Covered recipient · General Payments record

CARLOS J RAMIREZ ICAZA

Allopathic & Osteopathic Physicians Internal Medicine Pulmonary Disease

NPI: 1952494825
CMS profile: 361381
Location: LEXINGTON, KY

General Payments · PY2018–2024

$4,987.35

Reported across 250 records
CMS publication 2026-01-23

Latest program year · PY2024

$2,247.30

93 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 payment	Amount	Records
Food and Beverage	$2,247.30	93

By paying entity

PY2024 · sorted by reported total

Paying entity	Amount	Records
GlaxoSmithKline, LLC.	$408.10	25
Boehringer Ingelheim Pharmaceuticals, Inc.	$352.61	14
GENZYME CORPORATION	$286.82	9
Acerta Pharma LLC	$201.79	4
Regeneron Healthcare Solutions, Inc.	$174.45	6
Mylan Specialty L.P.	$127.14	4
HARMONY BIOSCIENCES LLC	$97.73	5
United Therapeutics Corporation	$95.83	4
Mallinckrodt Hospital Products Inc.	$84.25	3
Grifols USA, LLC	$79.98	4
Amgen Inc.	$73.82	3
Pulmonx Corporation	$51.93	2
Electromed, Inc.	$48.27	3
BAXTER HEALTHCARE	$47.62	2
Insmed, Inc.	$45.52	2
Actelion Pharmaceuticals US, Inc.	$33.52	1
La Jolla Pharmaceutical Company	$22.02	1
Takeda Pharmaceuticals U.S.A., Inc.	$15.90	1

By program year

All program years on this page · sorted by year

Program year	Amount	Records
PY2018	$1,329.00	88
PY2019	$631.28	31
PY2020	$65.57	5
PY2023	$714.20	33
PY2024	$2,247.30	93

Payment records · PY2024 (93)

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

Program year 2024 2018 2019 2020 2023 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
Actelion Pharmaceuticals US, Inc.	$33.52	06/13/2024	Food and Beverage	Undisputed	01/23/2026	1078888403	CMS
Amgen Inc.	$25.22	07/11/2024	Food and Beverage	Undisputed	01/23/2026	1111683398	CMS
Amgen Inc.	$24.56	10/02/2024	Food and Beverage	Undisputed	01/23/2026	1111683402	CMS
Amgen Inc.	$24.04	11/15/2024	Food and Beverage	Undisputed	01/23/2026	1111683406	CMS
AstraZeneca Pharmaceuticals LP	$148.67	01/17/2024	Food and Beverage	Undisputed	01/23/2026	1104509554	CMS
AstraZeneca Pharmaceuticals LP	$21.28	02/16/2024	Food and Beverage	Undisputed	01/23/2026	1104285667	CMS
AstraZeneca Pharmaceuticals LP	$17.86	03/01/2024	Food and Beverage	Undisputed	01/23/2026	1105743846	CMS
AstraZeneca Pharmaceuticals LP	$13.98	10/24/2024	Food and Beverage	Undisputed	01/23/2026	1104741677	CMS
Baxter Healthcare	$22.41	02/09/2024	Food and Beverage	Undisputed	01/23/2026	1120628390	CMS
Baxter Healthcare	$25.21	05/30/2024	Food and Beverage	Undisputed	01/23/2026	1120628394	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$4.91	01/09/2024	Food and Beverage	Undisputed	01/23/2026	1118248803	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$18.74	01/09/2024	Food and Beverage	Undisputed	01/23/2026	1118248805	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$21.67	02/12/2024	Food and Beverage	Undisputed	01/23/2026	1118248809	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$27.49	02/21/2024	Food and Beverage	Undisputed	01/23/2026	1118248817	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$21.40	03/20/2024	Food and Beverage	Undisputed	01/23/2026	1118248807	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$27.38	04/24/2024	Food and Beverage	Undisputed	01/23/2026	1118248815	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$32.20	05/08/2024	Food and Beverage	Undisputed	01/23/2026	1118248827	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$29.94	06/05/2024	Food and Beverage	Undisputed	01/23/2026	1118248823	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$23.95	07/17/2024	Food and Beverage	Undisputed	01/23/2026	1118248811	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$29.90	08/14/2024	Food and Beverage	Undisputed	01/23/2026	1118248821	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$27.63	09/11/2024	Food and Beverage	Undisputed	01/23/2026	1118248819	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$23.95	10/30/2024	Food and Beverage	Undisputed	01/23/2026	1118248813	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$32.37	11/20/2024	Food and Beverage	Undisputed	01/23/2026	1118248829	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$31.08	12/17/2024	Food and Beverage	Undisputed	01/23/2026	1118248825	CMS
Electromed, Inc.	$10.80	02/05/2024	Food and Beverage	Undisputed	01/23/2026	1137910582	CMS
Electromed, Inc.	$22.82	05/02/2024	Food and Beverage	Undisputed	01/23/2026	1137910584	CMS
Electromed, Inc.	$14.65	09/06/2024	Food and Beverage	Undisputed	01/23/2026	1137910586	CMS
GENZYME CORPORATION	$49.27	01/30/2024	Food and Beverage	Undisputed	01/23/2026	1139663042	CMS
GENZYME CORPORATION	$28.41	03/11/2024	Food and Beverage	Undisputed	01/23/2026	1139662972	CMS
GENZYME CORPORATION	$3.60	04/24/2024	Food and Beverage	Undisputed	01/23/2026	1139662988	CMS
GENZYME CORPORATION	$34.56	06/28/2024	Food and Beverage	Undisputed	01/23/2026	1139663022	CMS
GENZYME CORPORATION	$30.83	07/18/2024	Food and Beverage	Undisputed	01/23/2026	1139663024	CMS
GENZYME CORPORATION	$37.52	08/07/2024	Food and Beverage	Undisputed	01/23/2026	1139663036	CMS
GENZYME CORPORATION	$30.16	10/16/2024	Food and Beverage	Undisputed	01/23/2026	1139663074	CMS
GENZYME CORPORATION	$29.12	12/11/2024	Food and Beverage	Undisputed	01/23/2026	1139663106	CMS
GENZYME CORPORATION	$43.35	12/19/2024	Food and Beverage	Undisputed	01/23/2026	1139663100	CMS
GlaxoSmithKline, LLC.	$11.99	01/16/2024	Food and Beverage	Undisputed	01/23/2026	1116698355	CMS
GlaxoSmithKline, LLC.	$19.98	01/26/2024	Food and Beverage	Undisputed	01/23/2026	1115870649	CMS
GlaxoSmithKline, LLC.	$24.05	02/06/2024	Food and Beverage	Undisputed	01/23/2026	1116615854	CMS
GlaxoSmithKline, LLC.	$15.34	02/22/2024	Food and Beverage	Undisputed	01/23/2026	1116114655	CMS
GlaxoSmithKline, LLC.	$15.28	02/28/2024	Food and Beverage	Undisputed	01/23/2026	1116358765	CMS
GlaxoSmithKline, LLC.	$20.63	03/07/2024	Food and Beverage	Undisputed	01/23/2026	1116682027	CMS
GlaxoSmithKline, LLC.	$13.94	03/13/2024	Food and Beverage	Undisputed	01/23/2026	1116436791	CMS
GlaxoSmithKline, LLC.	$17.05	03/21/2024	Food and Beverage	Undisputed	01/23/2026	1116723593	CMS
GlaxoSmithKline, LLC.	$22.27	04/03/2024	Food and Beverage	Undisputed	01/23/2026	1116002621	CMS
GlaxoSmithKline, LLC.	$17.89	04/18/2024	Food and Beverage	Undisputed	01/23/2026	1115969283	CMS
GlaxoSmithKline, LLC.	$10.84	04/23/2024	Food and Beverage	Undisputed	01/23/2026	1116447646	CMS
GlaxoSmithKline, LLC.	$16.87	05/10/2024	Food and Beverage	Undisputed	01/23/2026	1116352964	CMS
GlaxoSmithKline, LLC.	$10.27	05/16/2024	Food and Beverage	Undisputed	01/23/2026	1116726544	CMS
GlaxoSmithKline, LLC.	$16.77	05/23/2024	Food and Beverage	Undisputed	01/23/2026	1116369727	CMS
GlaxoSmithKline, LLC.	$20.12	06/11/2024	Food and Beverage	Undisputed	01/23/2026	1116608164	CMS
GlaxoSmithKline, LLC.	$21.42	06/19/2024	Food and Beverage	Undisputed	01/23/2026	1116725216	CMS
GlaxoSmithKline, LLC.	$16.15	06/27/2024	Food and Beverage	Undisputed	01/23/2026	1116610400	CMS
GlaxoSmithKline, LLC.	$7.18	07/15/2024	Food and Beverage	Undisputed	01/23/2026	1116374502	CMS
GlaxoSmithKline, LLC.	$15.96	07/23/2024	Food and Beverage	Undisputed	01/23/2026	1116361711	CMS
GlaxoSmithKline, LLC.	$5.80	08/14/2024	Food and Beverage	Undisputed	01/23/2026	1116594754	CMS
GlaxoSmithKline, LLC.	$18.35	08/22/2024	Food and Beverage	Undisputed	01/23/2026	1116582563	CMS
GlaxoSmithKline, LLC.	$13.47	09/12/2024	Food and Beverage	Undisputed	01/23/2026	1116480325	CMS
GlaxoSmithKline, LLC.	$17.34	09/18/2024	Food and Beverage	Undisputed	01/23/2026	1116185085	CMS
GlaxoSmithKline, LLC.	$20.77	10/17/2024	Food and Beverage	Undisputed	01/23/2026	1115725468	CMS
GlaxoSmithKline, LLC.	$18.37	11/13/2024	Food and Beverage	Undisputed	01/23/2026	1116220462	CMS
Grifols USA, LLC	$25.56	01/19/2024	Food and Beverage	Undisputed	01/23/2026	1124752343	CMS
Grifols USA, LLC	$19.45	04/12/2024	Food and Beverage	Undisputed	01/23/2026	1124752337	CMS
Grifols USA, LLC	$15.22	05/31/2024	Food and Beverage	Undisputed	01/23/2026	1124752339	CMS
Grifols USA, LLC	$19.75	06/25/2024	Food and Beverage	Undisputed	01/23/2026	1124752341	CMS
Harmony Biosciences Llc	$19.86	11/06/2024	Food and Beverage	Undisputed	01/23/2026	1141474966	CMS
Harmony Biosciences Llc	$23.56	12/18/2024	Food and Beverage	Undisputed	01/23/2026	1141475988	CMS
HARMONY BIOSCIENCES LLC	$21.77	04/23/2024	Food and Beverage	Undisputed	01/23/2026	1126068376	CMS
HARMONY BIOSCIENCES LLC	$16.53	05/15/2024	Food and Beverage	Undisputed	01/23/2026	1126068378	CMS
HARMONY BIOSCIENCES LLC	$16.01	08/20/2024	Food and Beverage	Undisputed	01/23/2026	1126068380	CMS
Insmed, Inc.	$21.97	03/08/2024	Food and Beverage	Undisputed	01/23/2026	1089575134	CMS
Insmed, Inc.	$23.55	10/12/2024	Food and Beverage	Undisputed	01/23/2026	1089560222	CMS
La Jolla Pharmaceutical Company	$22.02	09/25/2024	Food and Beverage	Undisputed	01/23/2026	1154250594	CMS
Mallinckrodt Hospital Products Inc.	$36.62	01/10/2024	Food and Beverage	Undisputed	01/23/2026	1145124172	CMS
Mallinckrodt Hospital Products Inc.	$16.65	03/29/2024	Food and Beverage	Undisputed	01/23/2026	1145124176	CMS
Mallinckrodt Hospital Products Inc.	$30.98	12/10/2024	Food and Beverage	Undisputed	01/23/2026	1145124181	CMS
Mylan Specialty L.P.	$23.25	01/23/2024	Food and Beverage	Undisputed	01/23/2026	1147320509	CMS
Mylan Specialty L.P.	$38.66	04/03/2024	Food and Beverage	Undisputed	01/23/2026	1147344257	CMS
Mylan Specialty L.P.	$36.71	07/25/2024	Food and Beverage	Undisputed	01/23/2026	1147292825	CMS
Mylan Specialty L.P.	$28.52	10/15/2024	Food and Beverage	Undisputed	01/23/2026	1147323829	CMS
Pulmonx Corporation	$15.58	04/11/2024	Food and Beverage	Undisputed	01/23/2026	1087850496	CMS
Pulmonx Corporation	$36.35	11/14/2024	Food and Beverage	Undisputed	01/23/2026	1087850498	CMS
Regeneron Healthcare Solutions, Inc.	$35.54	02/20/2024	Food and Beverage	Undisputed	01/23/2026	1114143051	CMS
Regeneron Healthcare Solutions, Inc.	$33.44	03/14/2024	Food and Beverage	Undisputed	01/23/2026	1114143053	CMS
Regeneron Healthcare Solutions, Inc.	$36.82	04/26/2024	Food and Beverage	Undisputed	01/23/2026	1114143055	CMS
Regeneron Healthcare Solutions, Inc.	$20.14	07/25/2024	Food and Beverage	Undisputed	01/23/2026	1114143057	CMS
Regeneron Healthcare Solutions, Inc.	$21.11	09/19/2024	Food and Beverage	Undisputed	01/23/2026	1114143059	CMS
Regeneron Healthcare Solutions, Inc.	$27.40	10/29/2024	Food and Beverage	Undisputed	01/23/2026	1114143061	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$15.90	01/03/2024	Food and Beverage	Undisputed	01/23/2026	1137658887	CMS
United Therapeutics Corporation	$15.79	01/02/2024	Food and Beverage	Undisputed	01/23/2026	1149450083	CMS
United Therapeutics Corporation	$31.07	02/16/2024	Food and Beverage	Undisputed	01/23/2026	1149451665	CMS
United Therapeutics Corporation	$25.13	04/16/2024	Food and Beverage	Undisputed	01/23/2026	1149467150	CMS
United Therapeutics Corporation	$23.84	11/18/2024	Food and Beverage	Undisputed	01/23/2026	1149473492	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, 2023, 2024
Source files: Dataset page · Bulk file · PY2018 , PY2019 , PY2020 , 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.