Physician profile
Rafael Ramirez
NPI 1922081512
$949.66
in general payments reported to CMS, 2019-2025
10 companies · $20.59 in 2025
The $20.59 reported for 2025 was less than what a typical Internal Medicine provider received nationally (typical 2025 total: $156).
Payments by year
General payments by program year, as reported to CMS.
General payments by year: 2019: $227 · 2020: $87.70 · 2021: $216 · 2022: $174 · 2023: $94.50 · 2024: $130 · 2025: $20.59.
What the payments were for
Nature of payment as categorized by the reporting companies: meals, consulting, travel, and so on.
Food and Beverage: $245.
View as a table
| Payment type | Amount (2023-2025) |
|---|---|
| Food and Beverage | $244.75 |
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 |
|---|---|---|---|
| Janssen Pharmaceuticals, INC | $307.67 | 2019-2022 | |
| E.R. Squibb & Sons, L.L.C. | $183.19 | 2019-2022 | |
| Boehringer Ingelheim Pharmaceuticals, INC. | $167.45 | 2021-2024 | Jardiance |
| Abbvie INC. | $91.56 | 2022-2023 | |
| Pbg Puerto Rico LLC | $71.76 | 2021-2025 | |
| Glaxosmithkline, LLC. | $63.96 | 2020-2023 | Shingrix, Trelegy Ellipta |
| Pfizer INC. | $18.57 | 2023 | |
| Astrazeneca Pharmaceuticals Lp | $16.68 | 2020 | |
| Lilly USA, LLC | $15.66 | 2022 | |
| Merck Sharp & Dohme LLC | $13.16 | 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 Rafael 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.