Physician profile
Alexander P Ramirez
NPI 1649685181
$21,672.58
in general payments reported to CMS, 2019-2025
26 companies · $1,370 in 2025
The $1,370 reported for 2025 was more than what 76% of Foot & Ankle Surgery providers received nationally (typical 2025 total: $424).
Payments by year
General payments by program year, as reported to CMS.
General payments by year: 2019: $4,061 · 2020: $1,137 · 2021: $1,569 · 2022: $3,219 · 2023: $5,549 · 2024: $4,768 · 2025: $1,370.
What the payments were for
Nature of payment as categorized by the reporting companies: meals, consulting, travel, and so on.
Food and Beverage: $7,299 · Travel and Lodging: $4,388.
View as a table
| Payment type | Amount (2023-2025) |
|---|---|
| Food and Beverage | $7,299.03 |
| Travel and Lodging | $4,387.99 |
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 |
|---|---|---|---|
| Stryker Corporation | $7,421.01 | 2019-2025 | Hoffmann, Salvation, 7 X 23mm Citrelock Implant |
| Gemini Mountain Medical, LLC | $5,450.06 | 2019-2022 | |
| Smith+Nephew, INC. | $2,695.58 | 2020-2025 | Salto Talaris Total Ankle Prosthesis, Cadence, Grafix Pl |
| Medical Device Business Services, INC. | $1,592.76 | 2019 | |
| Bioventus LLC | $1,502.09 | 2022-2024 | Stimrouter Implantable Kit, Stimrouter Implantable Kit |
| Arthrex, INC. | $687.11 | 2019-2020 | |
| Avanos Medical | $462.92 | 2023-2025 | On-Q* Pump and Accessories, On-Q Pump and Accessories |
| Mimedx Group, INC. | $306.70 | 2024 | |
| Depuy Synthes Sales INC. | $269.00 | 2019 | |
| Rikco International, LLC | $179.00 | 2019-2020 | |
| Treace Medical Concepts, INC. | $148.64 | 2022-2025 | |
| Amgen INC. | $124.98 | 2024 | Krystexxa |
| Spr Therapeutics, INC | $122.54 | 2024 | Sprint Pns System |
| Acumed LLC | $113.20 | 2025 | Acumed |
| Cook Medical LLC | $110.92 | 2019 |
Show all 26 companies
| Company | General payments | Years | Top products |
|---|---|---|---|
| Orthofix Medical, INC. | $106.97 | 2021-2025 | Physio-Stim |
| Medtronic, INC. | $104.96 | 2024 | Hawkone |
| Alliance Medical | $87.36 | 2025 | |
| Abbott Laboratories | $70.21 | 2021-2023 | Proclaim |
| Organogenesis INC. | $20.07 | 2022 | |
| Wright Medical Technology, INC. | $20.02 | 2019 | |
| Averitas Pharma INC. | $17.67 | 2025 | Qutenza |
| Paratek Pharmaceuticals, INC. | $16.14 | 2024 | Nuzyra |
| Bone Support INC. | $15.97 | 2024 | Cerament G, Ceramentbone Void Filler |
| Janssen Pharmaceuticals, INC | $15.16 | 2023 | Xarelto |
| Merck Sharp & Dohme LLC | $11.54 | 2019 |
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 Alexander 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.