Physician profile
Pedro Miguel Ramirez
NPI 1689847733
$146,716.98
in general payments reported to CMS, 2019-2025
41 companies · $34K in 2025
The $34K reported for 2025 was more than what 93% of Neurological Surgery providers received nationally (typical 2025 total: $604).
Payments by year
General payments by program year, as reported to CMS.
General payments by year: 2019: $33K · 2020: $3,404 · 2021: $12K · 2022: $16K · 2023: $20K · 2024: $28K · 2025: $34K.
What the payments were for
Nature of payment as categorized by the reporting companies: meals, consulting, travel, and so on.
Royalty Or License: $40K · Consulting Fee: $22K · Travel and Lodging: $11K · Food and Beverage: $4,794 · Compensation For Services Other Than Consulting, Including Serving As Faculty Or As A Speaker At A Venue Other Than A Continuing Education Program: $4,000 · Education: $1,100.
View as a table
| Payment type | Amount (2023-2025) |
|---|---|
| Royalty Or License | $39,674.88 |
| Consulting Fee | $22,200.00 |
| Travel and Lodging | $10,550.13 |
| Food and Beverage | $4,794.02 |
| Compensation For Services Other Than Consulting, Including Serving As Faculty Or As A Speaker At A Venue Other Than A Continuing Education Program | $4,000.00 |
| Education | $1,099.81 |
Payment-type detail covers 2023-2025; earlier years are included in totals but not broken out here.
Who reported paying
General payments only, as reported to CMS. Product names cover 2023-2025.
| Company | General payments | Years | Top products |
|---|---|---|---|
| Surgentec | $58,384.47 | 2022-2025 | Tilink, Ion, Ion Facet Screw System |
| Spine Wave, INC. | $36,281.10 | 2019-2025 | Exceed Biplanar Expandable Interbody System, Sniper Spine System, Testa Tp Pivoting Spacer System |
| Si-Bone, INC. | $12,617.19 | 2019-2023 | |
| Captiva Spine INC | $12,166.47 | 2019 | |
| Augmedics INC. | $8,066.88 | 2023-2025 | Xvision |
| Abbott Laboratories | $4,465.86 | 2019-2025 | Proclaim, Eterna |
| Alphatec Spine, INC | $4,422.35 | 2022-2024 | |
| Nevro Corp. | $3,315.98 | 2019-2024 | Senza |
| Nexxt Spine LLC | $1,143.03 | 2023 | Nexxt Spine Product Portfolio, Nexxt Matrixx |
| Boston Scientific Corporation | $1,045.09 | 2019-2025 | General - Pain Management, Wavewriter Alpha Prime 16, General - Therapies |
| Medtronic, INC. | $977.52 | 2021-2025 | Intellis Adaptivestim, Mazor X System, Inceptiv |
| Mml US, INC. | $801.30 | 2023-2025 | Reactiv8 |
| Globus Medical, INC. | $398.49 | 2025 | Senza, Simplify Cervical Artificial Disc |
| Stryker Corporation | $334.01 | 2019-2022 | |
| Arthrex, INC. | $315.06 | 2024 |
Show all 41 companies
| Company | General payments | Years | Top products |
|---|---|---|---|
| Curonix LLC | $298.01 | 2023-2025 | Pns Freedom-4a Permanent Neurostimulator Receiver Kit Channel A |
| Radius Health, INC. | $280.37 | 2019-2021 | |
| Zimmer Biomet Holdings, INC. | $167.41 | 2019-2021 | |
| Axonics, INC. | $163.85 | 2022 | |
| Medtronic USA, INC. | $150.85 | 2019-2020 | |
| Zimvie INC. | $104.84 | 2022-2024 | |
| Choice Spine, LLC | $103.56 | 2019 | |
| Elevation Spine, INC. | $102.53 | 2024-2025 | |
| Astellas Pharma US INC | $94.00 | 2024 | |
| Xenix Medical LLC | $84.50 | 2019 | |
| Surgalign Spine Technologies, INC. | $73.25 | 2022 | |
| Stimwave Technologies Incorporated | $51.86 | 2022 | |
| Zyla Life Sciences, INC. | $39.65 | 2019 | |
| Spineology INC. | $32.51 | 2020-2025 | |
| Irras USA, INC. | $30.84 | 2020 | |
| Kerecis Limited | $30.42 | 2024 | Kerecis Omega3 Marigen, Kerecis Omega3 Surgiclose |
| Pacira Pharmaceuticals Incorporated | $21.14 | 2025 | Exparel |
| Grt US Holding, INC. | $20.75 | 2021 | |
| Biotronik Nro, INC. | $19.29 | 2025 | Prospera |
| Almatica Pharma LLC | $19.19 | 2023 | Gralise |
| Relievant Medsystems, INC. | $17.58 | 2021-2023 | Intracept |
| Centinel Spine, LLC | $16.70 | 2024 | Prodisc C Vivo |
| Arkis Biosciences INC | $15.92 | 2019 | |
| Ceribell, INC. | $15.08 | 2023 | Ceribell Rapid Response Eeg |
| Orthofix Medical, INC. | $15.00 | 2020 | |
| Spinal Elements, INC. | $13.08 | 2020 |
Drugs and devices associated with these payments
CMS records which products a payment was associated with, not how the money was allocated. Association is not allocation: one payment can be associated with several products, and a product listing does not mean the payment was made because of that product. Product detail covers 2023-2025.
If you want to bring it up
Most clinicians are glad to talk about this. A respectful way in:
- "I saw Pedro Ramirez listed in the CMS Open Payments database. Can you tell me about your work with those companies?"
- "Is there a generic or alternative to this medication, and would it work as well for me?"
- "What made you choose this particular treatment for my situation?"
These are normal questions. A good clinician will welcome them.
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Source: CMS Open Payments, program years 2019-2025, as reported to CMS by drug and device makers (published June 30, 2026). Drug and device detail covers 2023-2025.