin Pharma Inc.	$14.16	11/17/2020	Food and Beverage	Undisputed	01/23/2026	739886665	CMS
Amarin Pharma Inc.	$16.77	11/24/2020	Food and Beverage	Undisputed	01/23/2026	739888953	CMS
Amarin Pharma Inc.	$14.81	12/01/2020	Food and Beverage	Undisputed	01/23/2026	739886663	CMS
Astellas Pharma US Inc	$23.75	02/18/2020	Food and Beverage	Undisputed	01/23/2026	718371909	CMS
Astellas Pharma US Inc	$22.76	08/26/2020	Food and Beverage	Undisputed	01/23/2026	718371911	CMS
AstraZeneca Pharmaceuticals LP	$14.06	01/16/2020	Food and Beverage	Undisputed	01/23/2026	736336511	CMS
AstraZeneca Pharmaceuticals LP	$14.48	01/30/2020	Food and Beverage	Undisputed	01/23/2026	735832779	CMS
AstraZeneca Pharmaceuticals LP	$19.35	02/25/2020	Food and Beverage	Undisputed	01/23/2026	736116245	CMS
AstraZeneca Pharmaceuticals LP	$11.54	05/26/2020	Food and Beverage	Undisputed	01/23/2026	735810529	CMS
AstraZeneca Pharmaceuticals LP	$13.33	07/06/2020	Food and Beverage	Undisputed	01/23/2026	736015579	CMS
AstraZeneca Pharmaceuticals LP	$14.26	07/15/2020	Food and Beverage	Undisputed	01/23/2026	736292371	CMS
AstraZeneca Pharmaceuticals LP	$14.26	07/27/2020	Food and Beverage	Undisputed	01/23/2026	736430373	CMS
AstraZeneca Pharmaceuticals LP	$14.98	08/18/2020	Food and Beverage	Undisputed	01/23/2026	736430467	CMS
AstraZeneca Pharmaceuticals LP	$17.06	09/14/2020	Food and Beverage	Undisputed	01/23/2026	736153619	CMS
AstraZeneca Pharmaceuticals LP	$17.37	09/22/2020	Food and Beverage	Undisputed	01/23/2026	736197341	CMS
AstraZeneca Pharmaceuticals LP	$11.35	12/08/2020	Food and Beverage	Undisputed	01/23/2026	736274363	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$13.78	01/21/2020	Food and Beverage	Undisputed	01/23/2026	720832553	CMS
Boston Scientific Corporation	$24.56	01/13/2020	Food and Beverage	Undisputed	01/23/2026	725302681	CMS
E.R. Squibb & Sons, L.L.C.	$14.10	01/02/2020	Food and Beverage	Undisputed	01/23/2026	727883969	CMS
E.R. Squibb & Sons, L.L.C.	$14.10	03/02/2020	Food and Beverage	Undisputed	01/23/2026	727884007	CMS
GlaxoSmithKline, LLC.	$14.93	08/12/2020	Food and Beverage	Undisputed	01/23/2026	738780217	CMS
GlaxoSmithKline, LLC.	$15.47	09/09/2020	Food and Beverage	Undisputed	01/23/2026	738914085	CMS
GlaxoSmithKline, LLC.	$15.08	11/04/2020	Food and Beverage	Undisputed	01/23/2026	738474807	CMS
Janssen Pharmaceuticals, Inc	$14.40	01/23/2020	Food and Beverage	Undisputed	01/23/2026	719138285	CMS
Janssen Pharmaceuticals, Inc	$11.21	02/24/2020	Food and Beverage	Undisputed	01/23/2026	719138283	CMS
Janssen Pharmaceuticals, Inc	$14.85	09/28/2020	Food and Beverage	Undisputed	01/23/2026	719138287	CMS
Janssen Pharmaceuticals, Inc	$15.64	11/04/2020	Food and Beverage	Undisputed	01/23/2026	719138289	CMS
Janssen Pharmaceuticals, Inc	$14.91	11/30/2020	Food and Beverage	Undisputed	01/23/2026	719138291	CMS
Janssen Pharmaceuticals, Inc	$15.10	12/07/2020	Food and Beverage	Undisputed	01/23/2026	719138293	CMS
Kowa Pharmaceuticals America, Inc.	$14.07	02/06/2020	Food and Beverage	Undisputed	01/23/2026	716718047	CMS
Kowa Pharmaceuticals America, Inc.	$15.56	03/05/2020	Food and Beverage	Undisputed	01/23/2026	716722579	CMS
Lilly USA, LLC	$13.05	01/15/2020	Food and Beverage	Undisputed	01/23/2026	728426257	CMS
Lilly USA, LLC	$11.70	02/12/2020	Food and Beverage	Undisputed	01/23/2026	728433255	CMS
Lilly USA, LLC	$11.95	03/10/2020	Food and Beverage	Undisputed	01/23/2026	728436497	CMS
Lilly USA, LLC	$14.91	09/01/2020	Food and Beverage	Undisputed	01/23/2026	728426255	CMS
Merck Sharp & Dohme Corporation	$16.80	07/21/2020	Food and Beverage	Undisputed	01/23/2026	747722889	CMS
Novartis Pharmaceuticals Corporation	$17.82	01/15/2020	Food and Beverage	Undisputed	01/23/2026	726092515	CMS
Novo Nordisk Inc	$13.20	01/07/2020	Food and Beverage	Undisputed	01/23/2026	744620255	CMS
Novo Nordisk Inc	$14.82	02/04/2020	Food and Beverage	Undisputed	01/23/2026	744721663	CMS
Novo Nordisk Inc	$17.36	02/18/2020	Food and Beverage	Undisputed	01/23/2026	744735007	CMS
Novo Nordisk Inc	$14.80	06/08/2020	Food and Beverage	Undisputed	01/23/2026	744768211	CMS
Novo Nordisk Inc	$11.92	06/29/2020	Food and Beverage	Undisputed	01/23/2026	744763091	CMS
Novo Nordisk Inc	$16.08	10/12/2020	Food and Beverage	Undisputed	01/23/2026	744969933	CMS
Novo Nordisk Inc	$15.43	11/16/2020	Food and Beverage	Undisputed	01/23/2026	745039165	CMS
PFIZER INC.	$11.74	03/03/2020	Food and Beverage	Undisputed	01/23/2026	743414813	CMS
PFIZER INC.	$17.81	09/01/2020	Food and Beverage	Undisputed	01/23/2026	743776691	CMS
SANOFI-AVENTIS U.S. LLC	$15.32	06/02/2020	Food and Beverage	Undisputed	01/23/2026	744137703	CMS
Smith+Nephew, Inc.	$12.16	02/10/2020	Food and Beverage	Undisputed	01/23/2026	750124673	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: 2018, 2019, 2020
Source files: Dataset page · Bulk file · PY2018 , PY2019 , PY2020
Generated from: OP_DTL_GNRL_PGYR2020_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.